Selecting the Ventilator and the Mode. Chapter 6
|
|
- Nickolas Roderick Williamson
- 6 years ago
- Views:
Transcription
1 Selecting the Ventilator and the Mode Chapter 6
2 Criteria for Ventilator Selection Why does the patient need ventilatory support? Does the ventilation problem require a special mode? What therapeutic goals can be achieved by using a ventilator? Does the patient need to be intubated or can a mask be used? Will therapeutic intervention take place in an ICU or the patient s home? Will ventilatory support be provided for a brief period of time or will long-term assistance be required? How familiar is the staff with the ventilator under consideration?
3 Invasive VS Non-invasive Artificial airway Translaryngeal airways oral or nasal endotracheal tubes Tracheostomy tube Mask
4 Noninvasive Ventilation NPV: negative pressure ventilators CPAP: continuous positive airway pressure Used to improve oxygenation Treat obstructive sleep apnea NPPV: noninvasive positive pressure ventilation Advantages of NPPV Avoids complications with artificial airways Provides flexibility in initiating and removing ventilation Reduces requirements for sedation Preserves airway defenses Reduces need for invasive monitoring Disadvantages of NPPV Can cause gastric distention Skin pressure lesions Dry membranes oral nasal, eye irritations Claustrophobia Poor sleep
5 Invasive Positive Pressure Ventilation Full ventilatory support: the ventilator provides all the energy necessary to maintain effective alveolar ventilation Partial ventilatory support: any degree of mechanical ventilation in which the set rates are lower than 6 breaths/min and the patient participates in WOB to help maintain effective alveolar ventilation
6 Type of breath delivery Mandatory Ventilator controls the timing, tidal volume or both Spontaneous Patient controls the timing and the tidal volume Assisted Characteristics of both spontaneous and mandatory breaths All or part of the breath is generated by the ventilator The patient triggers and cycles the breath
7 Control Variables: the independent variable used to establish gas Volume Control Volume provided to the patient is constant and independent of what happens to pressure when the patient s lung characteristics change or when the patient s effort changes Use when consistent tidal volume delivery is important; goal is to maintain a certain level of PaCO2 Guarantees a specific volume delivery and Ve regardless of changes in lung compliance and resistance Disadvantages: Peak and alveolar pressures rise when lung conditions worsen = alveolar over distention; delivery of flow may be fixed and not match patient demand; inappropriate trigger settings flow to the patient Pressure Control Pressure remains constant whereas volume delivery changes as lung characteristic change Used when the limiting of pressure delivery is important Allows the clinician to set a maximum pressure, reducing the risk of lung over distention, uses a descending flow pattern; may be more comfortable for pts who can breathe spontaneously Disadvantages: volume delivery varies, tidal volume and minute ventilation decrease when lung characteristics deteriorate
8 Modes of Ventilation breath type and timing of breath delivery CMV: all breaths are mandatory and can be volume or pressure targeted; breaths can be patient or time triggered Time triggered breaths in CMV is called control mode A/C mode is time or patient triggered Sensitivity settings (pressure or flow) increased WOB or auto-cycling Response time: time increment between when a patient effort is detected and when flow from the ventilator to the patient begins VC-CMC [set Vt, rate, flow to adjust I:E] PC-CMV (PCV) [set IP, rate, IT to adjust I:E] time cycled
9 Modes of Ventilation breath type and timing of breath delivery IMV / SIMV: periodic volume or pressure targeted breaths occur at set intervals (time triggered), between these mandatory breaths the patient breathes spontaneously at any desired baseline pressure without receiving a mandatory breath SIMV operates in the same way as IMV except that mandatory breaths are normally patient triggered rather than time triggered; at predetermined intervals the machine waits for the patients next spontaneous effort and then assists the patient by synchronously delivering a mandatory breath SIMV designed to avoid breath stacking Spontaneous breaths may be pressure supported Monitor WOB Potentially fewer cardiovascular side effects, may be used for weaning
10 Modes of Ventilation breath type and timing of breath delivery Spontaneous Modes Spontaneous breathing Breathing spontaneously through the ventilator circuit (Brigg s adaptor, T-piece) Ventilator monitors the patient s breathing and can activate alarms Some ventilators require considerable effort to open inspiratory valves to receive flow CPAP Spontaneously breathing through the ventilator circuit Improving oxygenation in patients with refractory hypoxemia and a low FRC PSV Special form of assisted ventilation, always patient triggered
11 Pressure Support Ventilation Ventilator provides a constant pressure during inspiration once it sense the patient s effort The inspiratory pressure, CPAP, and sensitivity are set, Patient establishes the rate inspiratory flow and inspiratory time Vt is determined by the pressure gradient, lung characteristics, and patient effort PSV is used to: Overcome WOB Reduce WOB Provide full ventilatory support in the assist mode (PSmax)
12 Other Ventilator Modes Closed Loop Ventilation Bilevel PAP PRVC Paug Pressure augmentation, VAPS MMV APRV PAV Familiarize yourself with these (p 96-98).
