Medin medinCNO, Руководство пользователя

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medin Medical Innovations GmbH
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OP_medinCNO EN
Rev 12 Stand 06.03.2019
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a. If the patient should be supported by pushes to the maximum possible point, this
time is set to the minimum value. If each breath is to be supported, the tr. rate max
must be larger than the patient's respiration rate.
b. On the other hand, if the patient requires less support, a greater value is selected.
The less support needed, the greater the expiration pause that can be selected.
But attention: The expiration pause time should be less than the set apnoea time .
The maximum resultant push frequency is likewise displayed in the orange header.
Displays:
In SNIPPV mode, the operator sees the current push frequency ( R
insp
- pushes per minute) in the orange bar at
the top of the screen in addition to the information referred to in chapter 5.2. Additionally, the maximum push
frequency ( Tr. rate max ), which is determined by the length of time of the expiration pause (Exp – Pause) , is
displayed. If the backup function is additionally activated, this is likewise displayed in the top left-hand area.
5.10 Oscillation mode
In oscillation mode, an oscillating fluctuation is available in addition to the basic CPAP. This is modulated on
the basis of the background basic CPAP. In this case the medinCNO
®
produces a flow which is periodically
blocked and thus reduced in accordance with the oscillation frequency that has been set. This flow results in
an oscillating CPAP pressure in the Medijet
®
, which is measured by the pressure meter line and displayed on
the medinCNO
®
screen.
As the medinCNO ® itself only produces a reduced flow periodically, and the CPAP pressure is only formed at
the end of the tube system in the Medijet
®
, the oscillation produced in the CPAP pressure is heavily dependent
on the physical effects in the tube circuit set and Medijet
®
that are being used. Consequently, the only
oscillation setting options in the medinCNO
®
are levels and not absolute values. In order to assess the effect of
the system as a whole, the user must assess oscillation on the basis of the CPAP pressure measured in the
Medijet
®
and the effect on the patient.
Figure 5-5: Possible settings in oscillation mode: a) Flow volume Flow emitted b) Frequency ; c) Amplitude
level Amplitude set; and d) Level of the O
2
Flush