22
Setting up the NIPPY 3+
in Pressure Control mode
1.
Place the NIPPY 3+ on a clean and 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 22mm diameter
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 interface 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 Control 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 that the settings are adjusted as prescribed.
8.
Allow the patient to get used to the interface. Objective assessments should be
performed to establish effective ventilation is achieved.
9.
Adjust the Inspiratory time (Ti) to ensure adequate ventilation and patient
comfort.
10. If the Inspiratory trigger needs to be adju
sted, select “Adjust trigger level” from
the menu and adjust to achieve 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 t
he 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 trigger
indicator 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