13 Clinical Rounds 6-1 p. 84 What type of breath is it? A patient receives a breath that is patient triggered, pressure targeted and time cycled. What type of breath is it? This is a mandatory, pressure targeted, ventilator cycled breath A patient breathes spontaneously at a baseline pressure of 8cmH2O This is a spontaneous breath, patient triggered and cycled (CPAP)
14 Clinical Rounds 6-2 p. 86 Volume targeted breaths with Changing Lung Characteristics What is the approximate inspiratory time? About 1 sec What type of waveform is used? Constant flow waveform, descending ramp (decelerating) What is the approximate tidal volume delivery for each breath? Vt = 500ml What are the peak inspiratory pressures in A B and C? A = 14cmH2O; B = 25cmH2O; C = 12 cmh2o What types of lung or thoracic abnormalities can result in reduced compliance? Pneumonia ARDS pulmonary fibrosis/ scarring ascites burns surgical incisions What would happen to the PIP if compliance went unchanged but airway resistance increased? PIP increases as more pressure is required to deliver the gas flow Figure 6-1 Graphs for constant flow, volume targeted ventilation; p. 86
15 Clinical Rounds 6-3 p. 87 Pressure targeted breaths with Changing Lung Characteristics What type of pressure curve is delivered in A, B, and C? The pressure curve is constant What type of flow waveform is present during inspiration in A, B, and C? A descending ramp (decelerating) Compare the flow-time curve during inspiration in C to that in A. What is the difference between the two? A drops to zero just at the end of inspiration; C drops to zero before the end of inspiration Look at the dotted line in C that starts at the flow waveform just when flow drops to zero during inspiration. Look at the volume-time curve (C). What do you notice about this volume-time curve compared to those in A and B? Why is it flat at the top? The volume curve in C has a short plateau at the top that begins when flow drops to zero during inspiration and ends when exhalation starts. It is flat because the volume is not changing. Why is volume delivery higher in B than in A? the lungs in B are more compliant than the lungs in A Figure 6-2 Graphs for pressure targeted Ventilation; p.87
16 Clinical Rounds 6-4 p. 89 Pressure or Volume Ventilation A physician wants to make sure that a patient s PaCO2 stays at the normal level 50mmHg. Would volume or pressure ventilation best meet this requirement? Volume ventilation should be used since it guarantees volume delivery and minute ventilation. Ventilating pressure can become very high in patients with ARDS. To prevent excessive pressures, what independent variable would be most appropriate, volume or pressure? Pressure targeted ventilation since the goal is to avoid high pressures.
Mechanical Ventilation. Mechanical Ventilation is a Drug!!! is a drug. MV: Indications for use. MV as a Drug: Outline. MV: Indications for use
Mechanical Ventilation is a Drug!!! Mechanical Ventilation is a drug I am an employee of Philips Healthcare Hospital Respiratory Care Group and they help me pay for my kids education Jim Laging, RRT, RCP
More informationPERFORMANCE 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
More informationMechanical Ventilation
Mechanical Ventilation Understanding Modes Rob Chatburn, RRT-NPS, FAARC Research Manager Respiratory Therapy Cleveland Clinic Associate Professor Case Western Reserve University 1 Overview Characteristics
More informationBasics of Mechanical Ventilation. Dr Shrikanth Srinivasan MD,DNB,FNB,EDIC Consultant, Critical Care Medicine Medanta, The Medicity
Basics of Mechanical Ventilation Dr Shrikanth Srinivasan MD,DNB,FNB,EDIC Consultant, Critical Care Medicine Medanta, The Medicity Overview of topics 1. Goals 2. Settings 3. Modes 4. Advantages and disadvantages
More informationGuide to Understand Mechanical Ventilation Waveforms
Do No Harm Ventilate Gently Guide to Understand Mechanical Ventilation Waveforms Middle East Critical Care Assembly 1/30/2015 Mazen Kherallah, MD, FCCP http://www.mecriticalcare.net Email: info@mecriticalcare.net
More informationAdvanced Ventilator Modes. Shekhar T. Venkataraman M.D. Professor Critical Care Medicine and Pediatrics University of Pittsburgh School of Medicine
