Non Invasive Ventilation (NIV)
|
|
- Nigel Higgins
- 7 years ago
- Views:
Transcription
1 GE Healthcare Non Invasive Ventilation (NIV) For the Engström Ventilator Relief, Relax, Recovery
2 Help increase patient comfort with an advanced NIV mode The newest innovations on the Engström Carestation include non invasive ventilation with a new and unique algorithm allowing for variable breathing patterns and periods of rest, prior to the initiation of backup ventilation. Ease of use Available in Adult or Pediatric modes, making the Engström an NIV specific ventilator Easy, on-screen visual identification utilizing an NIV icon (screen color/mask) Straightforward, adjustable user interface and centralized, logical display of data Synchronization Leak Management and triggering, utilizing Pressure and Flow as inspiratory triggering mechanisms to avoid auto triggering Introducing a new and unique algorithm allowing for variable respiratory rates and periods of rest, prior to the initiation of backup breaths Patient can remove breathing interface, for a clinician set period of time, with out the occurrence of alarms. This allows the patient the convenience of conversation and adjustment of the mask. Two needs, one universal machine In the event your patient s ventilation requirements rapidly change, the Engström can quickly provide invasive ventilation Incorporation of NIV allows hospitals to reduce costs by standardizing assets Simplified, intuitive interface allows for easy recognition of patient data
3 NIV Parameters and Settings Control and Ranges (Adult/Pediatric) FiO 2 : 21 to 100% O 2 PEEP: 2 to 20 cm H 2 O (increments of 1 cm H 2 O) P supp : Off to 30 cm H 2 O (increments of 1 cm H 2 O) Pressure Trigger: Flow Trigger: T supp : -10 to -.25 cm H 2 O -10 to -3 cm H 2 O (increments of 0.5 cm H 2 O) -3 to cm H 2 O (increments of 0.25 cm H 2 O) 1 to 9 L/min 1 to 3 L/min (increments of 0.1 L/min) 3 to 9 L/min (increments of 0.5 L/min) 0.25 to 4 sec 0.25 to 1 sec (increments of 0.05 sec) 1 to 4 sec (increments of 0.1 sec) End Flow: 5 to 80% (increments of 5%) Rise Time: Bias Flow: Minimum Rate: 0 to 500 ms (increments of 50ms) 8 to 20 L/min (increments of 0.5 L/min) 0 to 40 breaths per minute (increments of 1 breath) Back up P insp : 1 to 30 cm H 2 O (increments of 1 cm H 2 O) Back up T insp : 0.25 to 5 sec 0.25 to 1 sec (increments of 0.05 sec) 1 to 4 sec (increments of 0.1 sec) 4 to 5 sec (increments of 0.25 sec) Trigger and End Flow Leak Compensation: Up to 50 L/min (Adult) Up to 30 L/min (Pediatric)
4 ncpap Software includes ncpap option (available with neonatal option) Expectations meet simplicity For sick babies, the early hours of life are usually characterized by the need for respiratory or circulatory support. Premature babies are especially likely to have respiratory problems because their lungs have not had enough time to develop before birth. Such respiratory problems can include decreased pulmonary compliance, decreased functional residual capacity (FRC) and airway closure 6. Customers utilizing the Neonatal capabilities of the Engström Carestation will be able to access a ncpap mode, with the institution of the NIV option. In this mode, nasal CPAP is delivered with out the use of the neonatal flow sensor. The use of ncpap will allow for a variation in patient interfaces to be used. Simple settings easy to read user interface The new ncpap menu parameters are basic and simple on the Engström. With the implementation of the simplified user interface and larger numeric display, you can easily assess your patients condition from across the NICU. ncpap Parameters and Settings Control and Ranges FiO 2 : 21 to 100% O 2 PEEP: Off, 2 to 15 cm H 2 O (increments of 1 cm H 2 O) Bias Flow: Pressure Trigger: Flow Trigger: 2 to 20 L/min (increments of 0.5 L/min) -10 to -.25 cm H 2 O -10 to -3 cm H 2 O (increments of 0.5 cm H 2 O) -3 to cm H 2 O (increments of 0.25 cm H 2 O) 0.2 to 9 L/min 0.2 to 1 L/min (increments of 0.05 L/min) 1 to 3 L/min (increments of 0.1 L/min) 3 to 9 L/min (increments of 0.5 L/min) Leak Compensation: Up to 10 L/min
5 COPD is currently the fourth leading cause of death in the world, and further increases in the prevalence and mortality of the disease can be predicted in the coming decades. 1 NIV has gained the dignity of first line intervention for acute exacerbation of chronic obstructive pulmonary disease (COPD), assuring reduction of the intubation rate, rate of infection and mortality. 2 One of the major conceptual advantages to NIV (both CPAP and BIPAP) is that the need for endotracheal intubation is avoided. This, in turn, should translate into better comfort (and, thus, less sedation) as well as a reduced risk of ventilatorassociated pneumonia (VAP) and tracheal injury. 4,3 Relief The implimentation of NIV plays an important role in the treatment of patients suffering from impending respiratory failure, supporting patients though a critical time. NIV might also facilitate endotracheal tube removal by supplying respiratory support in those who still need it (ie, failing the first weaning step), but who can protect their airways and clear secretions (ie, succeeding the second weaning step). 4,5 The possible benefits of NIV on respiratory function are improved oxygenation and alveolar ventilation and reduced work of breathing. 