SAVe II+ OPERATOR’S MANUAL > Page 11
T
RAINING
R
EQUIREMENTS
The device is intended for use by and under the supervision of trained healthcare
professionals, e.g., doctors, nurses, emergency medical technicians, respiratory
therapists and those certified to perform CPR. All operators regardless of experience
or training must be familiar with the contents of this manual and be prepared to provide
primary response to a respiratory emergency. The most up to date information related
to training for operating the SAVe II+ is available at www.automedx.com.
R
ISKS
&
B
ENEFITS
The SAVe II+ is designed to enable providers with limited training to deliver life-
sustaining ventilation to adult patients suffering from Acute Respiratory Failure. The
device is easy to use, lightweight, and intended to be used in any healthcare
environment that requires the use of a ventilator. The operator simply selects the height
of the patient and the device dials in a lung protective Tidal Volume of 6 ml/kg of ideal
body weight, PIP limit of 30 cmH2O and no PEEP. These presets may not be
appropriate for all patients or all conditions. Most ARDS patients will require some
level of PEEP. The operator must continue to monitor the patient and adjust as
necessary.
The SAVe II+ offers a breath-to-breath consistency not achievable with a bag valve
mask (BVM). This is especially important in high stress situations where studies have
demonstrated rescuers are prone to hyperventilating patients. The SAVe II+ delivers
a consistent tidal volume at a consistent rate. In an urgent first-responder situation,
the SAVe II+, unlike a BVM, frees up the responder to address other injuries, attend to
other patients or further assist in transporting the patient. The SAVe II+ at the 5’9”
preset values will provide up to 9.25 hours of ventilation on a full charge. The time
varies depending on settings and patient condition. The SAVe II+ will detect a patient’s
inspiratory effort and automatically trigger a breath.
Unlike pneumatic resuscitators, the SAVe II+ does not require compressed air to
operate, however it will accept low-pressure supplemental oxygen when a higher FIO
2
is needed. If in a combat zone, relying on high-pressure oxygen tanks poses a fire and
explosion hazard. These tanks tend to be large and only ventilate for a brief period. If
supplemental oxygen is available and desired, refer to the instructions on page 25.
The operator administering care must monitor the patient to ensure adequate gas
exchange is occurring. The SAVe II+ is designed with multiple system checks to
monitor proper operation of the device and safety of the patient. If an alarm condition
occurs, the SAVe II+ will emit both a visual and audible alarm. In addition, depending
on what triggered the alarm, the SAVe II+ will limit functionality as necessary to avoid
patient injury. For example, the device will trigger an alarm and cutoff power to the
pump when the delivery of additional air exceeds the PEAK INSPIRATORY
PRESSURE (PIP) limit. This safety feature is designed to prevent over inflation and
alerts the medic to fix the fault that triggered the alarm. An alarm troubleshooting label
is attached to the bottom of the device.
The SAVe II+ has adjustable tidal volume (200-800 ml), respiratory rate (8-30 BPM),
peak inspiratory pressure limit (10-60 cmH2O) and positive end expiratory pressure