Advanced Ventilator Modes Shekhar T. Venkataraman M.D. Shekhar T. Venkataraman M.D. Professor Critical Care Medicine and Pediatrics University of Pittsburgh School of Medicine Advanced modes Pressure-Regulated
More informationMechanical Ventilation. Flow-Triggering. Flow-Triggering. Advanced Concepts. Advanced Concepts in Mechanical Ventilation
Mechanical Ventilation Advanced Concepts in Mechanical Ventilation Flow-Triggering Trigger = the variable that causes the vent to begin the inspiratory phase Common triggers 1-2- 3- Effort required to
More informationUsing Common Ventilator Graphics to Provide Optimal Ventilation
Using Common Ventilator Graphics to Provide Optimal Ventilation David Vines, MHS, RRT, FAARC Associate Professor Chair / Program Director Department of Respiratory Care RUSH UNIVERSITY MEDICAL CENTER Disclosure
More informationUnderstanding and comparing modes of ventilation
Understanding and comparing modes of ventilation Löwenstein Medical GmbH & Co. KG Content Volume-Controlled Ventilation Modes VCV PLV VC-SIMV Optional VCV Flexible VCV Pressure-Controlled Ventilation Modes
More informationPotential Conflicts of Interest Received research grants from Hamilton, Covidien, Drager, General lel Electric, Newport, and Cardinal Medical Received
How Does a Mechanical Ventilator t 6-22-10 Spain Work? Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Potential Conflicts of Interest Received research
More informationIndications for Mechanical Ventilation. Mechanical Ventilation. Indications for Mechanical Ventilation. Modes. Modes: Volume cycled
Mechanical Ventilation Eric A. Libré, MD VCU School of Medicine Inova Fairfax Hospital and VHC Indications for Mechanical Ventilation Inadequate ventilatory effort Rising pco2 with resp acidosis (7.25)
More informationAutomatic Transport Ventilators. ICU Quality Ventilation on the Street.
Automatic Transport Ventilators ICU Quality Ventilation on the Street. Kevin Bowden, March 20 th 2014 Ventilator Definition A ventilator is an automatic mechanical device designed to provide all or part
More informationPressure Controlled Modes of Mechanical Ventilation
Pressure Controlled Modes of Mechanical Ventilation Christopher Junker Department of Anesthesiology & Critical Care Medicine George Washington University Saturday, August 20, 2011 Assist Control Hypoxemic
More informationINTRODUCTION TO BI-VENT (APRV) INTRODUCTION TO BI-VENT (APRV) PROGRAM OBJECTIVES
INTRODUCTION TO BI-VENT (APRV) INTRODUCTION TO BI-VENT (APRV) PROGRAM OBJECTIVES PROVIDE THE DEFINITION FOR BI-VENT EXPLAIN THE BENEFITS OF BI-VENT EXPLAIN SET PARAMETERS IDENTIFY RECRUITMENT IN APRV USING
More informationVentilators. Dr Simon Walton Consultant Anaesthetist Eastbourne DGH KSS Basic Science Course
Ventilators Dr Simon Walton Consultant Anaesthetist Eastbourne DGH KSS Basic Science Course Objectives Discuss Classification/ terminology Look at Modes of ventilation How some specific ventilators work
More informationFlight Medical presents the F60
Flight Medical presents the F60 Reliable Ventilation Across the Spectrum of Care Adult & Pediatric Pressure/Volume Control Basic/Advanced Modes Invasive/NIV High Pressure/Low Flow O2 Up to 12 hours batteries
More informationMechanical Ventilation. Which of the following is true regarding ventilation? Basics of Ventilation
Mechanical Ventilation Jeffrey L. Wilt, MD, FACP, FCCP Associate Professor of Medicine Michigan State University Associate Program Director MSU-Grand Rapids Internal Medicine Residency Which of the following
More informationCompleted downloadable Test Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 5th Edition by Cairo
Completed downloadable Test Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 5th Edition by Cairo Link full download: http://testbankcollection.com/download/pilbeams-mechanicalventilation-physiological-and-clinical-applications-5th-edition-test-bank-cairo
More informationO-Two Self-Study Guide. e600 Transport Ventilator Ventilation Modes
O-Two Self-Study Guide e600 Transport Ventilator Ventilation Modes e600 VENTILATION MODES The e600 ventilator has 13 ventilation modes: Manual Ventilation, Controlled Mandatory Ventilation (CMV), Assist
More informationUNDERSTANDING NEONATAL WAVEFORM GRAPHICS. Brandon Kuehne, MBA, RRT-NPS, RPFT Director- Neonatal Respiratory Services