6 This offers clinicians time to stabilize a patient without the requirement of the placement of an artificial airway. Relax With the implementation of NIV, a patient's spontaneous ventilation is supported. As the patient initiates a breath, a level of support is delivered. This level of support may decrease the work of breathing of the patient, easing the patient s respiratory effort. The clinician can be guaranteed a minimal level of support through the use of a minimal rate requirement. Recovery Patients can be weaned from the support of NIV, and then monitored for signs of stabilization or future impending ventilatory failure. This can be achieved through the use of the Monitoring mode and CO 2 analysis offered with the Engström Carestation. In the event the patient is not able to wean, or requires intubation, the Engström can quickly be set up to deliver invasive ventilation.
6 References: 1. Pauwels RA, Buist AS, Calverley PMA, Jenkins CR, Hurd SS, on behalf of the GOLD Scientific Committee. Global strategy for the diagnosis, management and prevention of chronic obstructive lung disease. NHLBI/WHO global initiative for chronic obstructive lung disease (GOLD) workshop summary. Am J Respir Crit Care Med 2001; 163: Antonelli M, Pennisi MA, Montini L. Clinical review: Noninvasive ventilation in the clinical setting - experience from the past 10 years. Crit Care. 2005; 9(1): Mehta S, Hill NS. Noninvasive ventilation. Am J Respir Crit Care Med. 2001; 163: MacIntyre N. Mechanical Ventilation: Noninvasive Strategies in the Acute Care Setting. 32nd Critical Care Congress of the Society of Critical Care Medicine. 5. ACCP/SCCM/AARC Task Force. Evidence based guidelines for weaning and discontinuing mechanical ventilation. Chest. 2001; 120 (6 suppl): 375S-395S. 6. Duke G.J., et al. Non Invasive ventilation for adult acute respiratory failure. Part 1. Critical Care and Resuscitation 1999; 1: Additional reading: 1. Schmidt GA. Mechanical ventilation: noninvasive strategies in the acute care setting. Indications for noninvasive ventilation acute care. Program and abstracts of the 32nd Congress of the Society of Critical Care Medicine; January 28-February 2, 2003; San Antonio, Texas. 2. Ferrer M, Valencia M, Nicolas JM, et al. Early noninvasive ventilation averts extubation failure in patients at risk: a randomized trial. Am J Respir Crit Care Med. 2006; 173: World Health Report. World Health Organization, Geneva Available from URL: 4. Plant PK, Owen JL, Elliott MW. One year period prevalence study of respiratory acidosis in acute exacerbations of COPD: implications for the provision of non invasive ventilation and oxygen administration. Thorax 2000; 55: Hammer J. Nasal CPAP in preterm infants does it work and how. Intensive Care Med 2001; 27: GE Healthcare P.O. Box 900, FIN GE, Finland Tel Fax General Electric Company All rights reserved. GE and GE Monogram are trademarks of General Electric Company. Carestation is a registered trademark of Datex-Ohmeda, Inc. Datex-Ohmeda, Inc., a General Electric company, doing business as GE Healthcare. M /08 Global version CC5073-A 6/08
Airway Pressure Release Ventilation
Page: 1 Policy #: 25.01.153 Issued: 4-1-2006 Reviewed/ Revised: Section: 10-11-2006 Respiratory Care Airway Pressure Release Ventilation Description/Definition Airway Pressure Release Ventilation (APRV)
More information5/30/2014 OBJECTIVES THE ROLE OF A RESPIRATORY THERAPIST IN THE DELIVERY ROOM. Disclosure
THE ROLE OF A RESPIRATORY THERAPIST IN THE DELIVERY ROOM Ona Fofah, MD FAAP Assistant Professor of Pediatrics Director, Division of Neonatology Department of Pediatrics Rutgers- NJMS, Newark OBJECTIVES
More informationBIPAP Synchrony TM AVAPS
BIPAP Synchrony TM AVAPS Product Presentation V1.6 Contents Home NIV Solution introduction BiPAP Technology and Auto-Trak algorithm Consensus conference, Chest 1999 The AVAPS algorithm The AVAPS settings
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 informationMECHINICAL VENTILATION S. Kache, MD
MECHINICAL VENTILATION S. Kache, MD Spontaneous respiration vs. Mechanical ventilation Natural spontaneous ventilation occurs when the respiratory muscles, diaphragm and intercostal muscles pull on the
More informationGE Healthcare. Aespire 7100. Essential performance Compact design
GE Healthcare Aespire 7100 Essential performance Compact design Clinician-inspired solutions help improve patient care Optimized work environment The Aespire 7100 was developed using our unique approach
More informationMEDICAL SYSTEMS. Monnal T60. Touch and Breathe. www.airliquidemedicalsystems.com
MEDICAL SYSTEMS Monnal T60 Touch and Breathe www.airliquidemedicalsystems.com Close to the emergency Monnal T60 has been designed for mobile medical intervention in all intensive care environments, both
More informationImportance of Protocols in the Decision to Use Noninvasive Ventilation
Importance of Protocols in the Decision to Use Noninvasive Ventilation Janice L. Zimmerman, M.D. Weill Cornell Medical College The Methodist Hospital Houston, Texas Objectives Review application of protocols
More informationINTRODUCING RESMED S. Home NIV Solutions. S9 VPAP ST-A with ivaps S9 VPAP ST. Why choose average when you can choose intelligent?
