Impact Uni-Vent 754 Portable Ventilator

Transcription

1 Impact Uni-Vent 754 Portable Ventilator Description - Indications- Contraindications- Side Effects- Special Considerations- The Uni-Vent 754 Portable Ventilator is a portable electronically controlled, time cycled, pressure limited ventilator. It is controlled by an on board microprocessor which continuously monitors the patients airway pressure, all control settings, alarm parameters and power signals. Extended duration transport that requires ventilator assistance or complete airway/ventilation control None Possible hypoxia due to malfunction of ventilator Possible Pnuemothorax from over pressure Adequate oxygen supply for the transport External 110 power supply

2 Operation of the Uni-Vent 754 Portable Ventilator Control Module: Front panel of ventilator where the controls and indicators are located. This panel is accessed by unlocking and lifting the clear cover. All of the ventilator functions and settings are done from the Control Module. (1) Mode Selector Switch: Turn the ventilator on and allow it to perform a self check. After the self check has completed you can use the Control Module to make adjustments to the settings and select the operation mode according to the patient s needs. A/C A = ASSIST Cycles in accordance with Rate, Inspiration time and Tidal Volume, but will sense the patient s attempts at spontaneous respiration and assist the patient with the Flow and Inspiration time settings. Control takes over when the rate is to low or no spontaneous respirations are sensed. C = Control - Cycles in accordance with Rate, Inspiration time and Tidal Volume settings. SIMV Will intermittently deliver a controlled breath at the Rate control setting, and synchronize to the patient s spontaneous respirations. The patient breathes at their normal rate and volume until the next controlled ventilation. CPAP The ventilator is capable of providing continuous positive airway pressure. We do not stock the required equipment for this function. (2) Ventilation Rate: To select the ventilation rate, turn the ventilation rate knob left or right to make adjustments as necessary. The ventilation rate will be displayed on the screen directly above the knob breaths per minute

3 (3) Inspiration Time: To select the inspiration time, turn the inspiration time knob left or right to make adjustments as necessary. The inspiration time will be displayed on the screen directly above the knob. Inspiration time SEC (4) Tidal Volume: To select the Tidal Volume, turn the Tidal Volume knob left or right to make adjustments as necessary. The Tidal Volume will be displayed on the screen directly above the knob. Tidal Volume 6liters per Kg (5) Air/Oxygen Mixer: To select the FIO2 turn the Air/Oxygen knob left or right to make adjustments as necessary. The FIO2 will be displayed on the screen directly above the knob High/low pressure controls: To select the High/low pressure, turn the High/low pressure knob left or right to make adjustments as necessary. The High/low pressure will be displayed on the screen directly below the knob. The High/Low pressure will be displayed on a bar graph located on the right side of the screen. The bar graph also displays peak inspiratory and mean inspiratory pressure. (10 above Peak Insp pressure and 10 below Mean Insp pressure) PEEP controls: Select the PEEP setting if required. The PEEP display is directly under the button. Pressing the PEEP button will increase the PEEP in single digit increments up to 20. The default setting is 0

4 Alarms: Alarm Status indicator will alert you to any problems that may occur. This function is designed to give you an auditory and visual alert. The alarm can be temporarily muted or cancelled for a period 30 seconds to 5 minutes depending on the alarm type 1. Low Pressure/Disconnect activates when the airway pressure falls below the low pressure alarm setting control setting, or if the patient circuit is disconnected for any reason. 2. High Pressure activates if the airway pressure exceeds the High pressure control setting for 2 seconds or for 4 consecutive breaths. 3. Peep Not Set activates when monitored Peep exceeds the settings by + 2 or - 1 for three consecutive breaths. 4. Alarm Mute/Cancel indicates that the alarm mute/cancel button has been pressed. All ventilation alarms will mute for 30 seconds. External Power Low/Fail and Low Battery alarms will last for 5 minutes. All alarm conditions will reset once the problem has been corrected 5. External Power Low/Fail activates when the external power supply has failed or been disrupted 6. Battery Low/Fail activates when the internal battery falls below 12.2 volts. (It will shut down if the battery falls below 11.2 volts.) An external power supply should be supplied if this alarm activates. 7. Apnea activates in Assist and SIMV modes. The ventilator will default to a special Assist-Control Ventilation program during this alarm. It can not be muted. Once the problem has been corrected the alarm can be cancelled.

5 Ventilator Connections OXYGEN IN: GAS OUT: TRANSDUCER: EXHALATION VALVE: EXTERNAL POWER: Connect the Green Oxygen tube to the OXYGEN IN connection (male thread) on the front of the ventilator. Requires 50psi to function properly Connect the ventilator end of the circuit to the GAS OUT port on the front of the ventilator. Connect the GREEN transducer tube to the Green Transducer nipple located on the bottom left of the front panel. Connect the CLEAR tube to the Silver Exhalation Valve nipple located on the upper left side of the front panel. Connect the external power cord to the round port located on the upper right side of the front panel. Align the plug with the red dot up and push the plug in. To remove the plug, pull back the knurled slide on the plug to release the locking mechanism. AIR IN: Optional air supply input for air powered operation

6 1. Verify operating Power connection. Operator Performance Checks Before connecting the ventilator to the patient 2. When using external power source insure that the EXT POWER indicator lamp is Illuminated. 3. Verify completion of self check. 4. Insure all hoses, tubing and fittings are properly connected and secure. 5. Review all ventilator settings. Patient Connections Patient Valve: Connect the GREEN transducer tube to the Patient Valve on the larger of the two nipples using the white elbow. Connect the Clear exhaust tube to the smaller nipple located on top of the Patient Valve. Connect the circuit to the endotracheal tube and assess the quality of the ventilations being provided Consider the use of an End Tidal Co2 Detector. In a high noise environment or where auscultation may be difficult or impractical, an End Tidal Co2 detector is mandatory as a n aid in assessing the patient s ventilatory status and tube placement..

7 Manual Over-Ride Manual Trigger located on the bottom of the Control Module will allow manual over-ride of the control settings.