18
Setting up the NIPPY ST+
In Pressure Support mode
Before starting to set up the ventilator, assess the patients breathing pattern. You will
need to know the breath rate.
1.
Place the NIPPY ST+ on a clean, level surface.
2.
Connect the 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 mask to the outlet tubing on the breathing circuit.
Note: Do not fit the mask onto the patient at this point.
5.
Press the Start/Stop button and select Pressure Support mode.
6.
Carry out alarm tests as described in “Alarm conditions / tests”.
Note:
If any of
the alarms fail to operate,
DO NOT USE
until the fault has been rectified.
7.
Ensure the settings are adjusted as prescribed.
8.
The patient or physician may now
hold
the interface to the face.
9.
Allow the patient to get used to the interface. Objective assessments should
verify the settings are suitable and clinically effective.
10.
If the inspiratory or expiratory trigger needs to be adjusted, select “Adjust trigger
level” from the menu and adjust to suit the patient and to ensure optimal patient
synchrony.
11. Read the 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. Check the rate when the patient is asleep. The inspiratory and expiratory trigger
indicators should “flash” at the beginning of each breath.
14. 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.