INTRODUCING RESMED S Home NIV Solutions S9 VPAP ST-A with ivaps S9 VPAP ST Why choose average when you can choose intelligent? Now you can provide intelligent air through ResMed s intelligent Volume-Assured
More informationNURSING SERVICES DEPARTMENT
NURSING SERVICES DEPARTMENT TITLE: Mechanical Ventilation PATIENT CARE PLAN DIAGNOSIS: DISCHARGE CRITERIA: 1 The patient will: Maintain adequate mechanics of PERTINENT INFORMATION:. ventilation as demonstrated
More informationImpact Uni-Vent 754 Portable Ventilator
Impact Uni-Vent 754 Portable Ventilator Description - Indications- Contraindications- Side Effects- Special Considerations- The Uni-Vent 754 Portable Ventilator is a portable electronically controlled,
More informationMECHANICAL VENTILATION IN THE NEONATE
Supplemental Resources for the PICU/NICU MECHANICAL VENTILATION IN THE NEONATE I. GENERAL PRINCIPLES A. NEONATAL VENTILATORS We use three types of neonatal ventilators in the NICU: 1. SIMV (Synchronized
More informationOxygenation and Oxygen Therapy Michael Billow, D.O.
Oxygenation and Oxygen Therapy Michael Billow, D.O. The delivery of oxygen to all body tissues is the essence of critical care. Patients in respiratory distress/failure come easily to mind as the ones
More informationNeurally Adjusted Ventilatory Assist: NAVA for Neonates
Neurally Adjusted Ventilatory Assist: NAVA for Neonates Robert L. Chatburn, MHHS, RRT-NPS, FAARC Research Manager Respiratory Institute Cleveland Clinic Professor Department of Medicine Lerner College
More informationD-370-2010. Non-Invasive Ventilation (NIV) with the Oxylog 2000 plus and Oxylog 3000 plus
D-370-2010 Non-Invasive Ventilation (NIV) with the Oxylog 2000 plus and Oxylog 3000 plus 02 NON INVASIVE VENTILATION WARNING This booklet is not a substitute for the Instructions for Use of the Oxylog
More informationDRG 475 Respiratory System Diagnosis with Ventilator Support. ICD-9-CM Coding Guidelines
DRG 475 Respiratory System Diagnosis with Ventilator Support ICD-9-CM Coding G The below listed g are not inclusive. The coder should refer to the applicable Coding Clinic g for additional information.
More informationCardiocap /5 Compact all-in-one anesthesia monitor. Datex-Ohmeda Cardiocap /5
Cardiocap /5 Compact all-in-one anesthesia monitor Datex-Ohmeda Cardiocap /5 Datex-Ohmeda Cardiocap TM /5 Cardiocap /5 Clinical value in a cost-effective package Cardiocap/5 is an integrated hemodynamic,
More informationRES Non-Invasive Positive Pressure Ventilation Guideline Page 1 of 9
Page 1 of 9 Scope: Respiratory Care Department, Physicians, Advanced Nurse Practitioners (APRN), Physician Assistants (PA) Population: Patients receiving rescue or non-rescue non-invasive positive pressure
More informationFor every breath he takes. Trilogy200 ventilator s added sensitivity lets you breathe easier knowing your patients are where they belong home.
