CAEMaestro Evolve · 2020. 8. 24. · CAEEmbody - Virtual Patient ... • A graphics card capable...

CAEMaestro EvolveGetting Started Guide

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Proprietary NoticeThis document, including the information contained herein, is confidential and/or proprietary to CAE Inc., and shall not be reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.

Trademark InformationTrademarks and/or registered trademarks of CAE Inc. and/or its affiliates include but are not limited to Apollo, Ares, AresAR, Athena, BabySIM, Caesar, CathLabVR, EndoVR, HPS Human Patient Simulator, iStan, Juno, LapVR, Lucina, LucinaAR, Luna, Maestro, Muse, NeuroVR, Orion, PediaSIM, Vimedix, VimedixAR and Vivo. All other brands and product names are trademarks or registered trademarks of their respective owners. All logos, tradenames and trademarks referred to and used herein remain the property of their respective owners and may not be used, changed, copied, altered, or quoted without the written consent of the respective owner. All rights reserved.

CAE ©2020

©2020 CAE 905K002152 v1.0 i

System Requirements ................................................................................................ 1Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Web Browser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Operating System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CAEMaestro Evolve Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Hardware. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Introducing CAE Maestro Evolve............................................................................... 3Contained in this Getting Started Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Maestro Evolve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Step 1: Power on Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Step 2: Sign into CAE Digital Learning Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Step 3: Obtain and Enter Verification Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Step 4: Launch Maestro Evolve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Step 5: Configure Dual Monitors (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

CAEPatient Monitor .................................................................................................. 13Launch Patient Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

CAEVentilator ............................................................................................................ 17Step 1: Setup the Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Step 2: Setup the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Step 3: Launch the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

CAEDefibrillator and CAEAED .................................................................................. 27Step 1: Setup the Patient for Electrotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Step 2: Setup the Defibrillator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Step 3: Launch the Defibrillator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Step 4: Setup the AED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Step 5: Launch the AED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

CAEEmbody - Virtual Patient ................................................................................... 41Launch Virtual Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Treat and Monitor the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Patient View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Share with Students ................................................................................................. 47Appendix A - FAQ....................................................................................................... 49

Maestro Evolve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

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CAEMaestro EvolveAppendix B - Defibrillator Controls and Display options ..................................... 53

Facilitator Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Learner Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Learner Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Appendix C - AED Controls and Display Options ................................................... 59Facilitator Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59


Learner Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Appendix D - Ventilator Controls and Display Options ........................................ 61Facilitator Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61


Learner Parameters Displayed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Learner Display Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

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System Requirements

SYSTEM REQUIREMENTS The following lists the software and hardware requirements for CAE Maestro Evolve.

SoftwareWeb Browser

Operating System

Mac is a registered trademark of Apple Inc. Windows and Internet Explorer are registered trademarks of the Microsoft Corporation in the United States and/or other countries. Chrome is a registered trademark of Google Inc.

CAEMaestro Evolve SoftwareThe following identifies the software version associated with the release of this guide.

Minimum

Web Browser • Google Chrome is required, version 84 or later is recommended.• Google Chrome may be downloaded free at:

www.google.com/chrome/browser/desktop/index.html

Note: Other web browsers which support the Unity and WebGL Platforms utilized by Maestro (Mozilla Firefox, Microsoft Edge, Apple Safari and oth-ers) may work but are not guaranteed to give full functionality.

Minimum Optimal

Operating System • Windows 10 • Windows 10 - 64 bit

• MacOS 10.12+ • MacOS 10.14

• The operating system must be current and still supported by itsmanufacturer.

• Mobile and tablet operating systems are not supported at this time.• Linus, iOS and Windows RT are not supported.

Document Document Version Software Version

CAEMaestro Evolve

Getting Started Guide

905K002152 v1.0 CAE Maestro Evolve v2.1

System Requirements

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CAEMaestro Evolve

HardwareMinimum Optimal

• Two Intel Dual Core CPUs, 2.4 GHz • Six Intel Dual Core CPUs, 2.4 GHz

• 1280x680 screen resolution • 1920x1080 screen resolution

• 8 GB DDR3 RAM • 16 GB DDR3 RAM

• A mouse is required.• A keyboard is required when editing SCEs (Simulated Clinical Experiences).• Two monitors are recommended but not required.• Touch screen and scroll pads are not supported.• A graphics card capable of rendering WebGL applications is required. To determine if your

browser and graphics card support WebGL, go to: http://get.webgl.org/• A good internet connection is required.