UNDERSTANDING NEONATAL WAVEFORM GRAPHICS Brandon Kuehne, MBA, RRT-NPS, RPFT Director- Neonatal Respiratory Services Disclosures Purpose: To enhance bedside staff s knowledge of ventilation and oxygenation
More informationMEDICAL EQUIPMENT IV MECHANICAL VENTILATORS. Prof. Yasser Mostafa Kadah
MEDICAL EQUIPMENT IV - 2013 MECHANICAL VENTILATORS Prof. Yasser Mostafa Kadah Mechanical Ventilator A ventilator is a machine, a system of related elements designed to alter, transmit, and direct energy
More informationNew Frontiers in Anesthesia Ventilation. Brent Dunworth, MSN, CRNA. Anesthesia Ventilation. New Frontiers in. The amount of gas delivered can be
New Frontiers in Anesthesia Ventilation Senior Director, Nurse Anesthesia Department of Anesthesiology University of Pittsburgh Medical Center Content Outline 1 2 Anesthesia Evolution Anesthesia Evolution
More informationTechnical Data and Specifications
Technical Data and Specifications INTENDED USE Ventilator designed to provide Invasive and Non-invasive ventilation for the critical care management of adult, pediatric and neonate-infant (including premature)
More informationThe Basics of Ventilator Management. Overview. How we breath 3/23/2019
The Basics of Ventilator Management What are we really trying to do here Peter Lutz, MD Pulmonary and Critical Care Medicine Pulmonary Associates, Mobile, Al Overview Approach to the physiology of the
More informationClassification of Mechanical Ventilators
Classification of Mechanical Ventilators Kacmarek s 12 Point Classification Positive/Negative Pressure Powering Mechanism Driving Mechanism Single or Double Circuited Modes of Ventilation Cycling Parameter
More informationThe Crossvent 2i+ 2. Ventilator Concept (brief theory of operation and features)
The Crossvent 2i+ 1. How is this ventilator classified 2. Ventilator Concept (brief theory of operation and features) -Your Two Choices with this Ventilator 3. An overview of the device (an in-service)
More informationPrinciples of mechanical ventilation. Anton van Kaam, MD, PhD Emma Children s Hospital AMC Amsterdam, The Netherlands
Principles of mechanical ventilation Anton van Kaam, MD, PhD Emma Children s Hospital AMC Amsterdam, The Netherlands Disclosure Research grant Chiesi Pharmaceuticals Research grant CareFusion GA: 27 weeks,
More informationPresentation Overview. Monitoring Strategies for the Mechanically Ventilated Patient. Early Monitoring Strategies. Early Attempts To Monitor WOB
Monitoring Strategies for the Mechanically entilated Patient Presentation Overview A look back into the future What works and what may work What s all the hype about the WOB? Are ventilator graphics really
More informationMechanical Ventilation
Mechanical Ventilation Chapter 4 Mechanical Ventilation Equipment When providing mechanical ventilation for pediatric casualties, it is important to select the appropriately sized bag-valve mask or endotracheal
More informationMechanical ven3la3on. Neonatal Mechanical Ven3la3on. Mechanical ven3la3on. Mechanical ven3la3on. Mechanical ven3la3on 8/25/11. What we need to do"
8/25/11 Mechanical ven3la3on Neonatal Mechanical Ven3la3on Support oxygen delivery, CO2 elimination" Prevent added injury, decrease ongoing injury" Enhance normal development" Mark C Mammel, MD University
More informationV8600 Ventilator. Integrated Invasive & Noninvasive Ventilation
V8600 Ventilator Integrated Invasive & Noninvasive Ventilation 0123 V8600 Ventilator Invasive Ventilation With state-of-the-art turbine technology, V8600 helps achieve sequential ventilation in various
More informationTest Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 6th Edition by Cairo
Test Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 6th Edition by Cairo Link full download: http://testbankair.com/download/test-bank-for-pilbeams-mechanicalventilation-physiological-and-clinical-applications-6th-edition-by-cairo/
More informationHealth Professional Info
Health Professional Info Mouthpiece Ventilation (MPV) What is MPV? MPV is a less intrusive form of noninvasive ventilation that uses a portable home mechanical ventilator (HMV) with a single-limb open-circuit
More informationSLE5000 Infant Ventilator with HFO
SLE5000 Infant Ventilator with HFO When the smallest thing matters SLE5000 - The Total Solution for Infant Ventilation Shown on optional roll stand. Ventilator may be mounted either way round on stand.
