System and method for emergency apneic oxygenation
Techniques for emergency apneic oxygenation include a cannula having a longitudinal inner passage with an inner diameter. A distal portion has a first outer diameter greater than the inner diameter, and is made of shape memory material shaped to bend in a first direction along the inner passage. A cannula base has a second outer diameter greater than the first outer diameter. A distance from a distal end of the cannula to a proximal end of the distal portion of the cannula is less than a distance from a surface of a throat of a subject to a distal surface of an airway of the subject. The inner passage is configured to pass a catheter connected at a proximal end to an oxygen source. In various embodiments, the cannula is used with a trocar and, optionally, a system base, or supplied in a kit with a catheter.
1. A method for emergency apneic oxygenation comprising:
cutting an opening of diameter less than 10 millimeters into an airway of a target subject at an entry site, comprising;
inserting at the entry site a trocar engaged with a cannula comprising a distal end of shape memory material, wherein the cannula without trocar engaged is bent in a first direction and the trocar is inserted so that the first direction is directed downward in the airway of the target subject, and
removing the trocar while leaving the cannula inserted at the entry site, passing a distal end of a catheter through the opening and through the cannula and down
the airway of the target subject to a sub-segmented bronchus of the target subject;
connecting a proximal end of the catheter to a supply of oxygen;
providing oxygen from the supply to the target subject at a rate sufficient to sustain life of the target subject.
2. A method as recited in claim 1 , wherein inserting at the entry site the trocar engaged with the cannula further comprises:
placing a system base on a throat of the target subject so that an opening of the system base is centered on the entry site; and
inserting the trocar engaged with the cannula through the opening in the system base.
3. A method for emergency apneic oxygenation comprising:
moving an arcuate surface of a system base comprising an outer surface of a cylinder along a surface of a throat of a target subject;
receiving the arcuate surface in a recess formed by a cricothyroid membrane along the surface;
aligning an opening in the system base with an entry point in the cricothyroid membrane based on receiving the arcuate surface in the recess; and
inserting a trocar engaged within a cannula through the opening in the system base and the entry point in the cricothyroid membrane and into an airway of the target subject.
4. A method as recited in claim 3 , further comprising:
removing the trocar while leaving the cannula inserted at the entry point; and
bending the distal portion of the cannula in a first direction upon removing the trocar, wherein the first direction is a downward direction along the airway based on the inserting of the engaged trocar into the airway.
5. A method for emergency apneic oxygenation comprising:
moving an arcuate surface of a system base along a surface of a throat of a target subject, wherein the arcuate surface is rounded edges between adjacent sides of an elongated pylon;
receiving the arcuate surface in a recess formed by a cricothyroid membrane along the surface;
aligning an opening in the system base with an entry point in the cricothyroid membrane based on receiving the arcuate surface in the recess; and
inserting a trocar engaged within a cannula through the opening in the system base and the entry point in the cricothyroid membrane and into an airway of the target subject.