For every breath he takes Trilogy200 ventilator s added sensitivity lets you breathe easier knowing your patients are where they belong home. Sensitive to your patients needs Trilogy200, a portable life-support
More informationNasal-Aire II Critical Care Single-use CPAP interface by InnoMed The comfortable, economical solution to non-invasive ventilation!
CPAP Nasal-Aire II Critical Care Single-use CPAP interface by InnoMed The comfortable, economical solution to non-invasive ventilation! Advantages:. Can be worn for any duration without discomfort-no uncomfortable
More informationGE Healthcare. Avance Carestation. Innovating with you, shaping exceptional care
GE Healthcare Avance Carestation Innovating with you, shaping exceptional care Clinician inspired perioperative solutions GE s Avance Carestation was developed using an approach to perioperative solutions
More informationHigh Impact Intervention Care bundle to reduce ventilation-association pneumonia
High Impact Intervention Care bundle to reduce ventilation-association pneumonia Aim To reduce the incidence of ventilation-associated pneumonia (VAP). Context The aim of the care bundle, as set out in
More informationPhilips Respironics CEU Programs
Philips Respironics CEU Programs Sleep therapy presentations Interface and Therapy Options Overview Review the selection and fit of three mask categories: minimal contact or pillow masks, nasal masks,
More informationHigh-Frequency Oscillatory Ventilation
High-Frequency Oscillatory Ventilation Arthur Jones EdD, RRT Learning Objectives Describe the indications and rationale and monitoring for HFOV. Identify HFOV settings and describe the effects of their
More informationThe earliest efforts to employ noninvasive ventilation (NIV) or pressure
ACUTELY DECOMPENSATED HEART FAILURE Role of Noninvasive Ventilation in the Management of Acutely Decompensated Heart Failure Edward A. Panacek, MD, MPH, J. Douglas Kirk, MD Division of Emergency Medicine,
More informationGE Healthcare. Welcome to the future of anesthesia Aisys * Carestation *
GE Healthcare Welcome to the future of anesthesia Aisys * Carestation * The way you practice today may be different from the past. Diverse patient types and co-morbidities make your world challenging.
More informationPuritan Bennett 980 Ventilator Patient Setup Quick Reference Guide
Puritan Bennett 980 Ventilator Patient Setup Quick Reference Guide 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 informationMechanical Ventilation
Mechanical Ventilation 127 Mechanical Ventilation William Benitz, M.D. Caring for a mechanically ventilated neonate continues to unnecessarily strike fear in the heart of many a resident. This fear is
More informationS/5 Anesthesia Monitor. The clinician s choice
S/5 Anesthesia Monitor The clinician s choice S/5 Anesthesia Monitor S/5 Anesthesia Monitor Designed by clinicians for clinicians The S/5 Anesthesia Monitor gives you the time and freedom to monitor your
More informationNHS FORTH VALLEY Neonatal Oxygen Saturation Guideline
NHS FORTH VALLEY Neonatal Oxygen Saturation Guideline Date of First Issue 11/07/2011 Approved 30/09/2011 Current Issue Date 07/09/2011 Review Date July 2013 Version 1 EQIA Yes 22/10/2011 Author / Contact
More informationCENTER FOR KLINISKE RETNINGSLINJER - CLEARINGHOUSE
Bilag 2 - Søgematricer Medline Træning amyotrophic lateral upper motor neuron disease Amyotrophic lateral sclerosis [MeSH] physical fitness [MeSH] physical training exercise therapy [MeSH] Rehabilitation
More informationYear in review: mechanical ventilation
Year in review: mechanical ventilation Leo Heunks, MD, PhD Pulmonary and Critical Care Physician Dept of Critical Care Intensivisten dagen 2013 Disclosures Maquet (NAVA catheters, travel fee, speakers
More informationMechanical Ventilation for Dummies Keep It Simple Stupid
Mechanical Ventilation for Dummies Keep It Simple Stupid Indications Airway Ventilation failure (CO2) Hypoxia Combination Airway obstruction Inability to protect airway Hypoxia (PaO 2 < 50) Hypercapnia
More informationGuidelines for Standards of Care for Patients with Acute Respiratory Failure on Mechanical Ventilatory Support
Guidelines for Standards of Care for Patients with Acute Respiratory Failure on Mechanical Ventilatory Support Copyright by the SOCIETY OF CRITICAL CARE MEDICINE These guidelines can also be found in the
More informationCommon Ventilator Management Issues
Common Ventilator Management Issues William Janssen, M.D. Assistant Professor of Medicine National Jewish Health University of Colorado Denver Health Sciences Center You have just admitted a 28 year-old
More informationObjectives COPD. Chronic Obstructive Pulmonary Disease (COPD) 4/19/2011