More informationInspiration 7i Ventilator
Inspiration 7i Ventilator Clinician Focused Products is not just a tag line, rather a belief system. Low cost of ownership High performance PSOL and active exhalation Comprehensive graphics and trending
More informationUpdate to RS-232 commands. Changing patient from NIV to INVASIVE Vent Type. SNDF command
Changing patient from NIV to INVASIVE Vent Type Table 9 shows automatic settings changes that occur when changing the same patient from NIV to INVASIVE Vent Type. Table 9: Automatic settings changes NIV
More information6 th Accredited Advanced Mechanical Ventilation Course for Anesthesiologists. Course Test Results for the accreditation of the acquired knowledge
6 th Accredited Advanced Mechanical Ventilation Course for Anesthesiologists Course Test Results for the accreditation of the acquired knowledge Q. Concerning the mechanics of the newborn s respiratory
More informationObjectives. Respiratory Failure : Challenging Cases in Mechanical Ventilation. EM Knows Respiratory Failure!
Respiratory Failure : Challenging Cases in Mechanical Ventilation Peter DeBlieux, MD, FAAEM, FACEP LSUHSC University Hospital Pulmonary and Critical Care Medicine Emergency Medicine pdebli@lsuhsc.edu Objectives
More informationPanther 5 Acute Care Ventilator
1 HIGHLIGHTS High performance and advanced features target the ICU environment Utilizes an internal blower with a specially designed flow control valve removing the need for using compressed air without
More informationVENTILATION STRATEGIES FOR THE CRITICALLY UNWELL
VENTILATION STRATEGIES FOR THE CRITICALLY UNWELL Dr Nick Taylor Visiting Emergency Specialist Teaching Hospital Karapitiya Senior Specialist and Director ED Training Clinical Lecturer, Australian National
More informationAccumulation of EEV Barotrauma Affect hemodynamic Hypoxemia Hypercapnia Increase WOB Unable to trigger MV
Complicated cases during mechanical ventilation Pongdhep Theerawit M.D. Pulmonary and Critical Care Division Ramathibodi Hospital Case I Presentation Male COPD 50 YO, respiratory failure, on mechanical
More informationGE Healthcare. Centiva/5 Critical Care Ventilator. Meet a new level of expectations
GE Healthcare Centiva/5 Critical Care Ventilator Meet a new level of expectations Intergrating performance and value Marry form and function In an environment where time and space are tight, the design
More informationVENTILATION SERVO-s EASY AND RELIABLE PATIENT CARE
VENTILATION SERVO-s EASY AND RELIABLE PATIENT CARE Critical Care SERVO-s 3 SERVO-s SIMPLY MAKES SENSE MAQUET THE GOLD STANDARD Leading the way: MAQUET is a premier international provider of medical products
More informationAuthor: Thomas Sisson, MD, 2009
Author: Thomas Sisson, MD, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
More informationCritical Care Nursing Program August to November, 2015 Full-time. Lesson A6 Ventilation & Oxygenate II Mechanical Ventilation
Critical Care Nursing Program August to November, 2015 Full-time Lesson A6 Ventilation & Oxygenate II Mechanical Ventilation Lesson Six Ventilation and Oxygenation II Mechanical Ventilation Introduction
More informationVENTILATORS PURPOSE OBJECTIVES
VENTILATORS PURPOSE To familiarize and acquaint the transfer Paramedic with the skills and knowledge necessary to adequately maintain a ventilator in the interfacility transfer environment. COGNITIVE OBJECTIVES
More informationInitiation and Management of Airway Pressure Release Ventilation (APRV)
Initiation and Management of Airway Pressure Release Ventilation (APRV) Eric Kriner RRT Pulmonary Critical Care Clinical Specialist Pulmonary Services Department Medstar Washington Hospital Center Disclosures
More informationManaging Patient-Ventilator Interaction in Pediatrics
Managing Patient-Ventilator Interaction in Pediatrics Robert L. Chatburn, MHHS, RRT-NPS, FAARC Clinical Research Manager - Section of Respiratory Therapy Professor of Medicine Case Western Reserve University
More informationOperating Instructions for Microprocessor Controlled Ventilators
Page 1 of 5 Operating Instructions for Microprocessor Controlled Ventilators Purpose Audience Scope Physician's Order To provide guidelines for the procedure for the use of microprocessor controlled ventilators.
More informationPATIENT SETUP QUICK REFERENCE GUIDE
PATIENT SETUP QUICK REFERENCE GUIDE Puritan Bennett 980 Ventilator NEW PATIENT COMPLETE SETUP To set up a new patient: Open the wye connector of the breathing circuit (the ventilator has a patient detection
More informationRESPIRATORY PHYSIOLOGY, PHYSICS AND PATHOLOGY IN RELATION TO ANAESTHESIA AND INTENSIVE CARE
Course n : Course 3 Title: RESPIRATORY PHYSIOLOGY, PHYSICS AND PATHOLOGY IN RELATION TO ANAESTHESIA AND INTENSIVE CARE Sub-category: Intensive Care for Respiratory Distress Topic: Pulmonary Function and
More informationRespiratory Failure & Mechanical Ventilation. Denver Health Medical Center Department of Surgery and the University Of Colorado Denver
Respiratory Failure & Mechanical Ventilation Denver Health Medical Center Department of Surgery and the University Of Colorado Denver + + Failure of the Respiratory Pump 1. Lack of patent airway 2. Bronchospasm
More informationOperator s Manual Addendum
Software Enhancements Table of Contents Introduction.............................................. 1 Update to patient circuit ranges............................... 4 Patient circuit type selection................................
