22
Setting up the NIPPY
in Pressure Support mode
1.
Place the NIPPY on a clean, level surface.
2.
Connect a clean or new breathing circuit tube to the outlet. It is recommended
that a bacterial filter be fitted between the outlet and the breathing tube.
3.
The breathing circuit must contain an intentional leak to prevent re-breathing of
exhaled air. This may be achieved with either an integrated leakage in the mask
or a leakage/exhalation port
4.
Connect the mask to the outlet tubing on the breathing circuit.
Note: Do not fit the interface onto the patient at this point.
5.
Press the Start/Stop button and select Pressure Support mode.
6.
Set the High Alarm to 160 lpm and the Low Alarm to 20 lpm. This will help to
stop the alarm becoming a nuisance during setting up. Alarm settings will be
finalised later
7.
Ensure the settings are adjusted as prescribed.
8.
The patient or physician if required may now
hold
the interface to the face.
9.
Allow the patient to get used to the interface. Objective assessments should
verify the settings are suitable and clinically effective.
10.
If the inspiratory or expiratory trigger needs to be adjusted, select “Adjust trigger
level” from the menu and adjust to suit the patient and to ensure optimal patient
synchrony.
11. Read the breath rate from the display (top of screen). This should match the
value observed when assessing the patient. If the rate has increased, make
sure that the trigger is not so sensitive that it is causing “self triggering”.
12. Allow the patient to get used to the interface then fasten the interface to the
patient.
13.
Set Up the alarms, as detailed in the “Setting Up the Alarms” section of this
manual
•
Test the alarms as detailed in “Alarm Conditions and Tests” section of
this manual.
14. Check the rate and alarms when the patient is asleep. The inspiratory and
expiratory trigger indicators should “flash” at the beginning of each breath.
15. Lock the settings to prevent unauthorised adjustment. See back page.
Remove the patient interface or disconnect the patient circuit from the outlet port,
before switching off.