Bunnell LIFE PULSE Скачать руководство пользователя страница 10

 

 

ALARMS: Life Pulse CONTINUES Running

 

 

  

ALARM 

 

POSSIBLE CAUSES   

 

 

SUGGESTION 

 

HIGH 

PIP

 

ET tube improperly positioned, kinked, or 
obstructed.

 

Reposition, unkink, or suction ET tube 
(may require reintubation).

 

Pressure monitoring tube kinked or 
obstructed.

 

Unkink pressure monitoring tube or flush 
pressure monitoring tube with 2-3 cc air.

 

Expiratory limb of conventional ventilator 
circuit kinked or obstructed.

 

Unkink expiratory limb of circuit and/or 
clear obstruction (e.g., excess water).

 

If alarm persists . . .

 

Call Bunnell Hotline:

 

 

800-800-4358.

 

 
 

LOSS 

OF 

PIP

 

Pressure monitoring tube obstructed, kinked 
or disconnected. 

Unkink or reconnect pressure monitoring 
tube, or flush with 2-3 cc air while  Life 
Pulse is running and in READY mode. 
May need to press ENTER to resume 
ventilation if READY light is off. Re-
evaluate cartridge temp setting (e.g., lower 
cartridge temp 1-2

o

 C; repeat if necessary. 

WARNING: do not under-humidify.) 
Suction patient if necessary. 

Life Pulse circuit is kinked or disconnected. 

Unkink or reconnect Life Pulse circuit to 
Life Port adapter. 

Humidifier cartridge/circuit leaking, kinked, 
or improperly installed. 

Inspect humidifier cartridge/circuit for 
leaks, kinks, or poor connections; correct 
condition (e.g., replace circuit). 

Pinch Valve stopped cycling 

Place Life Pulse in 

STANDBY

 mode, 

increase CV support, and call Bunnell 
Hotline. 

If alarm persists . . . 

Call Bunnell Hotline:

 

 

800-800-4358. 

 
 

UNSTABLE 

PIP 

Water or secretions in or around tip of 
pressure monitoring tube. 

Flush pressure monitoring tube with 2-3 cc 
air while Life Pulse is running and in 
READY mode. Re-evaluate cartridge temp 
setting (e.g., lower cartridge temp 1-2

o

 C 

and repeat if necessary. WARNING: do not 
under-humidify.) Suction patient if 
necessary. 

Conventional ventilator breaths or patient's 
active spontaneous breathing affecting 
pressure monitoring. 

Reduce CV rate (0-5 b/m for airleaks; 5-10 
b/m for poor compliance). Consider 
sedation. 

If problem persists . . . 

Call Bunnell Hotline:

 

 

800-800-4358.

 

Содержание LIFE PULSE

Страница 1: ...R LIMIT LOWER LIMIT UPPER LIMIT PEEP SERVO PRESS MAP JETVAL VE TEMPERATURE GAS OUT SILENCE READY ALARMS MONITOR CONTROLS HUMIDIFIER ALARMS PSI BPM cm H O 2 cm H O 2 cm H O 2 cm HO 2 SECONDS cm H O 2 O...

Страница 2: ...inlet tube on humidifier cartridge via water transfer tube then unclamp water transfer tube Perform Systems Test Attach LifePort Adapter and Endotracheal Tube to Test Lung Press TEST button and verif...

Страница 3: ...adapter to Pressure Monitor Tube connector on Patient Box 3 Keep Life Pulse in the STANDBY mode 4 Monitor values for PIP PEEP and MAP displayed in Life MONITOR section until stable Monitor Patient Mon...

Страница 4: ...requency Ventilation Press the ENTER button on Life Pulse to convert NEW settings to NOW settings PIP will quickly rise towards set NOW PIP Life Pulse may pause every time a breath is delivered by the...

Страница 5: ...c To enable Jet to reach PIP at low HFJV rates in larger patients 15 kg Keep at the minimum of 0 02in almost all cases IMV Rate 0 3 bpm To reverse atelectasis or dilate restricted airways 5 10 bpm To...

Страница 6: ...usting PEEP Reduce IMV Rate to 5 bpm Note current SaO2 on pulse oximeter Switch CV to CPAP mode PEEP is high enough for the moment Use IMV 0 3 bpm with IMV PIP 20 50 HFJV PIP Wait for SaO2 to return t...

Страница 7: ...rly warning of changes in patient condition SERVO PRESSURE INCREASES WITH SERVO PRESSURE DECREASES WITH Improving compliance or resistance Worsening compliance or resistance Leak around ETT Obstructed...

Страница 8: ...pport Interrupting the Jet pulses with CV breaths is now okay Consider CV Trial 1 Consider a trial of CV alone only when all air leaks are resolved for 24 hours and the Life Pulse PIP is 15 cm H2O and...

Страница 9: ...esume ventilation If alarm persists Call Bunnell Hotline 800 800 4358 VENTILATOR FAULT with code 10 displayed in ON OFF window Radical change in operating parameters Evaluate patient and check ventila...

Страница 10: ...WARNING do not under humidify Suction patient if necessary Life Pulse circuit is kinked or disconnected Unkink or reconnect Life Pulse circuit to Life Port adapter Humidifier cartridge circuit leaking...

Страница 11: ...e temp setting e g lower cartridge temp 1 2o C repeat if necessary NOTE do not under humidify Suction patient if necessary Evaluate patient and manage appropriately Expiratory limb of conventional ven...

Страница 12: ...from air leak Examine patient for worsening atelectasis or tension pneumothorax and manage appropriately ET tube obstructed or improperly positioned Examine ET tube for obstruction or improper positi...

Страница 13: ...resume filling Problem with water level sensing pins Make sure sterile water not normal saline is being used Replace circuit if necessary Poor electrical connections between cartridge and humidifier...

Страница 14: ...uit temperature sensor Replace humidifier cartridge circuit If alarm persists Call Bunnell Hotline 800 800 4358 CARTRIDGE TEMP HIGH Temperature in Cartridge may be too high Poor electrical connections...

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