Heyer iTernIS ADV, Operator'S Manual

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Menu | iTernIS ADV
7. 5
This line of the main menu gives access to the
BACKUP VENTILATION
window. It
is defined as a tool used to ensure ventilation for patients who, being in a sponta -
neous operative mode, do not generate enough demand to trigger breaths (decrea-
sed respiratory effort or apnea episodes).
There are operative modes that do not require setting
Backup Ventilation
, others
for which it is optional, and, lastly, there is a group of operative modes that need a
Backup Ventilation
to be configured (see Table 7-2).
Table 7-2 Requirement of Backup Ventilation setting according to the operative
mode
Mandatory setting Optional setting
ADL/PED
PSV/CPAP SIMV (VCV) + PSV
MMV + PSV SIMV (PCV) + PSV
PSV + Assured VT APRV
NEO-INF
PSV/CPAP SIMV (VCV) + PSV
CPAP Continuous flow SIMV (PCV) + PSV
SIMV (TCPL) + PSV
APRV
To access the
Backup Ventilation
configuration menu, execute the following se -
quence: [Menu]>>Backup Ventilation. The displayed window changes three pa-
rameters:
• OPERATIVE MODE: the breaths provided in Backup Ventilation may belong to
different operative modes. For ADL/PED patients, the options are VCV and PCV.
The possibility of TCPL is added in NEO-INF as a backup.
• APNEA TIME: defined as the time elapsed from the last breath triggered by the
patient until the ventilator determines that there is an apnea episode. It is the time
the ventilator waits after the last valid spontaneous breath to start the
Backup Ven -
tilation.
It is a time that can be programmed between 5 and 60 s, at 5 s intervals.
• SIMV/APRV or CPAP BACKUP: in SIMV and APRV modes or in CPAP Conti -
nuous Flow (in NEO-INF), enabling the
Backup Ventilation
is optional. It is disa-
bled (NO option) by default for SIMV/APRV and enabled (YES option) for CPAP
Continuous flow in NEO-INF. But by accessing to this line on the menu, it is pos -
sible to enable/disable the backup for these modes.
Fig. 7-3
BACKUP
VENTI-
LATION
menu
window.
Left for
ADL/PED
category
and right
for NEO-
INF.
7.3 | Backup Ventilation
7.3.1 | Backup Ventilation
Configuration