CHAPTER 02 CH02_FIGURE 15A A. Schematic of a simple oxygen mask. B. Oxygen mask in place on a

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1 CHAPTER 02 CH02_FIGURE 01 Single stage regulator. Reproduced from Egan s Fundamentals of Respiratory Care. 7th ed. Scanlan CL, Wilkins RL, Stoller JK. Copyright Elsevier (Mosby) CHAPTER 02 CH02_FIGURE 02 Multiple stage regulator. Modified from Cairo JM, Pilbeam SP. Mosby s respiratory care equipment. 6th ed. St. Louis, MO: Mosby; Reprinted with permission. CHAPTER 02 CH02_FIGURE 04 Thorpe tube designs; uncompensated (left) and compensated (right). Modified from Cairo JM, Pilbeam SP. Mosby s respiratory care equipment. 6th ed. St. Louis, MO: Mosby; Reprinted with permission. CHAPTER 02 CH02_FIGURE 06 Bourdon gauge flowmeter. A. Unpressurized state. B. Pressurized state causing straightening of the tube and movement of the indicator needle. CHAPTER 02 CH02_FIGURE 08 Schematic of a fixed orifice flow restrictor. Flow through the orifice is proportional to the pressure difference across it. Modified from Ward JJ. Equipment for mixed gas and oxygen therapy. In: Barnes TA, ed. Core textbook of respiratory care practice. 2nd ed. St. Louis, MO: Mosby; This article was published in Egan s Fundamentals of Respiratory Care. 7th ed. Scanlan CL, Wilkins RL, Stoller JK. Copyright Elsevier (Mosby) CHAPTER 02 CH02_FIGURE 09A A. Schematic of an air/oxygen blender. Modified from Ward JJ. Equipment for mixed gas and oxygen therapy. In: Barnes TA, ed. Core textbook of respiratory care practice. 2nd ed. St. Louis, MO: Mosby; 1994: CHAPTER 02 CH02_FIGURE 15A A. Schematic of a simple oxygen mask. B. Oxygen mask in place on a patient. Modified from Scanlan CL, et al. Egan s fundamentals of respiratory care. 7th ed. Mosby; CHAPTER 02 CH02_FIGURE 16 Schematic of a partial rebreathing oxygen mask. Modified from Scanlan CL, et al. Egan s fundamentals of respiratory care. 7th ed. St. Louis, MO: Mosby; CHAPTER 02 CH02_FIGURE 17A A. Schematic of a nonrebreathing mask. B. Nonrebreathing mask in use on Modified from Scanlan CL, et al. Egan s fundamentals of a patient. respiratory care. 7th ed. St. Louis, MO: Mosby; CHAPTER 02 CH02_FIGURE 22A Air entrainment large volume nebulizer. Modified from Cohen N, Fink J. Humidity and aerosols. In: Eubanks DH, Bone RC, eds. Principles and applications of cardiorespiratory care equipment. St. Louis, MO: Mosby; CHAPTER 02 CH02_FIGURE 28 INOmax DSIR delivery system. Ikaria, Inc. CHAPTER 02 CH02_TABLE 01 Air:Oxygen Flow Ratios for Desired Values of Inspired Oxygen Reproduced from Branson RD. Gas delivery systems: Regulators, flowmeters, and therapy devices. In Branson RD, Hess DR, Chatburn RL, eds. Respiratory care equipment. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; CHAPTER 05 CH05_FIGURE 05A A. Esophageal/tracheal Combitube and Easytube. B. Parts of the Combitube. Reproduced with permission from Nellcor Puritan Bennett LLC, Boulder, Colorado, doing business as CHAPTER 05 CH05_FIGURE 09C Endotracheal tube cuffs. A. Cylindrical cuff. B. Low profile cuff. C. Tapered Copyright 2014 All rights reserved. Used with cuff. the permission of