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Introducing CAE Maestro Evolve

INTRODUCING CAE MAESTRO EVOLVEThis preliminary release of Maestro Evolve is designed to highlight the power of Maestro for distance learning and to work with our new Virtual Equipment and Virtual Patient products. Maestro Evolve is launched directly from the cloud, providing the convenience of accessing the simulation applications from wherever the instructor or learner is located.

Contained in this Getting Started GuideThis Getting Started Guide will provide instructions for logging into Maestro Evolve and launching the applications that encompass the virtual simulation and distance learning experience.

For more detailed information on the use of these products see the CAE Maestro Evolve User Guide.

Getting Started Guide Topics

CAEMaestro Evolve • Sign into CAE Digital Learning Solutions.• Obtain and Enter Verification Code.• Launch Maestro Evolve.• Configure Dual Monitors.

CAEPatient Monitor • Launch the virtual patient monitor.

CAEVentilator • Setup the patient for the ventilator.• Setup the ventilator.• Launch the virtual ventilator.

CAEDefibrillator and CAEAED • Setup the patient for electrotherapy.• Setup the defibrillator.• Launch the virtual defibrillator.• Setup the AED.• Launch the virtual AED.

CAEEmbody • Launch the virtual patient.

Share With Students • Share components of the simulation withstudents.

Appendices • Appendix A - FAQ - Frequently AskedQuestions that provide support for issues thatmay occur during initial use.

• Appendix B - Defibrillator Controls and DisplayOptions

• Appendix C - AED Controls and Display Options• Appendix D - Ventilator Controls and Display

Options

Introducing CAE Maestro Evolve

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CAEMaestro Evolve

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Maestro Evolve

Maestro EvolveListed below are the steps to login to Maestro Evolve.

Step 1: Power on ComputerPower on the laptop or computer intended to use for Maestro Evolve.

Step 2: Sign into CAE Digital Learning SolutionsTo sign into CAE Digital Learning Solutions, perform the following steps:

1. A one-time registration process will be necessary where access to Maestro Evolve isrequested from CAE. After the registration, CAE will send an email to the email addressprovided in the registration information.

2. Locate the email received from CAE and click on the link provided in the email.

Login Steps

1 Power on Computer.

2 Sign into CAE Digital Learning Solutions.

3 Obtain and Enter Verification Code.

4 Launch Maestro Evolve.

5 Configure Dual Monitors (Optional).

Maestro Evolve

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CAEMaestro EvolveA browser window displaying the Welcome Screen will appear.

Welcome Screen

3. Click on the SIGN IN WITH EMAIL button.

The Sign In window will appear.

Sign In Window

4. Enter the email address given to CAE for the initial Maestro Evolve registration.

5. Click on the Send Code button. Leave the browser window open.

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Maestro Evolve

Step 3: Obtain and Enter Verification CodeAfter completing Step 2, a verification code is sent to the email inbox associated with the email address typed in at the Sign in window.

1. Launch the email application and open the email inbox.

2. Open the email from [email protected].

Verification Email

3. Select and copy the code that appears in the email.

4. Select or maximize the browser window.

5. Paste the verification code in the Verification Code field.

Enter Verification Code

Maestro Evolve

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CAEMaestro Evolve6. Click on the Verify Code button.

7. Click on the Continue button.

The email address verification will appear.

Email Address Verification


The CAE Digital Learning Solutions window appears.

CAE Digital Learning Solutions Window

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Maestro Evolve

Step 4: Launch Maestro Evolve1. At the CAE Digital Learning Solutions window, the Maestro Evolve module is shown. Select

Start.

Maestro Evolve Module - Start

The Maestro Evolve Menu appears.

Maestro Evolve Menu

2. Select Open. The Select Simulator window appears.

Select Simulator Window

3. Ensure that Ares is chosen as the simulator. If necessary change the simulator, click onthe drop-down list and select Ares.

Maestro Evolve

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CAEMaestro EvolveNote: The Ventilator requires the Ares simulator.

Select Ares

4. Select Set as default.


6. Click on the Continue button. The Maestro Home Screen appears.

Maestro Home Screen

There are three options to choose from on the Home screen:

º Run on the fly (Modeled)

º Run on the fly (Manual)

º Run an SCE

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Maestro Evolve

7. Select Run on the fly (Modeled).

Note: The Ventilator requires Modeled mode.