More informationNew Modes of Ventilation. Dr. Zia Hashim
New Modes of Ventilation Dr. Zia Hashim Mode Describes the specific combination of: control phase conditional variables Defined for spontaneous mandatory breaths Variable Control variable : Constant throughout
More informationAUTOVENT 4000 VENTILATOR
OVERVIEW AUTOVENT 4000 Only properly trained and approved Escambia County Bureau of Public Safety Paramedics are to use the AutoVent 4000 ventilator manufactured by LSP to transport patients already on
More informationHow Ventilators Work. Chapter 3
How Ventilators Work Chapter 3 To care for a ventilator patient, you need to know: The various functions of the ventilator used How the ventilator interacts with the patient How changes in lung condition
More informationVENTILATION SERVO-i INSPIRATION IN EVERY BREATH
VENTILATION SERVO-i INSPIRATION IN EVERY BREATH The Gold Standard Critical Care SERVO-i 3 PROVIDING THE HIGHEST LEVEL OF CLINICAL CARE MAQUET THE GOLD STANDARD Leading the way: MAQUET is a premier international
More informationEMS INTER-FACILITY TRANSPORT WITH MECHANICAL VENTILATOR COURSE OBJECTIVES
GENERAL PROVISIONS: EMS INTER-FACILITY TRANSPORT WITH MECHANICAL VENTILATOR COURSE OBJECTIVES Individuals providing Inter-facility transport with Mechanical Ventilator must have successfully completed
More informationVentilator Training Module
Ventilator Training Module LTV (Lap Top Ventilator) Teaching Script LTV User guides: http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1000_ug_en.pdf http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1100_ug_en.pdf
More informationSoftware enhancements
ADDENDUM Software enhancements Introduction.......................................... 1 Update to patient circuit ranges........................... 4 Patient circuit type selection............................
More informationevolution 3e Ventilators
evolution 3e Ventilators A new paradigm in blower-based ventilators, delivering ICU ventilator care anywhere, anytime. Comprehensive graphics and trending High performance PSOL and active exhalation Servo
More informationAutomatic Transport Ventilator
Automatic Transport Ventilator David M. Landsberg, MD, FACP, FCCP, EMT-P Luke J. Gasowski, RRT, NPS, ACCS, CCP-C, FP-C Christopher J. Fullagar, MD, FACEP, EMT-P Stan Goettel, MS, EMT-P Author credits /
More informationPeter Kremeier, Christian Woll. 2nd. Understanding and comparing modes of ventilation. The Kronberg List of Ventilation Modes
Extended Edition Revised and 2nd Peter Kremeier, Christian Woll Understanding and comparing modes of ventilation The Kronberg List of Ventilation Modes Contents Preface... 3 Comparison Table - Parameters...6
More informationAPRV: Moving beyond ARDSnet
APRV: Moving beyond ARDSnet Matthew Lissauer, MD Associate Professor of Surgery Medical Director, Surgical Critical Care Rutgers, The State University of New Jersey What is APRV? APRV is different from
More informationAims&and&objec5ves& The&Basics&of&Mechanical& Ven5la5on& 30/01/2012&
Aimsandobjec5ves TheBasicsofMechanical Ven5la5on January2012 Whyweven5latepeople Terms,acronymsandotherconfusingthings Basicven5latorseFngs/modes Thosewavylinestheyaskyouaboutinthe exam ThisisNOTanencyclopediclectureon
More informationTest your PICU/ NICU/ CHSU Knowledge
Test your PICU/ NICU/ CHSU Knowledge 1. On the LTV 1150 you have a 12-year-old trach patient. You are adding in 2 liters of 100% Oxygen through the flow inlet. The patient s spontaneous respiratory rate
More informationDisclosures. The Pediatric Challenge. Topics for Discussion. Traditional Anesthesia Machine. Tidal Volume = mls/kg 2/13/14
2/13/14 Disclosures Optimal Ventilation of the Pediatric Patient in the OR Consulting Draeger Medical Jeffrey M. Feldman, MD, MSE Division Chief, General Anesthesia Dept. of Anesthesiology and Critical
More informationDräger Savina 300 Select ICU Ventilation and Respiratory Monitoring
Dräger Savina 300 Select ICU Ventilation and Respiratory Monitoring The Dräger Savina 300 Select combines the independence and power of a turbine-driven ventilation system with sofisticated ventilation
More informationNOTE: If not used, provider must document reason(s) for deferring mechanical ventilation in a patient with an advanced airway
APPENDIX: TITLE: Mechanical Ventilator Use REVISED: November 1, 2017 I. Introduction: Mechanical Ventilation is the use of an automated device to deliver positive pressure ventilation to a patient. Proper
More informationTHE PURITAN BENNETT 980 VENTILATOR CLINICAL APPLICATIONS LESSON PLAN
THE PURITAN BENNETT 980 VENTILATOR CLINICAL APPLICATIONS LESSON PLAN OVERVIEW This guide is provided as a convenience companion document to the Operator s Manual. It is not intended to replace the Operator
More informationInvasive mechanical ventilation:
Invasive mechanical ventilation definition mechanical ventilation: using an apparatus to facilitate transport of oxygen and CO2 between the atmosphere and the alveoli for the purpose of enhancing pulmonary
More information3100A Competency Exam
NAME DATE (Circle the appropriate answer) 3100A Competency Exam 1. Of the following, which best describes the mechanics of ventilation used by the 3100A? a. Active inspiration with passive exhalation b.