2 CHAPTER 05 CH05_FIGURE 15 Capnometry. Colorimetric CO2 sensor. It fits between the endotracheal tube and the bag valve device All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 06 Example of an alphanumeric ventilator screen display All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 19 Covidien Newport e360t ventilator All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 20 Covidien Newport e360t operator interface. 1. Alarm silence. 2. Alarm reset. 3. Graphical user interface. 4. Alarm lamp. 5. Alarms screen menu All rights reserved. Used with permission of 6. Graphical user interface screen buttons. 7. Pressure bar graph. 8. Ventilation controls 9. Adjustment knob. 10. Accept button. 11. Special functions. 12. Modes/breath types. 13. Power indicators. A. Graphical user interface status bar. B. Main display area. C. Data sets bar. D. Data set touch button. E. Graphical user interface touch buttons. CHAPTER 09 CH09_FIGURE 21 Covidien PB 840 ventilator All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 22 Covidien PB 840 operator interface. 1. Alarm messages. 2. Operator 2014 All rights reserved. Used with permission of prompts. 3. Therapy status with ventilation mode. 4.Curves, loops, trends. 5. Ventilation parameters for current mode. 6. Measured ventilation values. 7. Humidification type and status. 8. Touch- sensitive screen keys for specific screen pages. 9. Power supply indication. CH09_FIGURE 57 CH09_FIGURE 57 Covidien PB 540 ventilator All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 58 Covidien PB 540 operator interface. 1. Display screen showing modes, ventilation settings, patient data and waveforms, configuration of the ventilator and alarm management. 2. Alarm indicators. 3. Alarm control key. 4. Moves cursor up to increase setting values. 5. Enter key to confirm setting value. 6. Moves cursor down to decrease setting values. 7. Menu key changes between ventilation and alarm screens. 8. Ventilator on/off button. 9. Ventilation status indicator. 10. Electrical power source indicators All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 59 Covidien Newport HT70 Plus ventilator All rights reserved. Used with permission of CHAPTER 09 CH09_FIGURE 60 Covidien Newport HT70 Plus operator interface All rights reserved. Used with permission of

3 CHAPTER 09 CH09_FIGURE 73 Smiths babypac 100 operator interface. 1. Controls for inspiratory and expiratory times. 2. Inspiratory pressure control. 3. Oxygen concentration control. 4. Function selector switch - used to select one of the four operating modes of the babypac 100 ventilator and is also used to switch off the ventilator. 5. PEEP/CPAP control. 6. Silencing and muting of electronic audible alarms. 7. Variable pressure relief valve for continuous adjustment of an independent upper patient inspiratory pressure limitation device. 8. Breath delivery indicator. 9. Low inspiratory pressure (Disconnect) alarm. 10. High inspiratory pressure / constant positive inspiratory pressure alarm. 11. Supply gas failure alarms. 12. Low battery alarm. 13. Battery. 14. Basic operating instructions. 15. Alarm information label. 16. Airway pressure gauge. 17. Gas output port. 18. Gas return port. 19. Supply gas inlet connection(s). 20. Gas intake port. 21. Patient circuit. 22. Gas supply hoses. 23. Carry sling attachment slots. 24. Mounting attachment points. 25. Audible alarm. 26. Single gas operations. Courtesy of Smiths Medical. CHAPTER 09 CH09_TABLE 15 Specifications for the Covidien Newport e360t Ventilator 2014 All rights reserved. Used with permission of CHAPTER 09 CH09_TABLE 53 Modes for the Covidien PB 540 Ventilator 2014 All rights reserved. Used with permission of CHAPTER 09 CH09_TABLE 54 Specifications for the Covidien PB 540 Ventilator 2014 All rights reserved. Used with permission of CHAPTER 09 CH09_TABLE 55 Modes for the Covidien Newport HT70 Plus 2014 All rights reserved. Used with permission of CHAPTER 09 CH09_TABLE 56 Specifications for the Covidien Newport HT70 Plus 2014 All rights reserved. Used with permission of CHAPTER 11 CH11_FIGURE 26 Arterial blood pressure monitoring system. Reproduced with permission, Cleveland Clinic Center for Medical Art & Photography All Rights Reserved. CHAPTER 11 CH11_FIGURE 33 Pressure waveforms correlated with the ECG as the pulmonary artery catheter passes through the heart. CHAPTER 12 CH12_FIGURE 06 The Bennett valve controls the flow of gas during inspiration and expiration. During inspiration, the vane drum rotates clockwise or upward into an open position to let gas flow from the pressure control regulator to the nebulizer. The vane drum with the Bennett valve rotates counterclockwise during expiration, directing the flow of gas from the pressure regulator to the dump port. Modified from Longnecker D, Brown D, Newman M, Zapol, W Anesthesiology. McGraw- Hill, New York. ( The McGraw- Hill Companies, Inc.) 2014 All rights reserved. Used with permission of