Run on the fly(Modeled)

A prompt to select Gender appears.

Select Gender

8. Select Gender and then select Start. The SCE Run Screen appears.

SCE Run Screen

Patient Status Parameters

Maestro Evolve

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CAEMaestro Evolve

Step 5: Configure Dual Monitors (Optional)Using multiple monitors is optional. However, the use of dual monitors will allow for an enhanced experience, enabling the Maestro controls to be shown on one display, monitoring of virtual equipment and the patient on a second display.

When a secondary monitor is connected, the software defaults to dual monitor configuration. If the dual monitor software is not set up, both monitors have the same image.

To configure the monitors in Windows 10:

1. Click the Windows Notification button on the bottom right hand corner of the monitor.

2. Click on Project. If you do not see the Project option, click Expand to view more options.

Windows Notifications and Settings

3. Click on Extend.

Projection Options

Windows Notification Button

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CAEPatient Monitor

CAEPATIENT MONITOR

Launch Patient Monitor1. Keep the Maestro Evolve window open. From the top right of the SCE Run screen, select

the Maestro Application Drop-Down menu.

SCE Run Screen

The Maestro Application drop-down menu appears.

Maestro Application Drop-Down Menu


CAEPatient Monitor

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CAEMaestro Evolve2. Select CAEPatient Monitor. The Patient Monitor appears in a separate browser tab.

CAE Patient Monitor

Patient Monitor will display wave forms representing vitals consistent with the parameters that are in Maestro Evolve.

To silence all of the Patient Monitor sounds, click on the Mute button in the bottom-left corner of the screen.

Mute Button

When using dual monitors:

1. Position the mouse pointer on the CAEPatient Monitor tab.

2. Drag the Patient Monitor window to the second monitor display, leaving the MaestroEvolve window in the first display.

When using a single monitor:

1. Restore or resize the Maestro Evolve screen so that some of the Windows desktop isvisible.

2. Position the mouse pointer on the CAEPatient Monitor tab in the browser window.

3. Drag the CAEPatient Monitor tab outside of the active browser window. The PatientMonitor will appear in a separate window.

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CAEPatient Monitor

4. Minimize the Patient Monitor window.

This will allow the monitor to stay active while other equipment options are selected andutilized. The monitor window may be restored at anytime to view or modify during thesimulation until the window is closed.

CAEPatient Monitor

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CAEMaestro Evolve


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CAEVentilator

CAEVENTILATOR Listed below are the steps to get started using CAE Ventilator.

Step 1: Setup the PatientTo perform a realistic and effective ventilation simulation, details of the patient’s clinical condition typical of that requiring a ventilator, should be input in Maestro Evolve prior to powering on and using the ventilator. In the case that Maestro Evolve is running but another virtual device is in the active window, it may be necessary to switch windows.

1. A virtual device window (e.g. Patient Monitor) may be left open. Minimize the devicewindow or at the top of the browser window, select the CAE Maestro tab.

Browser Window Tabs

Tip: In Windows 10, holding down on the ALT key and pressing the Tab key will allow you to flip between open windows.

NOTE: Run On the Fly modeled simulation must be selected from the Maestro Home screen for the Ventilator to function appropriately.

2. Set the following Respiratory Parameters in Maestro Evolve:

Ventilator Steps

1 Setup the Patient.

2 Setup the Ventilator.

3 Launch the Ventilator.

Respiratory Parameters Setting

Advanced Chest Wall Compliance Factor .05

Lung Compliance Factor: Left .05

Lung Compliance Factor: Right .05

CAE Maestro Tab

CAEVentilator

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CAEMaestro Evolve

Basic Bronchial Resistance Factors: Left 5.0

Bronchial Resistance Factors: Right 5.0

Apnea • For testing control mode,enable Apnea .

• For testing support mode,disable Apnea.

Respiratory Parameters Setting

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CAEVentilator

Step 2: Setup the VentilatorSetup the Ventilator by selecting probes and enabling the power.

1. From the left panel of the SCE Run Screen, select the Equipment icon.

SCE Run Screen

Equipment Icon

Equipment Icon

CAEVentilator

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CAEMaestro EvolveThe Equipment parameters for the Ventilator appear.