More informationExpanding versatility. The upgraded Trilogy family of ventilators continues to meet the changing needs of your patients
Expanding versatility The upgraded Trilogy family of ventilators continues to meet the changing needs of your patients Trilogy Series is a family of remarkably versatile life support ventilators that simplifies
More informationUnit 15 Manual Resuscitators
15-1 Unit 15 Manual Resuscitators GOAL On completion of this unit, the student should comprehend the proper operation of self-inflating resuscitation bags, flow-inflating resuscitation bags and gas-powered
More informationMilestones of Aeonmed Ventilators
Aeonmed Development History Milestones of Aeonmed s 2003 More than 1000 Aeonmed ventilators contributed to save lives during SARS 2008 Aeonmed nominated emergency ventilator supplier for 2008 Beijing Olympic
More informationONLINE DATA SUPPLEMENT. First 24 hours: All patients with ARDS criteria were ventilated during 24 hours with low V T (6-8 ml/kg
APPENDIX 1 Appendix 1. Complete respiratory protocol. First 24 hours: All patients with ARDS criteria were ventilated during 24 hours with low V T (6-8 ml/kg predicted body weight (PBW)) (NEJM 2000; 342
More informationConflict of Interest Disclosure Robert M Kacmarek
The Impact of Asynchrony on Patient Outcomes Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 6-1-15 CSRT Conflict of Interest Disclosure Robert M Kacmarek
More informationMechanical ventilation: simplifying the. terminology. Rapidly changing technology has unfortunately resulted in ambiguity in the terminology
Postgrad Med J 1998;74:330-335 The Fellowship of Postgraduate Medicine, 1998 Classic therapies revisited Summary There is presently considerable ambiguity and confusion relating to ventilator termilogy.
More informationINTENSIVE CARE VENTILATORS
INTENSIVE CARE VENTILATORS iternis ADV INTENSIVE CARE VENTILATION FOR ALL PATIENT CATEGORIES Design Features HEYER iternis ADV s 12-inch touch-screen display combines comprehensive, easy-to-follow user
More informationAirox Supportair Ventilator
Airox Supportair Ventilator A versatile hospital ventilator with a titration platform that enables a smooth transition to the patient s home care ventilator Titration Platform The Supportair ventilator
More informationHAMILTON-C2 HAMILTON-C2. The universal ventilation solution
HAMILTON-C2 HAMILTON-C2 The universal ventilation solution The universal ventilation solution HAMILTON-C2 - The compact ventilation solution The HAMILTON-C2 mechanical ventilator is a universal ventilation
More informationINTENDED USE CLASSIFICATION PHYSICAL CHARACTERISTICS
INTENDED USE The GraphNet ts ventilator was designed to be used with all types of patients: adult, pediatric, and neonatal infants (optionally with the NEO-INF module) requiring invasive and noninvasive
More informationA bench study comparison of volume delivery in the presence of leak
A bench study comparison of volume delivery in the presence of leak Study objective To compare the volume delivery of the Trilogy1 ventilator to the volume delivery of the LTV 1 as a representative of
More informationVirginia Beach EMS. Oxylator EMX. Debra H. Brennaman, RN, MPA, NREMT-P
Virginia Beach EMS Oxylator EMX Debra H. Brennaman, RN, MPA, NREMT-P Oxylator EMX Overview Patient responsive oxygen powered resuscitation / ventilation device intended to provide emergency ventilatory
More informationRESPIRATORY CARE POLICY AND PROCEDURE MANUAL. a) Persistent hypoxemia despite improved ventilatory pattern and elevated Fl02
The University of Mississippi AND PROCEDURE MANUAL Effective Date: June 30, 1990 Revised Date: December 2009 MANUAL CODE Page 1 of 5 PREPARED BY: Respiratory Care Policy and Procedure Review Committee
More informationhttp://www.priory.com/cmol/hfov.htm INTRODUCTION The vast majority of patients who are admitted to an Intensive Care Unit (ICU) will need artificial ventilation (Jones et al 1998). The usual means through
More informationMinimum size for maximum performance
HAMILTON-C1 HAMILTON-C1 Minimum size for maximum performance Minimum size for maximum performance HAMILTON-C1 - One for all The high-performance capabilities of the HAMILTON-C1 include advanced lung protective
More informationSupporting you in saving lives!
