Ventilacion en Neonatos

NEW 3.0 SOFTWARE FOR SERVO-i AND SERVO-sNEW 3.0 SOFTWARE FOR SERVO-i AND SERVO-s

NEW FUNCTIONALITY FOR SERVO-i VENTILATOR V3.0

Nasal CPAP

Y Sensor measuring

Start-up Configuration possibilities

P0.1

Patient Circuit Test

Reference loop/overlay

ALVEOLAR DEVELOPMENT

PATIENT RANGE

Adult Pediatric Neonate

TRACHEOBRONCHIAL TREE

CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)

Delivers a pre-determined continuous pressure

Recruits collapsed alveoli

Improves oxygenation

Stabilizes the chest wall

Inhibits paradoxical movements during inspiration and collapse during expiration

CPAP

Patient Interfaces

Mask Endotracheal tube Nasal prongs

NASAL CPAP

Gives the flow necessary to maintain the pressure set by the user

5 cm H2O 5 cm H2O

NASAL CPAP

5 cm H2O 5 cm H2OContinuous flow CPAP

set flow too lowset flow too high

SERVO-i Nasal CPAP

SERVO-i

P

P

NASAL CPAP – USER INTERFACE

Standby mode:

Press:INFANT

Press: NIV

NASAL CPAP – USER INTERFACE

Selecting Nasal CPAP

Press ”Nasal CPAP”

NASAL CPAP – USER INTERFACE

Selecting Nasal CPAP

Adjust settings as necessary in the usual manner

Start ventilation

PressACCEPT to confirm

From Stand-by mode Pressto start ventilation

NASAL CPAP – USER INTERFACE

All patient-related alarms exceptO2 are inactivated

No ventilation will occur

Waiting position

NASAL CPAP – USER INTERFACE

Information if a disconnectionoccurs

Cannot resume ventilation untilexcessive leakage has beencorrected

“Leakage too high…”

NASAL CPAP – USER INTERFACE

Running Nasal CPAP mode:

NASAL CPAP – USER INTERFACE

Parameters in Nasal CPAP

CPAP

O2 concentration

NASAL CPAP – USER INTERFACE

Alarm Profile

Lower and Upper limit for CPAP alarm.

Upper pressure limit cannot be silenced permanently

NASAL CPAP – USER INTERFACE

Alarm Profile

Turning off Apnea alarm.

Turning off “apnea alarm” function

NASAL CPAP

Functions that are not available with Nasal CPAP

Volume curve

Loops

Open Lung Tool

Additional values

Additional settings

CO2

Y SENSOR MEASURING

Allows measurement of flow and pressure right upto the Y-piece

Y SENSOR MEASURING

Y Sensor measures flow and pressure

Differential pressure device – only measures and monitors

Sampling rate 100 Hz

We compare internal flow and pressure in the SERVO-i with Y Sensor measurement

Y SENSOR MEASURING

Plug and play module

Occupies 2 slots in the module compartment

Y Sensor is disposable

Neonatal/pediatric

Adult

Y SENSOR MEASURING – NEONATAL/PEDIATRIC

Dead space:<0.45 ml installed dead space

Sensor length:5.1 cm (2.0”)

Tubing length:2 meters

Sensor weight:7,5 grams

Flow measuring rate:0.125 to 40 l/min (2-667 ml/s)

Y SENSOR MEASURING - ADULT

Dead space:<9,0 ml installed dead space

Sensor length:84 mm (3.25”)

Tubing length:2 meters

Sensor weight:6.3 grams

Flow measuring rate:2 to 180 l/min (32-3200 ml/s)

Y SENSOR MEASURING

Selected patient category is compared with the connected sensor and alerts when the wrong sensor is in use.

Detects when Y Sensor measuring function is activated.

Immediately informs when the Y Sensor measuring function is deactivated.

When the Y Sensor measurement is disconnected the SERVO-i internal measurement takes over.

Y SENSOR MEASURING

Compliance compensation available

Can be used in all modes of ventilation

Pre-use check ”Y Sensor” – a new test included in the PUC and Patient Circuit Test as soon as the new software is installed.

Y SENSOR MEASURING

Y Sensor

Automatic zeroing

Purge with help of a flow to clean the pressure channels.

Only applicable for exp. Times > 1 second

Only applicable for respiratory rates < 30 breaths per minute

Y SENSOR MEASURING

Y Sensor measurements in Pressure mode

Y Sensor measurement

Y SENSOR MEASURING

Recorded waveforms measured with Y Sensor

Y Sensor measurement

Y SENSOR MEASURING

Messages – Y Sensor module is disconnected

Y SENSOR MEASURING

A message informs the user when zeroing of the Y Sensor is in progress

Zeroing in progress

Y SENSOR MEASURING

START-UP CONFIGURATION

Press to access code panel

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Key in correct access code

Press to enter “Biomed” window

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Press Edit Configuration

PressStart-up configuration

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Patient category

Invasive or Non-Invasive

Minute volume or Tidal Volume

Inspiratory time – I:E or Insp. Timein seconds (s)

Oxygen concentration in Suction Support

Press CANCEL to return to “Biomed”

Press NEXT to configure ventilation mode

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Select ventilation mode

Press to select the desired ventilation mode

Press CLOSE to return to parameter settings

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Returns you to previous window where you can check settings or make changes

To return to Standby

To continue

Returns you to factory default ventilation mode settings and parameters

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Viewing the pre-set configuration

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Restart the ventilator

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Copy configuration

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Alarm sound level

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Set default alarm sound level

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Change access code

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

Invalid code

CONFIGURATION - START-UP SETTINGS – USER INTERFACE

P0.1

PO.1 is the negative pressure generated during the first 100 msec of an occluded inspiration

In patients with obstructive lung disease or acute respiratory failure, P0.1 is a useful indicator of their ability to be weaned from mechanical ventilation.

Normal value 1-2 cmH2O

P0.1

Measures all triggered breaths on an average of 8 breaths

P0.1

High P0.1 values:

Reflect an increased neuro-muscular activation of the respiratory system and therefore the development of inspiratory muscle fatigue is extremely likely.

Low P0.1 values:

Indicate successful weaning.

PATIENT CIRCUIT TEST

ADDITIONAL FEATURES

Save and compare reference loops

Current loop

Reference loop

Time for reference loop

Press to save reference loop

Overlay x 2

ADDITIONAL FEATURES

Mute and pre-mute Upper pressure limit

Maximum apnea time in infant settings changed from 15 to 45 secs

In the Suction Support disconnect phase, flow will not resume after 1 minute

High priority alarm activated after 1 min.

Time counter activated upon disconnection

Operator action indicated by a frame around the key instead of a color change

ADDITIONAL FEATURES

Increased apnea time range

Current loop

ADDITIONAL FEATURES

Suction support

Current loop

ADDITIONAL FEATURES

Current action selection

Current loop

Blue frame indicating chosen action

FEATURE ENHANCEMENTS

Additional settings – new help window

Showing some values derived from settings such as inspiration time in seconds and calculated inspiratory flow.

New help window

FEATURE ENHANCEMENTS

Trend graphs

Y sensor measuring active

new

FEATURE ENHANCEMENTS

Trend graphs (cont.)

new

FEATURE ENHANCEMENTS

Trend graphs (cont.)

new

NEW FUNCTIONALITY FOR THE SERVO-s VENTILATOR V3.0

SIMV (PC)+PS

Start-up Configuration

Patient Circuit Test

Mute and pre-mute Upper pressure limit

FiO2 trend

www.maquet.com/criticalcare

65 89 191 Rev.01 2005-05-10