Objectives Discuss assessment findings and treatment for: Chronic Obstructive Pulmonary Disease Bronchitis Emphysema Asthma Anaphylaxis Other respiratory issues Provide some definitions Chronic Obstructive
More informationUniversity of Kansas. Respiratory Care Education
University of Kansas Respiratory Care Education What is Respiratory Care? Respiratory Care is the health profession that specializes in the promotion of optimum cardiopulmonary function and health Respiratory
More informationAT HOME DR. D. K. PILLAI MUG @ UOM
NON - INVASIVE VENTILATION AT HOME DR. D. K. PILLAI 07.09.2011 MUG @ UOM In the beginning came. OSA (HS) 1. CPAP for OSAHS (Obstructive Sleep Apnoea Hypopnoea Syndrome) 2 NIPPV 2. NIPPV (Non
More informationUsing home NIV for the management of hypercapnic COPD
Home NIV Program for COPD Using home NIV for the management of hypercapnic COPD This program offers COPD treatment guidelines to physicians to help appropriately target and qualify patients for noninvasive
More informationINTERDISCIPLINARY CLINICAL MANUAL Policy/ Procedure
INTERDISCIPLINARY CLINICAL MANUAL Policy/ Procedure TITLE: Non Invasive Positive NUMBER: CC 45-072 Pressure Ventilation Date Issued: October 2011 Page 1 of 13 Applies To: Respiratory Therapy and Nursing
More informationPOCKET GUIDE. NAVA and NIV NAVA in neonatal settings
POCKET GUIDE NAVA and NIV NAVA in neonatal settings Table of contents EMPTY 1 2 3 4 Introduction and background facts Invasive ventilation with NAVA Non invasive ventilation with NAVA NAVA and NIV NAVA
More informationKi m b e r l y-cl a r k* 72-Hour Closed-Suction Systems. Ba l l a r d* Tr a c h Ca r e* System. A unique design. A new standard in clean.
Ki m b e r l y-cl a r k* 72-Hour Closed-Suction Systems Ba l l a r d* Tr a c h Ca r e* System A unique design. A new standard in clean. Ki m b e r l y-cl a r k* 72-Hour Closed-Suction Systems Ba l l a
More informationNON-INVASIVE VENTILATION. Jason C. Brainard, MD Assistant Professor Department of Anesthesiology
NON-INVASIVE VENTILATION Jason C. Brainard, MD Assistant Professor Department of Anesthesiology Objectives Overview of Non-Invasive Ventilation Discuss Specific Indications for Non-Invasive Ventilation
More informationOriginal Article COPD and Hospital Stay Pak Armed Forces Med J 2014; 64 (1): 46-50. Ahmed Raza, Mahmood Iqbal Malik*, Yousaf Jamal**
Original Article COPD and Hospital Stay Pak Armed Forces Med J 2014; 64 (1): 46-50 COMPARISON OF NIPPV WITH STANDARD TREATMENT IN PATIENTS WITH ACUTE EXACERBATIONS OF COPD IN TERMS OF IMPROVEMENT IN ABGS
More information06/05/2014. Respiratory Medicine Professor Colin Sullivan
1 Respiratory Medicine Professor Colin Sullivan 2 3 Modalidade utilizada em 90% dos casos. Thorax 1998 53: 416-18 Lancet 1999 353:2100-05 AJRCCM 2004 169:156-62 AJRCCM 161:857-5-859, 2000 Chest 2005; 128:1304-1309
More informationLong Term Acute Care Hospital: Criteria for Admission
Easy Choice Health Plan, Inc. Harmony Health Plan of Illinois, Inc. M issouri Care, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare Health Insurance of Illinois,
More informationImpact Uni-Vent 750 Portable Ventilator
Impact Uni-Vent 750 Portable Ventilator Description - Indications- Contraindications- Side Effects- Special Considerations- The Uni-Vent 750 Portable Ventilator is a portable electronically controlled,
More informationAHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings
AHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings Resuscitation step Recommendations (2005) Recommendations (2010) Comments/LOE
More informationFisiología Respiratoria, Hipercapnia Permisiva e Injuria Pulmonar. Wally A. Carlo, M.D. University of Alabama at Birmingham
Fisiología Respiratoria, Hipercapnia Permisiva e Injuria Pulmonar Wally A. Carlo, M.D. University of Alabama at Birmingham Randomized Trial of Oxygen Saturation Targets in Premature Infants - the SUPPORT
More informationAvoiding Mechanical Ventilation: (AMV mode) The growing options in non invasive respiratory support
Avoiding Mechanical Ventilation: (AMV mode) The growing options in non invasive respiratory support Michael Finelli RRT Neonatal Respiratory Care Practitioner Sickkids, Toronto 1993 Objectives 1. Identify
More informationNew Tools of the Trade for Implementing a Successful NIV Program. Robert S. Campbell, RRT FAARC National Ventilation Specialist Philips Healthcare
New Tools of the Trade for Implementing a Successful NIV Program Robert S. Campbell, RRT FAARC National Ventilation Specialist Philips Healthcare Course Objectives Review indications and complications
More informationMechanical Ventilators
University of Washington Academic Medical Center Copyright 2000 Disclaimer Children's Hospital and Regional Medical Center Copyright 2002 Disclaimer Mechanical Ventilators Authors Created 07/31/95 Reviewed
