Dräger Cicero EM, Instructions For Use Manual

Page: 35 / 196

35
Anaesthesia ventilation
SIMV
MAN
SPONT
IPPV
P max
P PCV
PCV V T f
IPPV
T
I
:T
E
f IMV
T IP :T I
Flow
PEEP
TEST
SIMV-Mode ?
SIMV
1
2
3
11:59
00:00
06.12.98
1mV
iBP1
160
0
0
CO
2
40
30
PAW
20
0
10.2 29
MV l/min
99
SpO
2
%
Freq 12 V
T
0.60
∆
O
2 --
Fi O
2
Vol %
T2
37.5
°
C
T1
36.8
°
C
33
etCO
2
mmHg
1/min
33 10.2 19
et CO2 MV Peak
12 0.81 1
Freq. VT PEEP
72
Peak mbar PEEP
32 3
Plat 18 Mean 6
HR/Puls
72
50 120
Pulsdef.
4
5
NiBP sys 122 80 160
SpO
2
92
91 --
et CO
2
33
30 50
in CO
2
--
5
AMV 6.2 3.0 12.0
Fi O
2
29
20 --
Fi SEV
0.8
-- 3.4
PAW
9
8 40
iBP 1 sys 125 80 167
iBP 2 mit
31
0 8
ST
-0.05
±
0.10
T1
36.8
-- --
T2 37.5 -- --
IPPV alarm limits
standard screen 1- adults
Warning: Caution:
Advisory:
1. ECG I
pulse def. 4 ST + 0.05
auto set
pat. alarm.
timer
start
alarm
info
auto set
vent. al.
Select the required limits and confirm !
HR/Pulse (ECG)
limits
79 99 -- / --
HR/Pulse SpO2 Art (1)
1/min % mmHg
05829278
05929278
SIMV
SIMV Mode ?
Ventilator with PCV
Ventilator without PCV
1
2
3
Selecting SIMV mode
In order to prevent the mechanical mandatory ventilation
stroke from being applied during the expiratory
spontaneous breathing phase, a special trigger ensures
that the mandatory ventilation stroke is controlled by the
patient and consequently synchronized with spontaneous
breathing (this is described in detail on page 180).
PEEP is not active in SIMV mode!
After switching on, the ventilation parameters program-
med upon delivery are active in SIMV mode. They can be
changed by DrägerService on request.
The ventilation parameters of the preceding mode remain
active when changing from IPPV to SIMV mode and vice
versa!
Settings upon delivery of new apparatus:
V
T
Tidal volume 0.6 L
f
IMV
IMV frequency 12 per min.
P
max
Maximum ventilation pressure 25 mbar
T
IP
:T
I
Ratio of inspiratory pause
time/inspiration time
10 %
T
I
:T
IE
Inspiration/expiration time ratio 1:1.7
If the ventilation frequency is equal to or greater than
6 breaths per minute in
»SIMV mode« , the IPPV alarm
limits become active and the alarm mode »IPPV alarm
limits« is automatically displayed on the system screen.
If the ventilation frequency is less than 6 breaths per
minute in
»SIMV mode« , special SIMV alarm limits
become active and the advisory message »SIMV alarm
limits« flashes in the status field of the system screen for
five seconds. This message does not require confirma-
tion (see page 81).
When setting frequencies of more than 6 per minute ,
the system automatically reverts to the IPPV alarm limits
and indicates this on the system screen.
The ventilation parameters are adjusted in the same way
as in IPPV mode:
1 Press the » SIMV « key.
2 Display in dialogue field:
SIMV Mode ?
3 Press rotary control to confirm -
ventilation starts -
the parameters P
max
, V
T
, f
IMV
, PEEP and piston
movement are displayed on the ventilator -
the system screen is also started and the alarm limits
for SIMV are activated.
To adapt the alarm limits automatically to the ventila-
tion mode, see
»Alarm concept« on page 78.