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29 | © 2015 

•

Volume ventilation is a mode in which the ventilator will deliver a set volume 

−

Peak inspiratory pressures will vary depending on patient’s compliance and resistance 

−

Peak inspiratory pressures can be limited for safety 

•

Peak inspiratory pressure will increase: 

−

Decreased compliance 

Surfactant deficiency 

Inflammation/immaturity 

−

Increased resistance 

Secretions 

Kinked ET tube 

Pneumothorax 

•

Peak inspiratory pressure will decrease: 

−

Increased compliance 

Surfactant administration 

−

Decreased resistance 

ET tube suctioned and secretions removed 

Bronchodilator given 

 

 

What is Volume Guarantee? 

Содержание Infinity Acute Care System Evita Infinity V500

Страница 1: ...Dräger V500 Ventilator Overview of Modes and Features for NICU Nurses ...

Страница 2: ...0 that will be used in the NICU Display screen shots of each mode Display screen shots of different alarms Identify differences between the Dräger and the Avea Identify differences between pressure ventilation and volume ventilation Objectives ...

Страница 3: ...3 2015 Dräger V500 Control Knob Alarm Silence FiO2 Analyzer and Measured Ve Touch Screen Monitor Inspiratory Limb Expiratory Limb ...

Страница 4: ...4 2015 Dräger V500 Flow Sensor FiO2 Analyzer and Measured Ve ...

Страница 5: ...5 2015 Screen Overview Settings Alarms Silence Indicator Patient Size Waveforms Loops FiO2 Adjust Mode Measurements Manual Breath ...

Страница 6: ...ratory Time Trigger Baby can trigger the ventilator to get a breath When baby triggers the ventilator it will give a breath at the set PIP and set I Time Alarms FiO2 Measurements Inhaled Tidal Volume Exhaled Tidal Volume mL kg Tidal Volume Minute Ventilation Pmean Leak C20 C ...

Страница 7: ...7 2015 Pressure Control Assist Control ...

Страница 8: ...y Time Trigger Pressure Support When patient triggers a breath above the set rate the ventilator will deliver the breath at the set pressure support level FiO2 Measurements Inhaled Tidal Volume Exhaled Tidal Volume mL kg Tidal Volume Minute Ventilation Pmean Leak C20 C ...

Страница 9: ...9 2015 Pressure Control SIMV ...

Страница 10: ...10 2015 Pressure Control SIMV Brown colored waveform indicates a spontaneous breath ...

Страница 11: ...tings Tidal Volume PEEP Rate Inspiratory Time Trigger Pmax Maximum pressure the ventilator will use to deliver the set volume FiO2 Measurements PIP Inhaled Tidal Volume Exhaled Tidal Volume mL kg Tidal Volume Minute Ventilation Pmean Leak C20 C ...

Страница 12: ...12 2015 Volume Guarantee Assist Control ...

Страница 13: ... ventilator will use to deliver the set volume Pressure Support Delta P When patient triggers a breath above the set rate the ventilator will deliver the breath at the set pressure support level FiO2 Measurements PIP Inhaled Tidal Volume Exhaled Tidal Volume mL kg Tidal Volume Minute Ventilation Pmean Leak C20 C ...

Страница 14: ...14 2015 Volume Guarantee SIMV ...

Страница 15: ...15 2015 Nasal CPAP Settings PEEP CPAP Level FiO2 PmanInsp Pressure delivered when manual breath is pressed TmanInsp Inspiratory time to deliver manual breath Interfaces Flexi Trunk RAM Cannula ...

Страница 16: ...16 2015 Nasal CPAP ...

Страница 17: ...17 2015 Nasal IMV Settings Pinsp PIP PEEP Rate Inspiratory Time FiO2 This is a NON SYNCHRONIZED mode Baby Cannot trigger a breath Interfaces Flexi Trunk RAM Cannula ...

Страница 18: ...18 2015 Nasal IMV ...

Страница 19: ...19 2015 HFJV Screen Shot ...

Страница 20: ...20 2015 High Tidal Volume Medium Priority Alarm ...

Страница 21: ...21 2015 Circuit Disconnect High Priority Alarm ...

Страница 22: ...22 2015 Pressure Limit Alarm while in Volume Guarantee ...

Страница 23: ...23 2015 Airway Obstruction Alarm ...

Страница 24: ...the set FiO2 Example 1 Set FiO2 is 25 O2 Suction is activated FiO2 will increase to 33 Example 2 Set FiO2 is 60 O2 Suction is activated FiO2 will increase to 78 O2 Suction Button o Push O2 Suction on screen o Confirm by pushing control knob 180 seconds of oxygen increase Differences in Increase O2 or O2 Suction ...

Страница 25: ...25 2015 Avea Total PIP Insp pressure PEEP Dräger Total PIP Pinsp Differences in Set PIP ...

Страница 26: ...ction delivers set pressure volume and I time Dräger Man Insp hold function Pressing and releasing will deliver set pressure and set I time Pressing and holding will deliver sustained inflation Differences in Manual Breath Function ...

Страница 27: ...er Man Insp hold function In PC will deliver set pressure and set I time o Function can deliver prolonged I time if desired In VG will deliver breath at the set Pmax level o This could result in a larger tidal volume than what is currently set Differences in Manual Breath Function ...

Страница 28: ...set pressure Tidal volume will vary depending on the patient s compliance and resistance Tidal volume will increase Improved lung compliance Decreased resistance Tidal volume will decrease Decreased lung compliance Increased resistance Air leak Pneumothorax What is Pressure Ventilation ...

Страница 29: ...ssures can be limited for safety Peak inspiratory pressure will increase Decreased compliance Surfactant deficiency Inflammation immaturity Increased resistance Secretions Kinked ET tube Pneumothorax Peak inspiratory pressure will decrease Increased compliance Surfactant administration Decreased resistance ET tube suctioned and secretions removed Bronchodilator given What is Volume Guarantee ...

Страница 30: ...eased inflammation Increased lung maturity Pressure Control Increased Tidal Volume Volume Guarantee Decreased PIP Decreased Causes Surfactant deficiency Inflammation Structural immaturity Infection Pressure Control Decreased Tidal Volume Volume Guarantee Increased PIP ...

Страница 31: ...nchospasm Secretions Kinked ETT Pressure Control Decreased Tidal Volume Volume Guarantee Increased PIP Decreased Causes Bronchodilator administration Suctioning Air leak Pressure Control Increased Tidal Volume Volume Guarantee Decreased PIP ...

Страница 32: ...ion Ve Vt x Respiratory Rate Excessive tidal volume volutrauma is a primary cause of lung injury In Volume Guarantee the volume is set and PIP will change depending on compliance and resistance In this mode the patient receives a consistent minute ventilation while being protected from harmful airway pressures and potential for excessive tidal volumes Why is Volume Ventilation Preferred ...

Страница 33: ...ion Alveolar minute ventilation Consistent minute ventilation can aid in keeping a normal acid base balance Severe hypocarbia or severe hypercarbia can cause rapid changes in cerebral blood flow Rapid changes in cerebral blood flow can cause IVH PVL Why is consistent minute ventilation important ...

Страница 34: ...34 2015 Please contact Ryan Sura or Alicia Rummel with any questions or concerns that you may have Ryan sura childrensmn org Alicia rummel childrensmn org Questions ...

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