More informationTable of contents. Exercise 1 Passive exhalation port 13. Exercise 2 Active exhalation valve 15
Trilogy workshop Table of contents Trilogy Workshop Introduction 4 Trilogy100 circuit options 5 Trilogy200 circuit options 6 Breath types 6 Pressure modes 7 Volume modes 7 Waveforms 7 Sensitivity 7 User
More informationDATA SHEET. Capnography option. www.airliquidemedicalsystems.com. November 2013 V2.2
November 2013 V2.2 DATA SHEET www.airliquidemedicalsystems.com [1] Monnal T75 (CO 2 )/ Air Liquide Medical Systems APPLICATION AREA OPERATING CONDITIONS Application: Patient categories: Weight: Intensive
More informationMore detailed background information and references can be found at the end of this guideline
Neonatal Intensive Care Unit Clinical Guideline Oxygen Over the past few years there have been significant changes, based on high quality research, in our understanding of how to give the right amount
More informationThe Anesthesia Ventilator
The Anesthesia Ventilator Why is the piston replacing the bellows? For many decades, and millions of anesthetics, the bellows anesthesia ventilator has been a safe and effective clinical device. Indeed,
More informationACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) S. Agarwal, MD, S. Kache MD
ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) S. Agarwal, MD, S. Kache MD Definition ARDS is a clinical syndrome of lung injury with hypoxic respiratory failure caused by intense pulmonary inflammation that
More informationMECHANICAL VENTILATION
MECHANICAL VENTILATION INDICATIONS: Respiratory Failure Cardiopulmonary arrest Trauma (especially head, neck, and chest) Cardiovascular impairment (strokes, tumors, infection, emboli, trauma) Neurological
More informationRespiratory Care. A Life and Breath Career for You!
Respiratory Care A Life and Breath Career for You! Respiratory Care Makes a Difference At 9:32 am, Lori Moreno brought a newborn baby struggling to breathe back to life What have you accomplished today?
More informationVentilator Application of the Passy-Muir Valve David A. Muir Course Outline Benefits Review of the Biased Closed Position No Leak Passy-Muir Valves
Ventilator Application of the Passy-Muir Valve Michael S. Harrell, B.S., RRT Director of Clinical Education-Respiratory mharell@passy-muir.com (949) 833-8255 David A. Muir 23 year-old ventilator dependent
More informationNon-invasive ventilation in acute respiratory failure
192 BTS GUIDELINE Non-invasive ventilation in acute respiratory failure British Thoracic Society Standards of Care Committee... Thorax 2002;57:192 211 Members of BTS Standards of Care Committee: S Baudouin,
More informationFrom AARC Protocol Committee; Subcommittee Adult Critical Care Version 1.0a (Sept., 2003), Subcommittee Chair, Susan P. Pilbeam
AARC - ADULT MECHANICAL VENTILATOR PROTOCOLS 1. Guidelines for Using Ventilator Protocols 2. Definition of Modes and Suggestions for Use of Modes 3. Adult Respiratory Ventilator Protocol - Guidelines for
More informationHospital of the University of Pennsylvania Physician Practice Guideline
Page 1 of 5 KEY WORDS: Ventilator Respirator Weaning Extubation Liberation PURPOSE: To facilitate the liberation of patients from mechanical ventilation and provide a consistent approach to the ventilator
More informationThe Advantages of Transcutaneous Co 2 Over End-Tidal Co 2 for Sleep Studies PETCo 2 vs. TCPCo 2
The Advantages of Transcutaneous Co 2 Over End-Tidal Co 2 for Sleep Studies PETCo 2 vs. TCPCo 2 Ramalinga P. Reddy, M.D., MBA, FCCP Director, Children s Pulmonary & Sleep Center Mercy Children s Hospital
More informationAuto Flow 20 Questions 20 Answers. Joseph Fitzgerald
Auto Flow 20 Questions 20 Answers Joseph Fitzgerald Important Notice: Medical knowledge changes constantly as a result of new research and clinical experience. The author of this introductory guide has
More informationEvaluation and treatment of emphysema in a preterm infant
ISPUB.COM The Internet Journal of Pediatrics and Neonatology Volume 11 Number 1 Evaluation and treatment of emphysema in a preterm infant T Saad, P Chess, W Pegoli, P Katzman Citation T Saad, P Chess,
More informationCOPD with Respiratory Failure Case Study #21. Molly McDonough
COPD with Respiratory Failure Case Study #21 Molly McDonough Patient: Mr. Hayato 65 year old male Brought to ER with severe SOB Past History of emphysema Longstanding chronic obstruction pulmonary disease
More informationNurses and Respiratory Therapists Working Together for Safe Alarm Systems Management
Nurses and Respiratory Therapists Working Together for Safe Alarm Systems Management May 11, 2015 9/25/2013 1 AAMI Foundation Vision: To drive the safe adoption and use of healthcare technology Visit our
More informationIrish Association for Emergency Medicine (IAEM) submission to the National COPD Strategy
