Dräger Savina, Инструкция по эксплуатации

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Operation
26
BIPAP, BIPAP/ASB (Optional)
B iphasic P ositive A irway P ressure
A ssisted S pontaneous B reathing
Pressure-controlled ventilation combined with free
spontaneous breathing during the complete breathing cycle,
supported by adjustable additional pressure at CPAP level.
The mandatory proportion of the total minute volume MV is
set by means of the inspiration pressure P
insp
, PEEP and
frequency f.
Adaptable to a wide range of patients, from those unable to
breathe spontaneously at all to those breathing spontaneously
before extubation. Suitable for weaning patients from artificial
ventilation by progressively reducing the mandatory fraction of
the minute volume MV and by reducing the additional artificial
pressure support
∆
P
ASB
above PEEP.
For details see "BIPAP" description, page 104.
Set BIPAP by means of the ventilation parameter keys:
— Inspiration time » T
insp
«,
— Frequency » f «,
— O
2
concentration » O
2
«,
— Inspiration pressure » P
insp
«,
— Positive end-expiratory pressure » PEEP «.
The following can be set on the screen:
— Sensitivity »Trigger« (for synchronization with spontaneous
breathing)
To set the trigger, page 23
— FlowAcc
can be set on screen on screen page
»
Settings 1/1 «.
FlowAcc is effective both for BIPAP strokes and pressure
support »
∆
P
ASB
above PEEP «
— Additionally for BIPAP/ASB:
Pressure support »
∆
P
ASB
above PEEP«
BIPAP, BIPAP/ASB can be supplemented with apnoea
ventilation:
●
To set apnoea ventilation, see page 28.
● To set alarm limits, see page 30.
02
7 3
7
388
Paw
Flow
P
insp
PEEP
FlowAcc
low FlowAcc
high
t
t
T
insp
FlowAcc
high FlowAcc
low
ASB
pressure support
Trigger window
f
1
without spontaneous breathing with spontaneous breathing
FlowAcc
FlowAcc