case_images: PMC11442037_01
case_images: Images of component for helmet ventilation: (a) head hood; (b) bidirectional antisuffocation valve; (c) neck collar; (d) sterile distilled water; (e) armpit straps, (f) sealed access port; (g) high-efficiency particulate air filter (muffler); (h) inflation bulb for air cushion around the neck; (i) measure tape.
case_images: CRIPE2024-5519254.001.jpg
case_images: PMC11442037_01_CRIPE2024-5519254.001.jpg
case_images: fig1
case_images: A medium-sized helmet (StarMED CaStar-R, Intersurgical, Wokingham, Berkshire, UK) was selected on the basis of the patient's neck circumference (Figure 1).
case_images: Configuration (for illustrative purposes, not specific to the present case) showing the modified approach of securely attaching the armpit straps to the bedside rails.
case_images: CRIPE2024-5519254.002.jpg
case_images: PMC11442037_01_CRIPE2024-5519254.002.jpg
case_images: fig2
case_images: Taking inspiration from Lucchini et al., we modified their approach by securely attaching the armpit straps to the bedside rails (Figure 2).
case_images: Flow diagram depicting the process of helmet ventilation. NG: nasogastric; OG: orogastric; CPAP: continuous positive airway pressure; NIPPV: noninvasive positive pressure ventilation.
case_images: CRIPE2024-5519254.003.jpg
case_images: PMC11442037_01_CRIPE2024-5519254.003.jpg
case_images: fig3
case_images: This includes a flow diagram illustrating the application process (Figure 3), a preparation checklist consisted of step-by-step instructions, and a list of contraindications, such as head and neck injuries, unhealed tracheostomy wounds, or claustrophobia (Table 1).