31 st Irish Association for Emergency Medicine (IAEM) submission to the National COPD Strategy 1 Introduction Chronic obstructive pulmonary disease (COPD) is an important disease for patients, the health
More informationSARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: NON-INVASIVE POSITIVE PRESSURE (NPPV) VENTILATION (CPAP/BIPAP) Job Title of Reviewer: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Director, Respiratory
More informationColorado Cardiac Conference: 2 nd teaching workshop. Proactive Respiratory Therapy in postoperative Cardiac Patients
Colorado Cardiac Conference: 2 nd teaching workshop Proactive Respiratory Therapy in postoperative Financial Disclosures Donald Fritz, RT Jerrold Judd, RT No relevant financial relationships with any commercial
More informationOxygen Therapy. Oxygen therapy quick guide V3 July 2012.
PRESENTATION Oxygen (O 2 ) is a gas provided in a compressed form in a cylinder. It is also available in a liquid form. It is fed via a regulator and flow meter to the patient by means of plastic tubing
More informationWhy is prematurity a concern?
Prematurity What is prematurity? A baby born before 37 weeks of pregnancy is considered premature. Approximately 12% of all babies are born prematurely. Terms that refer to premature babies are preterm
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 informationThe Anesthesia Ventilator
The Anesthesia Ventilator Why is the piston replacing the bellows? For many decades, and millions of anesthetics, the bellows anesthesia ventilator has been a safe and effective clinical device. Indeed,
More informationNeonatal Reference Guide
Operated by REACH Air Medical Services Assessment Heart Rate (beats/min.) Age Rate
More informationTests. Pulmonary Functions
Pulmonary Functions Tests Static lung functions volumes Dynamic lung functions volume and velocity Dynamic Tests Velocity dependent on Airway resistance Resistance of lung tissue to change in shape Dynamic
More informationTruSat For wherever your patients take you. Datex-Ohmeda TruSat pulse oximeter
TruSat For wherever your patients take you Datex-Ohmeda TruSat pulse oximeter Datex-Ohmeda TruSat pulse oximeter The first of its kind TruSat offers clinicians a real-world oximetry solution NICU The challenge
More informationGE Healthcare. The Giraffe Family. Helping make sick babies well
GE Healthcare The Giraffe Family Helping make sick babies well Visionary design. Revolutionary performance. Easy baby access. An unobstructed view. Reliable clinical performance. Technically sophisticated,
More informationSleep Therapy I Ventilation I Patient Interface. Sleep Therapy. Sleep therapy solutions for every patient
Sleep Therapy Sleep therapy solutions for every patient Sleep Therapy Sleep therapy solutions for every patient Tailor-made therapy for every patient Doctors working in many different medical specialties
More informationTwo Steps forward in Ventilation. Ernst Bahns. Because you care
Two Steps forward in Ventilation Ernst Bahns Because you care Important Note: Medical knowledge changes constantly as a result of new research and clinical experience. The author of this introductory guide
More informationAutoFlow The Oxylog 3000 plus incorporates the benefits of pressure controlled ventilation into volume controlled ventilation
D-9125-2009 AutoFlow The Oxylog 3000 plus incorporates the benefits of pressure controlled ventilation into volume controlled ventilation Foreword Dear reader, Performing mechanical ventilation during
More informationCaring Choices. For Parents of Infants Newly Diagnosed with SMA Type 1 SMA CARE SERIES
Caring Choices For Parents of Infants Newly Diagnosed with SMA Type 1 SMA CARE SERIES SMA CARE SERIES - Caring Choices Contents Dear Parents, Friends and Family Members 3 What Decisions are Ahead 4 What
More informationProtocols for Early Extubation After Cardiothoracic Surgery
Protocols for Early Extubation After Cardiothoracic Surgery AATS / STS CT Critical Care Symposium April 27, 2014 Toronto, Ontario Nevin M. Katz, M.D. Johns Hopkins University Foundation for the Advancement
More informationHow To Determine The Difference Between Long Versus Short Inspiratory Times In Neonates
Long versus short inspiratory times in neonates receiving mechanical ventilation (Review) Kamlin COF, Davis PG This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration
More informationPulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD)
Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Development of disability in COPD The decline in airway function may initially go unnoticed as people adapt their lives to avoid
More informationNon-Invasive Positive Pressure Ventilation in Heart Failure Patients: For Who, Wy & When?
