CAE Healthcare Fidelis Lucina, User Manual

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Müse Parameter Descriptions
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Neuromuscular Blockade (NMB)
The degree of NMB is automatically determined by pharmacokinetic and pharmacodynamic models,
which are based on the neuromuscular blocking agents administered and the time course of their
injection. For some educational applications, however, the instructor may wish to set a fixed degree of
neuromuscular blockade that remains stable for an indefinite period. This can be accomplished using
the
NMB parameter. The default setting instructs the pharmacologic models to determine the degree
of neuromuscular blockade based upon the drugs injected and their pharmacologic properties.
When a numeric value is assigned to this parameter, the degree of NMB is set to that level. For example,
80% NMB causes the simulator to set the degree of NMB to 80%, regardless of the presence (or
absence) of neuromuscular blocking drugs. Clinically, the spontaneous tidal volume is markedly
reduced. If NMB is set to greater than 30%, the eyes will automatically close when in the Auto mode.
Default : Modeled
Range : 0% - 100%
Tidal Volume
The Tidal Volume parameter is used to set the tidal volume to a given volume per breath. Once Tidal
Volume is set to a numeric value, arterial oxygen and carbon dioxide values have no effect on the tidal
volume, but continue to influence other components of the physiological models.
For example, with the tidal volume set to 600 mL in the adult simulator, the tidal volume remains a
constant (set) 600 mL even in the event of falling arterial oxygen levels. In such situations, the patient
can only respond to arterial oxygen or carbon dioxide levels when the respiratory rate is adjusted.
Default : Modeled
Range : 0 mL- 2500 mL
Intrapleural Volume (Vol): (Left and Right)
The Intrapleural Vol parameters allow intrapleural volume to accumulate, for example, as happens
during pneumothorax, hydrothorax or hemothorax.
To simulate a pneumothorax, set the corresponding Intrapleural Vol to a value greater than 0 mL.
Values more than 1500 mL reduce the corresponding lung volume significantly. Breath sounds and
chest rise are automatically diminished on the appropriate side due to decreased ventilation of the
affected lung.
Default : 0
Range : 0 mL - 2500 mL