Ventilator Equipment Parameters

2. From the Probes options, enable the following probes:

º Tracheal Tube / Mask

º Pulse Oximeter SPO2

º CO2 Attachment

Ventilator Probes Enabled

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CAEVentilator

3. From the General parameters verify that the Power indicator is enabled.

General Equipment Parameters - Power Enabled

Note: Once the power is enabled to the ventilator, the simulation connection status will change at the top of the Equipment parameters panel. This same status icon will be displayed at the top of the ventilator screen, when running the ventilator.

Simulation Connection Status

4. Close the Equipment parameters panel to return to the SCE Run screen.

Connected Disconnected

CAEVentilator

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CAEMaestro Evolve

Step 3: Launch the Ventilator1. From the top right of the SCE Run screen, select the Maestro Application Drop-Down

menu.

SCE Run Screen



2. From the drop-down menu, select CAEVentilator.


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CAEVentilator

The System Initializing Screen will appear in a separate browser tab.

System Initializing Screen

3. Arrange the open browser tabs for the most effective viewing:

When using dual monitors:

a. Position the mouse pointer on the CAEVentilator tab.

b. Drag the Ventilator window to the second monitor display, leaving the Maestro Evolvewindow in the first display.

When using a single monitor:

a. Restore or resize the Maestro Evolve screen so that some of the Windows desktop isvisible.

b. Position the mouse pointer on the CAEVentilator tab in the browser window.

c. Drag the Ventilator window outside of the active browser window. The Ventilator willappear in a separate window.

CAEVentilator

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CAEMaestro EvolveAfter the system has initialized, the Ventilator Setup Standby screen appears.

Ventilator Setup Standby Screen

4. Change the parameter values as needed. After positioning the cursor in one of theparameter value fields, and selecting the value for editing, additional control buttons willappear at the bottom of the screen.

Value Select Buttons

5. Use the + and - buttons at the bottom center of the screen to adjust the value lower orhigher as needed.

6. Click on the Check mark symbol in the center to finalize the change in value.

7. When finished making all changes on the Setup screen, click on the Start Ventilationbutton.

Start Ventilator Button

PowerButton

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CAEVentilator

The Ventilator screen will appear.

Ventilator Screen - Ventilator On

To Silence the Alarms:

1. From the top-right corner of the ventilator screen, click on the Silence Alarms button.

Silence Alarms Button

If the Ventilator does not launch, refer to Appendix A - FAQ of this guide for additional information.

There are additional settings that represent a typical ventilator used in a clinical setting. Status and parameters are displayed on the Ventilator screen based on options selected from the Settings and Controls panel at the right of the screen. Option to select from are:

• Modes

• Views

• Vitals

• Alarms

• Maneuvers

Refer to Appendix D- Ventilator Controls and Display Options for further details.

Settings and Control Panel

Silence Alarms Button

CAEVentilator

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CAEMaestro EvolveNote: Enable all probes as described in Step 2: Setup the Ventilator. Having probes enabled will ensure appropriate patient vitals are displayed and monitored by the equipment during the simulation.

The ventilator screen may be minimized and continue to run during the simulation. This is especially helpful if using a single monitor, allowing for a full view of the Maestro Evolve SCE Run screen and the patient status display.

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CAEDefibrillator and CAEAED

CAEDEFIBRILLATOR AND CAEAEDListed below are the steps to get started using CAEDefibrillator and CAEAED.

Note: Only one electrotherapy device may be used at a time. For example: if the AED is active, and the Defibrillator is powered on, the AED will automatically power off.

Step 1: Setup the Patient for ElectrotherapyTo perform a realistic and effective cardiac electrotherapy simulation, settings relative to the patient’s clinical condition should be input in Maestro Evolve prior to launching and running the Defibrillator or AED. The following cardiac rhythms result in a shock advised state for the Defibrillator and AED:

• Coarse Ventricular Fibrillation

• Fine Ventricular Fibrillation

• Ventricular Tachycardia

Change the Maestro default modeled cardiac parameters to one of the suggested arrhythmias.

In the case that Maestro Evolve is running but another virtual device is in the active window, it may be necessary to switch windows as follows:

1. The virtual device window (e.g. Patient Monitor or Ventilator) may be left open. Minimizethe device window, or at the top of the browser window, select the CAE Maestro tab.

Browser Window Tabs

Defibrillator and AED Steps

1 Setup the Patient for Electrotherapy.

2 Setup the Defibrillator.

3 Launch the Defibrillator.

4 Setup the AED.

5 Launch the AED.

CAE Maestro Tab

Tip: In Windows 10, holding down on the ALT key and pressing the Tab key will allow you to flip between open windows.


