What Hypnoz Therapeutic Devices customers are saying about the JED®
The JED® is the first non-invasive device that will maintain a patient airway in patients receiving light or deep sedation.
The JED® eliminates the need for external manipulation (jaw-thrust) or internal airway support (oral airways, nasal trumpets) and securely maintain spontaneous ventilation as sedation is adjusted to match surgical or procedure stimulus.
William Mazzei, M.D., Clinical Professor of Anesthesiology, Medical Director of Perioperative Services, University of California, San Diego Medical Center
My ICU experience with the JED®
Several months ago, I had a very complex vascular case that lasted 3 hours longer than expected due to surgical complications. After an all-day anesthetic in an ASA-3 patient, it was the surgeon’s request, if at all possible, to extubate the patient at the end of the surgery, prior to transporting the patient to the ICU.
The patient had a history of cardiovascular disease, COPD, and mild OSA. At the conclusion of the operation, I decided to see how the patient would emerge from anesthesia, and to see if his cardiovascular and respiratory function would be adequate to allow extubation in the OR.
The patient woke up rather briskly, had normal vital signs, and met the criteria for extubation, despite the extensive surgical and anesthesia time. After extubation in the OR, the patient remained sedated and somewhat agitated. His vital signs, including SpO2, remained stable.
Once in the ICU, the patient was still sedated after the extensive operating time, but was also agitated and not well oriented. He was given 1 mg of midazolam to quiet his agitation. This worked well, however, the patient began to snore, and exhibit signs of upper airway obstruction requiring a roll under his shoulders, and a jaw thrust and chin lift to help maintain upper airway patency.
It began to appear as though the patient may require reintubation, as it was now late at night, and he continued to require assistance to keep his upper airway open. At this point, it was decided to use the Jaw Elevation Device (JED®) in an attempt to help support the airway, maintain adequate oxygenation and ventilation, and hopefully avoid reintubation. The JED® was placed in the usual recommended fashion, and it allowed successful maintenance of a patient airway. The patient slept most of the remainder of the night in the ICU, and did not require reintubation. By the next morning, the patient was awake, much more alert, and was very stable from both a respiratory and hemodynamic standpoint.
Wingler, M.D.