Minimum size maximum performance www.hamilton-medical.com/c1 Supporting you in saving lives! HAMILTON-C1 ventilators bring powerful features in a compact design that increases the availability of appropriate
More informationPrinciples of Mechanical Ventilation: A Graphics-Based Approach
Principles of Mechanical Ventilation: A Graphics-Based Approach Steven M. Donn, MD, FAAP Professor of Pediatrics Neonatal-Perinatal Medicine C.S. Mott Children s Hospital University of Michigan Health
More informationOxylog 3000 plus Emergency & Transport Ventilation
Oxylog 3000 plus Emergency & Transport Ventilation Offering high ventilation performance with features such as AutoFlow, integrated capnography and non-invasive Ventilation, the compact and robust Oxylog
More informationV8800 Ventilator System. Your healthcare, we care.
V8800 Ventilator System Your healthcare, we care. V8800 Ventilator System V8800 is a critical care ventilator for infants, children and adults. It has comprehensive functionality, a user-friendly design,
More informationSLE4000. Infant Ventilator with touch-screen operation. When the smallest thing matters
SLE4000 Infant Ventilator with touch-screen operation When the smallest thing matters SLE4000 - The Total Solution for Conventional Infant Ventilation SLE is a world leader in the design and manufacture
More informationDräger Savina Sub-Acute Care Ventilation
Dräger Savina Sub-Acute Care Ventilation Maintain high standards of ventilation therapy for adult and paediatric patients of all acuity levels, even in challenging environments. MT-0030-2008 02 Dräger
More informationHAMILTON-C3 HAMILTON-C3. The compact high-end ventilator
HAMILTON-C3 HAMILTON-C3 The compact high-end ventilator The compact high-end ventilator HAMILTON-C3 - The all-rounder for ICUs The HAMILTON-C3 ventilator is a modular high-end ventilation solution for
More informationDräger Savina 300 Select ICU Ventilation and Respiratory Monitoring
Dräger Savina 300 Select ICU Ventilation and Respiratory Monitoring The Dräger Savina 300 Select (in this configuration) combines the independence and power of a turbine-driven ventilation system with
More informationD Beyond essentials DRÄGER SAVINA 300 SELECT
D-13420-2016 Beyond essentials DRÄGER SAVINA 300 SELECT D-11112-2010 D-12039-2016 2 D-13512-2016 The best possible patient care is your focus every day. That s why you need a ventilator you can rely on,
More informationFigure 11 iron lung. Dupuis, Ventilators, 1986, Mosby Year Book. early negative pressure ventilators were often bulky and cumbersome
HISTORY MECHANICAL VENTILATION Mechanical ventilatory support is now a major aspect of critical care. The lungs are often central in a patient with multi-organ system failure, and many patients have cardiopulmonary
More informationDräger Savina 300 Select ICU Ventilation and Respiratory Monitoring
Dräger Savina 300 Select ICU Ventilation and Respiratory Monitoring The Dräger Savina 300 Select (in this configuration) combines the independence and power of a turbine-driven ventilation system with
More informationWILAmed INTENSA. Intensive Care Ventilator System
EN WILAmed INTENSA Intensive Care Ventilator System 0197 WILAmed INTENSA Ventilator System The WILAmed INTENSA is a full invasive and non-invasive life-support ventilator, solely designed for the ventilation
More informationVENTIlogic LS VENTIlogic plus. 100 % Mobility and Reliability in IV and NIV
VENTIlogic LS VENTIlogic plus 100 % Mobility and Reliability in IV and NIV VENTIlogic LS VENTIlogic plus Your requirements for reliability and mobility are our benchmark. VENTIlogic LS and VENTIlogic plus
More information