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CAEMaestro Evolve

Step 2: Setup the DefibrillatorSetup the Defibrillator by selecting probes and enabling the power.

1. From the left panel of the SCE Run screen, select the Equipment icon.

SCE Run Screen

Equipment Icon

Equipment Icon

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The Equipment parameters default to Ventilator.

Equipment Parameters

2. Click on the Select Equipment Parameters Drop-Down indicator to the right of theequipment type at the top of the list.

Select Equipment Parameters Drop-Down

3. Select Defibrillator from the list.



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CAEMaestro EvolveThe Defibrillator parameters appear for editing.

Defibrillator Equipment Parameters

4. From the Probes options, select the drop-down list for ECG Cables.

ECG Cables Drop-Down List

5. Select ECG 12 Lead from the drop-down list.

6. From the Probes options, select the drop-down list for ECG Cable Placement.

7. Select Correct from the drop-down list.

8. Ensure that the Therapy Pads Reversal is disabled.

9. Enable the following probes.

º Therapy Pads

º Pulse Oximeter SPO2 (Plethysmograph)

º NIBP Cuff

º ABP Catheter

º CO2 Sample Line

º Temperature Probe

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The Probes options will appear as shown in the following image.

Defibrillator Probes Options



Note: Once the power is enabled to the Defibrillator, the simulation connection status will change at the top of the Equipment Parameters Panel. This same status icon will be displayed at the top of the defibrillator screen, when running the defibrillator.





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CAEMaestro Evolve

Step 3: Launch the Defibrillator1. From the top right of the SCE Run screen, select the Maestro Application Drop-Down

menu.

SCE Run Screen




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2. From the drop-down menu, select CAEDefibrillator. After the system has initialized, theCAE Defibrillator screen appears.

CAE Defibrillator

Note: Enable all probes as described in Step 2: Setup the Defibrillator. Having probes enabled will ensure appropriate patient vitals are displayed and monitored by the equipment during the simulation.

See Appendix B - Defibrillator Controls and Display Options for more information.

Charge ButtonShock Button


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CAEMaestro Evolve

Step 4: Setup the AED1. Only one electrotherapy device may be used at a time. If the Defibrillator is running, close

the Defibrillator by clicking on the X in the top-right corner of the Defibrillator browsertab.

2. From the left panel of the SCE Run screen, select the Equipment icon.

SCE Run Screen

Equipment Icon

Equipment Icon

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The Equipment parameters default to Ventilator.

Equipment Parameters

3. Click on the Select Equipment Parameters Drop-Down indicator to the right of theequipment type at the top of the list.


4. Select AED from the list.



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CAEMaestro EvolveThe AED parameters appear for editing.

AED Equipment Parameters

5. From the Probes options, ensure that the Therapy Pads Reversal is disabled.

6. Enable the Therapy Pads.

7. From the Voice options, Enable the Instructions.

The Probes and Voice options will appear as shown in the following image.

AED Probes and Voice Options

©2020 CAE 905K002152 v1.0 37




Note: Once the power is enabled to the AED, the simulation connection status will change at the top of the Equipment Parameters Panel. This same status icon will be displayed at the top of the AED screen, when running the AED.





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Step 5: Launch the AED1. From the top right of the SCE Run screen, select the Maestro Application Drop-Down

menu.

SCE Run Screen



2. Select CAEAED.


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After the system initializes, the CAE AED appears in a separate browser tab. Instructions appear on the screen with accompanying audible instructions, in the event the voice instructions are enabled.

CAE AED

Note: Enable all probes as described in Step 4: Setup the AED. Having probes enabled will ensure appropriate patient vitals are displayed and monitored by the equipment during the simulation.

See Appendix C - AED Controls and Display Options for more information.

Power Button

Shock Button


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CAEEmbody - Virtual Patient

CAEEMBODY - VIRTUAL PATIENT

Launch Virtual Patient1. Keep the Maestro Evolve window open. From the top right of the SCE Run screen, select

the Maestro Application Drop-Down menu.

SCE Run Screen





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CAEMaestro Evolve2. Select CAEEmbody.

The CAE Embody Virtual Patient appears in a separate browser tab.