REUNIÃO CONJUNTA DOS GRUPOS DE ESTUDO DE CUIDADOS INTENSIVOS CARDÍACOS E DE FISIOPATOLOGIA DO ESFORÇO E REABILITAÇÃO CARDÍACA O L H Ã O 2 7 e 2 8 d e J a n e i r o 2 0 1 2 Non-Invasive Positive Pressure
More informationPediatric Airway Management
Pediatric Airway Management Dec 2003 Dr. Shapiro I., PICU Adult Chain of Survival EMS CPR ALS Early Defibrillation Pediatric Chain of Survival Prevention CPR EMS ALS Out-of-Hospital Cardiac Arrest SIDS
More informationA simple solution for your complex patients. The market-leading servo ventilation device System One BiPAP autosv
A simple solution for your complex patients The market-leading servo ventilation device System One BiPAP autosv Advanced simplifies treating complex sleep-disordered breathing patients Developed for your
More informationTitration protocol reference guide
Titration protocol reference guide Description Page Titration protocol goals 4 CPAP protocol CPAP protocol 6 CPAP titration protocol 7 CPAP reimbursement criteria 8 BiPAP S protocol BiPAP S protocol 10
More informationWelcome to the future of anaesthesia.
GE Healthcare Welcome to the future of anaesthesia. The Aisys* Carestation* It s the way you practice. Uncompromised in everything you do. Your role in the acute care space has broadened and deepened.
More informationSWISS SOCIETY OF NEONATOLOGY. Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema
SWISS SOCIETY OF NEONATOLOGY Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema December 2002 2 Riedel T, Pfenninger J, Pediatric Intensive Care Unit, University
More informationRESPIRATORY THERAPIST CLASSIFICATION SERIES
STATE OF WISCONSIN CLASSIFICATION SPECIFICATION RESPIRATORY THERAPIST CLASSIFICATION SERIES Effective Date: June 16, 1985 Modified Effective: November 5, 2000 Modified Effective: May 6, 2001 Modified Effective:
More informationCritical Care Therapy and Respiratory Care Section
Category: Section: Title: Critical Care Therapy and Respiratory Care Section Policy #: 03 Revised: 5/02 1.0 DESCRIPTION Clinical Ventilator Management Invasive and Noninvasive Positive Pressure Ventilation
More informationModule 4 The POLST Conversation POLST Script
Module 4 The POLST Conversation POLST Script The POLST Script provides detailed information in order to develop comfort and competence when facilitating a POLST conversation. The POLST conversation utilizes
More information9/12/2011 OBJECTIVES BREATH OF LIFE. Review the role that Potentially Better Practices (PBP s) play in clinical practice
Ona. O. Fofah, MD, FAAP Director, Division of Neonatal Perinatal Medicine, Department of Pediatrics, UMDNJ/NJMS UMDNJ RESPIRATORY LECTURE SERIES SEPT 2011 OBJECTIVES Review the role that Potentially Better
More informationNoninvasive Ventilation A Primer for Medical Center Administrators
Noninvasive Ventilation A Primer for Medical Center Administrators Adam Seiver, MD, PhD, MBA, FACS, FCCM Vice President and Chief Medical Officer Hospital Respiratory Care, Philips Healthcare Medical Director,
More informationYour personal anesthesia assistant DRÄGER PRIMUS
D-16232-2009 Your personal anesthesia assistant DRÄGER PRIMUS 02 DRÄGER PRIMUS An entire world of care You re playing a vital role in an increasingly complex healthcare system. Your job is to provide state-of-the-art
More informationPATIENT CARE SERVICES POLICY AND PROCEDURE
PATIENT CARE SERVICES POLICY AND PROCEDURE Title: Transportation of Patients Within a CHN Facility Section: Provision of Care, Treatment, and Services Department of Origin: Patient Care Services Effective
More informationBergen Community College Division of Health Professions Department of Respiratory Care RSP-231, Respiratory Care Clinical Externship IV
Date of Most Recent Syllabus Revision: August 2014 Semester and Year: Fall 2014 Bergen Community College Division of Health Professions Department of Respiratory Care RSP-231, Respiratory Care Clinical
More information