4 CHAPTER 12 CH12_FIGURE 19 A. Threshold resistor valve. B. Balloon valve. C. Flow resistor. Reproduced with permission from the American College of Chest Physicians, from Banner et al. Chest. 1988;93: CHAPTER 12 CH12_FIGURE 21 Basic CPAP setup. Reproduced from Assisted Ventilation of the Neonate, 5th Edition, Jay P. Goldsmith and Edward H. Karotkin, 2011, with permission from Elsevier. CHAPTER 14 CH14_FIGURE 03 Schematic of a typical nebulizer system. Reproduced from Chatburn RL, McPeck M. A new system for understanding nebulizer performance. Respir Care. 2007;52(8): CHAPTER 14 CH14_FIGURE 04 Stages at which drug can be lost in a nebulizer system. Initial charge: The amount of drug initially placed in the nebulizer. Retained charge: The amount of initial charge remaining in the reservoir that is not nebulized. Output aerosol: The difference between the initial charge and the retained charge. Wasted aerosol: The portion of the initial charge that is aerosolized but lost to the atmosphere or deposited on the device walls. Inhaled aerosol: Any aerosol that enters the patient s airway opening. Exhaled aerosol: Aerosol composed of particles so small that they are not retained in the lung and are subsequently exhaled. Deposited aerosol: Aerosol composed of particles large enough (i.e., in the respirable range) to be retained in the lung. CHAPTER 14 CH14_FIGURE 09 Schematic illustration of the function of a manual breath- actuated jet nebulizer. CHAPTER 14 CH14_FIGURE 28 Devices to adapt a metered dose inhaler to a ventilator circuit. A Inline device. B. Elbow device. C. Collapsible chamber device. D. Chamber device. E. Chamber device in which aerosol is directed retrograde into the ventilator circuit. CHAPTER 15 CH15_FIGURE 03 Mapleson Circuit Classification designs A through F with active and passive ventilation. CHAPTER 15 CH15_FIGURE 05 Schematic drawing of the basic components of a bag- valve manual resuscitator. Reproduced from Chatburn RL, McPeck M. A new system for understanding nebulizer performance. Respir Care. 2007;52(8): Reproduced from Fink JB. Humidity and aerosol therapy. In: Cairo JM, Pilbeam SP (eds.), Mosby s Respiratory Care Equipment. St. Louis, MO: Mosby- Elsevier; 2010: Modified with permission from Dhand R, et al. Bronchodilator delivery by metered- dose inhaler in ventilator supported patients. Eur Respir J. 1996;9: Reproduced from Bready LL, Dillman D, Noorily SH. Decision making in anesthesiology: An algorithmic approach. Elsevier Health Sciences; 2007, with permission from Elsevier. Reproduced with permission from Armando Carlos Franco de Godoy and Ronan Josê Vieira. Comparison of the FiO2 delivered by seven models of the self- inflating bag- mask system. Revista Brasileira De Anestesiologia. 2009;59(1): CHAPTER 15 CH15_FIGURE 06 Nonrebreathing valves commonly used with bag- valve resuscitators. Reproduced with permission from Branson RD, Hess DR, Chatburn RL. Respiratory Care Equipment. J. B. Lippincott Company;1995.

5 CHAPTER 15 CH15_FIGURE 12 Comparison of applied VT (left) and pressure (right) between both ventilation devices used. Reproduced from Roehr CC, Kelm M, Fischer HS, et al. Manual ventilation devices in neonatal resuscitation: Tidal volume and positive pressure- provision. Resuscitation. CHAPTER 15 CH15_FIGURE 13C A. Newly designed target volume marked adult bag (TVMB). B. Compression of point 2 to deliver 200- to 300- ml target volume using the TVMB. C. Schematic representation of the TVMB (points 1 4 were marked on the surface of the adult bag and imaginary bags for each point were simulated. CHAPTER 15 CH15_FIGURE 14 Percent of correctly delivered VT with adult bag and tidal volume marked bag (TVMB) with one- and two- hand ventilation technique. CHAPTER 15 CH15_FIGURE 15 FDO2 delivered by the self- inflating bag- mask systems with and without O2 reservoir. 2010;81(2): , with permission from Elsevier. Reproduced from Park SO, Lee KR, Baek KJ, et al. Novel target volume marked adult bag to deliver accurate tidal volume for paediatric and adolescent resuscitation. Resuscitation. 2011;82(6): , with permission from Elsevier. Modified from Park SO, Lee KR, Baek KJ, et al. Novel target volume marked adult bag to deliver accurate tidal volume for paediatric and adolescent resuscitation. Resuscitation. 2011;82(6): , with permission from Elsevier. Reproduced with permission from Armando Carlos Franco de Godoy and Ronan Josê Vieira. Comparison of the FiO2 delivered by seven models of the self- inflating bag- mask system. Revista Brasileira De Anestesiologia. 2009;59(1):21-27.

PERFORMANCE EVALUATION #34 NAME: 7200 Ventilator Set Up DATE: INSTRUCTOR:

PERFORMANCE EVALUATION #34 NAME: 7200 Ventilator Set Up DATE: 1. **Identify and name the filters on the 7200ae. 2. **Explain how each filter is sterilized. 3. **Trace the gas flow through the ventilator