Heyer iTernIS ADV, Руководство оператора

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NEO-INF Operative modes | iTernIS ADV
10. 11
• Leak compensation.
• Distal/proximal pneumotachograph.
NOTE
• In this mode, the inhaled VT is a calculation ba -
sed on the continouos flow being delivered and
the patient’s expiration, and it may, therefore,
differ slightly from the results obtained through
other means.
The SIMV (TCPL) + PSV mode is enabled only for the NEO-INF patient category.
In this mode, the mandatory breaths delivered by the ventilator are time-cycled and
the inspiratory pressure is limited; that is, its characteristics are identical to those
of TCPL breaths. During the expiratory time, the patient can carry out regulated
baseline continuous flow pressure supported spontaneous breaths.
The synchronization of the spontaneous and mandatory breaths is carried out with
the same criterion as with the other SIMV modes. The patient’s inspiratory effort
can trigger spontaneous breaths and can also initiate breaths with mandatory cha-
racteristics (TCPL in this mode) if the patient’s requirement is registered as being
close to the moment a mandatory breath is about to start (as determined by the
regulated frequency). This prevents patient-ventilator asynchrony, resulting in a
more comfortable and efficient ventilation therapy.
Fig. 10-15 SIMV (TCPL) + PSV mode screenshot. The cur -
ves show the difference between PSV and TCPL breaths.
Fig. 10-16 Picture of the SIMV (TCPL) + PSV enabled
controls, NEO-INF category. Shown with the preset values
for each.
The following list has complementary functions that can be selected as an option
in SIMV (TCPL) + PSV (for further details regarding their behavior, see the
Menu
chapter):
• %O
2
suction.
10.8 | SIMV (TCPL) + PSV
Synchronized
Intermittent
Mandatory Ventilation
10.8.1 | Enabled ventilation
parameters (preset values)
10.8.2 | Enabled complementary
functions