Evidence map›Paper›PMID 33519246›Full record

ArticleMedical devices (Auckland, N.Z.)2021

Comparative in-vitro Study of the Trachospray, a New Device for Topical Anaesthesia of the Upper Airway.

Geert-Jan van Geffen, Hielke Markerink, Marc van Barneveld, Frank Verhoeven, Gert Jan Scheffer, Jörgen Bruhn

Open access · goldAbstract read
In one paragraph

Article in Medical devices (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Geert-Jan van GeffenDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Centre (RUMC), Nijmegen, The Netherlands.
Hielke MarkerinkDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Centre (RUMC), Nijmegen, The Netherlands.
Marc van BarneveldMedspray Anesthesia BV, Enschede, The Netherlands.ORCID 0000-0003-4553-5562
Frank VerhoevenMedspray T&M, Enschede, The Netherlands.
Gert Jan SchefferDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Centre (RUMC), Nijmegen, The Netherlands.
Jörgen BruhnDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Centre (RUMC), Nijmegen, The Netherlands.
Radboud University Nijmegen · NLMedspray (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObtaining complete topical anaesthesia of the airway remains a clinical challenge. Particle size is one of the most important variables for the dose deposited and the distribution of aerosols in the airways. The mass median aerodynamic diameter of the particles should be in the range of 5-20 µm. We developed the "Trachospray" as a soft mist spray device for local anaesthetics. This in-vitro comparative test was designed to compare the performance of the new Trachospray device with two existing medical devices. The performance was determined by comparing the spray deposition patterns in the mouth, throat, trachea and lungs.

methodsThe human airway was simulated with an artificial idealized mouth and throat model, connected to a Next Generation Impactor. Four measurements were taken for each device (Trachospray, jet nebulizer and a spray pump) with 5.85% NaCl. A fifth measurement was carried out with 0.5% fluorescein solution for a visual inspection of the deposition patterns. The mass median aerodynamic diameter and geometric standard deviation of the droplets were measured.

resultsThe Trachospray produced an even coverage in the mouth, hypopharynx and vocal cords, with only a small lung fraction. The jet nebulizer produced a much thinner layer coverage of the tongue and surface around the vocal chords with a high lung deposition. The spray pump produced big droplets which deposited mainly at the hypopharynx.

conclusionThe Trachospray device deposits local anaesthetics in the targeted areas for topical anaesthesia of the airway and has promising characteristics for providing effective airway anaesthesia.

Indexed as

airway modelgeometric standard deviationmass median aerodynamic diametermedical devicetopical airway anaesthesia

Identifiers

PMID33519246
PMCPMC7837536
OpenAlexW3121272747

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.