Chin-up device -- thoughts?

[Foodie]

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This month I began working at a new hospital as a full-fledged attending, and I am trying to get the purchasing department to get the Opti-gards for ENT cases. I got tired of telling ENT surgeons to stop shoving their elbows into the patients' taped eyes.

While looking at the company website, I came across these:
http://dupacoinc.com/products/chin-up

I think I've seen similar devices made by other companies -- how do people feel about this jaw thrust device? I have never used one, and I usually will slip in a nasal trumpet or oral airway device (after getting a pt a little deeper with a small hit of propofol) to keep the upper airway patent. But sometimes I do have to keep my hand on their jaw.

Would love to hear your thoughts. Thanks.

 

[Idiopathic]

my first thought is that this product was not designed for their patient model

 

[Foodie]

Haha, yup. That is indeed a model patient in the picture. She also looks awfully comfortable for someone with an object pressing down on her sternum.

 

[bostonblaz]

You can do the same thing with an EKG dot on the chest and a rolled up or towel

 

[urge]

This month I began working at a new hospital as a full-fledged attending, and I am trying to get the purchasing department to get the Opti-gards for ENT cases. I got tired of telling ENT surgeons to stop shoving their elbows into the patients' taped eyes.

While looking at the company website, I came across these:
http://dupacoinc.com/products/chin-up

I think I've seen similar devices made by other companies -- how do people feel about this jaw thrust device? I have never used one, and I usually will slip in a nasal trumpet or oral airway device (after getting a pt a little deeper with a small hit of propofol) to keep the upper airway patent. But sometimes I do have to keep my hand on their jaw.

Would love to hear your thoughts. Thanks.

Doesn't look like it will stay in place.

The only one of these things that looks like it would work is the LMA JED.

I have not used any of them so who knows.

 

[cchoukal]

My belief is that the use of these devices is a tangible, visible, and obvious acknowledgement that you are conducting a general anesthetic without an airway.

 

[Idiopathic]

My belief is that the use of these devices is a tangible, visible, and obvious acknowledgement that you are conducting a general anesthetic without an airway.

ridiculous

 

[B-Bone]

My belief is that the use of these devices is a tangible, visible, and obvious acknowledgement that you are conducting a general anesthetic without an airway.

this

 

[urge]

My belief is that the use of these devices is a tangible, visible, and obvious acknowledgement that you are conducting a general anesthetic without an airway.

Spoken like you have never had to hold a chin.

 

[deleted9493]

Pediatric fellowship has taught me that the natural airway in a patient without significant obstructive/regurgitant comorbidities is just as safe (or safer) than anything else that I could offer as an anesthesiologist.

 

[Idiopathic]

Spoken like you have never had to hold a chin.

this. obstruction of the airway does not define general anesthesia.

 

[Spinach Dip]

Looks like something concocted by the Three Stooges Medical Equipment Company



(Not saying it has no use... just that it looks ludicrous.)

 

[Mman]

this. obstruction of the airway does not define general anesthesia.

it does if you have to do it for so long that you need something to help you out because your arm is tired.

I mean a jaw thrust hurts. It's fairly uncomfortable. I haven't met many patients that can respond to commands or protect their airway while having a jaw thrust.

 

[Idiopathic]

this is a chin lift, not a jaw thrust. a chin lift does not hurt

 

[Mman]

if you are opening an airway that is obstructed for any duration of time, it's not a move that is comfortable on an awake patient. A patient tolerating that for any duration of time certainly doesn't have protective airway reflexes.

 

[Idiopathic]

.