CAE Embody

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Treat and Monitor the PatientOptions are available for the learner to treat and monitor the virtual patient.

Actions1. From the bottom-left corner of the Embody window, select the Actions icon.

Actions Icon

Actions options appear.

Actions Options

2. In this Getting Started example, select Pulse. Pulse points appear on the patient.

3. Select one of the pulse points shown on the patient. The pulse indicator appears on theleft side of the Embody window, identifying the pulse point selected.

Pulse Indicator

Note: Clicking the X on the right side of the indicator will close the widget.

Tools1. From the bottom-left corner of the Embody window, select the Tools icon.

Tools Icon


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CAEMaestro EvolveTools options appear.

Tools Options

2. Hover the mouse over the Tool images to further see the associated options. In thisGetting Started example, hover over Ventilate. Ventilation options appear.

Ventilation Options

3. Select Mechanical. The patient is equipped with a mechanical ventilator.

Patient with Mechanical Ventilator

The ventilation indicator appears on the left side of the Embody window.

Ventilation Indicator

Note: Clicking the X on the right side of the indicator will discontinue the use of the tool and close the widget.

©2020 CAE 905K002152 v1.0 45


Patient ViewThe view of the patient may be adjusted by selecting any of the buttons in the bottom-right corner of the Embody screen.

Patient View Buttons

Note: As parameters in Maestro Evolve are adjusted, the Virtual Patient acquires the conditions and vitals as entered.


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©2020 CAE 905K002152 v1.0 47

Share with Students

SHARE WITH STUDENTSMaestro Evolve allows the Instructor to share selected components of the simulation experience with students. After providing chosen virtual application links to the student, they may also interact with the simulation.

1. Login to Maestro Evolve and begin the simulation, setting parameters appropriate for thesimulation.

2. Keep the Maestro Evolve window open. At the top of the browser window, select the CAEDigital Learning Solutions tab.

Browser Window Tabs

3. The CAE Learning Digital Solutions page appears. From the Maestro Evolve menu on theCAE Digital Learning Solutions page, select Share.

Maestro Evolve Menu

CAE Digital Learning Solutions Tab

Share with Students

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CAEProductThe Share Links options appears.

Share Links Options

4. Select the virtual learning application to be shared with the learner(s). For example,Ventilator or Virtual Patient. Select the Copy Link button.

5. Select DONE.

6. Paste the link into an application which would allow for communication with the student.Some examples are:

º Email

º Chat window

Note: This can be done by positioning the cursor in the application of choice and using the keyboard shortcut CTRL+V.

7. When the learner clicks on the link, the associated application will launch, with thecharacteristics of the simulation in progress. The learner may then interact with thesimulation from their device.

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Appendix A - FAQ

APPENDIX A - FAQThis Frequently Asked Questions (FAQ) section addresses some common concerns and inquiries. For any questions not addressed here, please contact CAE Healthcare Customer Service. Contact information is provided on the last page of this document.

Maestro EvolveQ: When attempting to Sign In, I enter the code sent to me via email and a verification failed error appears.

A: At the Enter Verification Code prompt window, click on the Send New Code button. An email will be sent with another unique code.

1. Open the new email.

2. Retry signing in by entering the new code at the Sign In window.

Q: I am able to sign in and launch Maestro, but I am receiving a Bad Gateway error message when attempting to launch one or more of the virtual applications.

A: Close the browser window. Relaunch the browser and clear the data cache. For example, using Google Chrome:

1. Select the menu options from the top-right corner of the Google Chrome window.

2. Select More Tools > Clear Browsing Data.

Google Chrome More Tools

3. Select the Clear Data button.

4. Retry sign in and launching the virtual application.

Appendix A - FAQ

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CAEMaestro EvolveQ: I received a Connection Failed error message.

Connection Failed Error Message

A: Check the Internet connection and sign in again to Maestro Evolve.

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Appendix A - FAQ

VentilatorQ: I am able to launch the Ventilator application. However, the screen is blank.

A: Confirm that the Ventilator power is enabled in Equipment options.

Q: I am able to launch the Ventilator application. However, I’m not seeing the data as expected.

A: Confirm that the probes are enabled and the ventilator is connected to the patient.

1. From the SCE Run screen, select the Equipment icon from the left control panel.

2. On the Ventilator Equipment parameters panel, enable probes and power.

Q: I am able to sign in and launch Maestro, but I am unable to see many of the controls that are referred to the guide.

