Set-up guide
1
2
3
4
6
5
Getting started
Main screen
Menus
Humidification
Guidelines for ventilation set-up
Connection to oximetry
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www.philips.com/respironics
BiPAP A30
Humidification
4
On the Standby screen, if a humidifier is connected, you can select
so humidifier preheats before therapy is delivered.
With device turned off, remove and fill chamber
with water.
1. (a) Lift humidifier door until it locks in place. Do
not force door higher than the locked position.
(b) Grasp front of chamber and slide toward you.
2. (a) Gently push tab located inside round opening
on top of chamber. (b) Separate top and bottom
of chamber.
3. Fill bottom chamber with distilled water.
4. Observe maximum fill lines located on sides
of chamber.
5. Do not overfill.
Reassemble the chamber by placing the hinges
on lid over the two tabs on back of chamber.
Close lid until it locks in place with an audible
click. Insert filled chamber into humidifier.
Release
latch
Humidification
With device turned off, remove and fill chamber with water.
1. (a) Lift humidifier door until it locks in place. Do not force
door higher than the locked position. (b) Grasp front of
chamber and slide toward you.
2. (a) Gently push tab located inside round opening on top
of chamber. (b) Separate top and bottom of chamber.
3. Fill bottom chamber with distilled water.
4. Observe maximum fill lines located on sides of chamber.
5. Do not overfill.
Reassemble the chamber by p
lacing the hinges on lid over the
two tabs on back of chamber. Close lid until it locks in place
with an audible click. Insert filled chamber into humidifier.
(bottom
view)
Undocking the
humidifier
Connection to oximetry
5
Nurse call connector
Accessory slot
(cover shown)
SD card slot
DC power inlet
AC power inlet
Filter area
6
5
4
3
2
1
5
6
4
3
2
1
To plug the oximetry module:
A
Remove the cover from the accessory
slot at the back of the BiPAP A30.
B
Remove the cover from the oximetry
accessory.
C
Plug the oximetry accessory into the
accessory slot.
D
Plug the oximetry sensor of your choice
to the oximetry module.
When the oximetry module is connected,
the SpO
2
and heart rate values are
monitored on the main screen (see below).
Back of device
A
B
C
D
Humidifier
cm
H2O
cm
H2O
ml
l/min
l/min
BPM
S/T AVAPS: 0.5
0
5
10
15
20
25
30
Menu
Pressure
12.1
Vte
0
Leak
0.0
MinVent
0.0
Heart Rate
79
SpO
2
85
RR
12
I:E Ratio
1:1.0
A
2
Guidelines for ventilation set-up
6
Conversion table to set the inspiratory time for controlled breaths
Set back up breath rate
(BPM)
I/E 1/3,
Ti/Ttot 25%
I/E 1/2,
Ti/Ttot 33%
I/E 1/1,
Ti/Ttot 50%
10
1.5 s
2.0 s
3.0 s
11
1.4 s
1.8 s
2.7 s
12
1.3 s
1.7 s
2.5 s
13
1.2 s
1.5 s
2.3 s
14
1.1 s
1.4 s
2.1 s
15
1.0 s
1.3 s
2.0 s
16
0.9 s
1.3 s
1.8 s
17
0.9 s
1.2 s
1.7 s
18
0.8 s
1.1 s
1.6 s
19
0.8 s
1.1 s
1.5 s
20
0.8 s
1.0 s
1.5 s
21
0.7 s
1.0 s
1.4 s
22
0.7 s
0.9 s
1.3 s
23
0.7 s
0.9 s
1.3 s
24
0.6 s
0.8 s
1.2 s
25
0.6 s
0.8 s
1.2 s
Set the inspiratory time in seconds: Ti (Second) = 60/Respiratory rate x % Ti
Conversion table to set the target tidal volume in relation to the ideal weight
Height
Calculated ideal
weight (if BMI = 23)
Target Vte
if 8 ml/kg
Target Vte
if 10 ml/kg
1.50 m
52.0 kg
410 ml
520 ml
1.55 m
55.0 kg
440 ml
550 ml
1.60 m
59.0 kg
470 ml
590 ml
1.65 m
62.5 kg
500 ml
620 ml
1.70 m
66.5 kg
530 ml
660 ml
1.75 m
70.5 kg
560 ml
700 ml
1.80 m
74.5 kg
600 ml
740 ml
1.85 m
78.5 kg
630 ml
780 ml
1.90 m
83.0 kg
660 ml
830 ml
Calculated with an ideal Body Mass Index of 23 kg/m
2
(BMI = weight/height
2
)
Important:
Guidelines are intended to serve only as a reference. They shall be
used only in conjunction with the instructions and/or protocol set forth by the
physician and institution in which the assist device is being used. The guidelines are
not intended to supersede established medical protocols.
Initial
settings
IPAP = 8 to 10 cmH
2
O, EPAP = 4 cmH
2
O and RR = 10 to 12 BPM
IPAP
Increase IPAP if the patient wants more air, targeting patient tidal
volume at 8 ml/Kg of ideal weight
EPAP
• without SAS: 4 – 5 cmH
2
O
• with SAS: increase EPAP to remove obstructive apnea events
• with intrinsic PEP (stable chronic COPD): 5 – 6 cmH
2
O
BPM
Set to 2 – 3 BPM under patient’s spontaneous frequency
Rise
time
Obstructive patients prefer short rise time:
from 1 to 4 (100 ms to 400 ms)
Restrictive patients prefer long rise time: from 3 to 6
(300 ms to 600 ms)
Ti
Set Ti between 25% and 33% for obstructive patients
Set Ti between 33% and 50% for restrictive patients
(refer to table opposite)
AV
A
P
S
OHS
COPD
Other restrictive
diseases (NMD, etc.)
Vt target
8 to 10 ml/kg of ideal body weight (refer to table opposite)
IPAP
window
(IPAPmin
and
IPAPmax)
Allow a wide range
of pressure variation
to ensure the right
pressure at the right
time.
• IPAPmin = EPAP
• IPAPmax =
25 – 30 cmH
2
O
Allow a more
restrictive pressure
window to combine
comfort and efficacy.
• IPAPmin =
comfortable IPAP
• IPAPmax =
I 5
Allow a more restrictive
pressure window to
combine comfort and
safety.
• IPAPmin =
efficient IPAP
• IPAPmax =
I 5
AVAPS
rate
AVAPS rate setting depends on patient needs and clinical condition:
0.5 cmH
2
O/min to 3 cmH
2
O/min so target tidal volume is reached smoothly
3 cmH
2
O/min to 5 cmH
2
O/min so target tidal volume is reached
more rapidly
Check patient arterial blood gases (PaCO
2
and PaO
2
) and oxygen saturation (SpO
2
)
© 2011 Koninklijke Philips Electronics N.V. All rights are reserved.
Philips Healthcare reserves the right to make changes in specifications and/or to
discontinue any product at any time without notice or obligation and will not be
liable for any consequences resulting from the use of this publication.
Broudy NA 9/26/11 12NC 452296276561 MCI 4104424 PN 1093370
Please visit www.philips.com/respironics to find out more
BiPAP A30 is registered trademark of Philips.