A: It may be necessary to resize your browser window.

Q: I am able to launch the Ventilator application. However, when I click on the power button, the screen is blank and nothing happens.

A: Confirm that Maestro is running in the modeled mode. In the top left of the SCE Run Screen, the Simulation Mode will be identified.

Running on the Fly in Modeled Mode

If modeled mode is not indicated, restart the simulation:

1. Close all open windows and exit Maestro Evolve.

2. Relaunch Maestro.

3. Select Run On The Fly (Modeled) from the Maestro Home screen.

Simulation Mode

Appendix A - FAQ

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CAEMaestro EvolveQ: I am able to launch the Ventilator application and I am running in modeled mode. However, when I click on the power button, the screen is blank and nothing happens.

A: Confirm that Ares is selected as the default simulator.

1. Access the Administrative Tools via the gear icon located at the top, right corner of theMaestro Home Screen.

Administrative Tools

2. Click on Select Simulator from the menu.

3. From the drop-down list, select Ares.

Select Simulator Screen

4. Select Set as default.

5. Click on Apply.

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Appendix B - Defibrillator Controls

APPENDIX B - DEFIBRILLATOR CONTROLS AND DISPLAY OPTIONSAvailable controls will vary based on the user’s role. The following tables provide the available selections and defaults (when applicable) for:

• Facilitator Controls

• Learner Controls

• Learner Parameters Displayed

• Associated Maestro Preferences

Facilitator ControlsDefibrillator Facilitator Controls

Parameter Available Selections Default

ECG Cables None

ECG 3 Lead

ECG 12 Lead

None

ECG Placement Correct

Incorrect

Correct

Therapy Pads Reversal(Available in AED Mode)

On /Off Off

Therapy Pads (Available in AED Mode)

On /Off Off

Pulse Oximeter SpO2(Plethysmograph)

On /Off Off

NIBP Cuff On /Off Off

ABP Catheter On /Off Off

CO2 Sample LIne On /Off Off

Temperature Probe On /Off Off

Learner Layout Selection Generic Defibrillator Generic Defibrillator

Metronome Rate(Available in AED mode)

100-120 beats per min. 100 beats per min.

Power On /Off Off

Energy Select 2-360 J 200 J


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Pacing Rate 40-170 beats per min. 60 beats per min.

Pacing Current 0-200 mA 0 mA

AED Mode Metronome On/Off Off

AED Mode Metronome C:V Ratio

30:2

10:1

15:2

30:2

Voice Instructions(Available in AED Mode)

On/Off On

Defibrillator Facilitator Controls


©2020 CAE 905K002152 v1.0 55


Learner ControlsDefibrillator Learner Controls

Parameter Available Selections/Action Default

Power On/Off Off

Analyze Activates automated external defibrillator (AED) mode/analyzing status.

N/A

Manual Mode Exits AED mode if analyze button is pressed.

N/A


Charge Charges defibrillator to selected energy level.

N/A

Shock Administers shock. N/A

Disarm Disarms energy for shock. N/A

Sync On/Off Off

Pacer On/Off Off

Pause Pacer On (Requires Hold)

Off (Hold Released)

N/A

Pacing Rate 40-170 ppm 60 ppm

Pacing Current 0-200 mA 0 MA

NIBP Manual

1 minute

2 minutes

3 minutes

5 minutes

10 minutes

15 minutes

30 minutes

60 minutes

Manual

12-lead 12-lead report generated N/A

Up Navigation button N/A

Down Navigation button N/A


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Back Navigation button N/A

Confirm Navigation button N/A

Scale Adjustment of scale level for waveforms.

N/A

Color Adjustment of color for vitals. N/A

Layout Adjustment of display layout of the vitals.

N/A

CPR Off

30:2

10:1

15:2

Off

Alarms Off

On

Suspend for 20 seconds

Suspend for 1 minute

Suspend for 2 minutes

Suspend for 5 minutes

On

Alarm Level Available for each vital with an alarm.

Alarm Sound On/Off On

HR/PR Detection Sound On/Off On

Display Lock Locked/Unlocked Unlocked

Defibrillator Learner Controls


©2020 CAE 905K002152 v1.0 57


Learner DisplayDefibrillator Learner Display

Parameter Values

Temperature 24.8-45.2 °C

Pulse Rate (PR) from SpO2 25-240 bpm

SpO2 0-100%

NIBP Systolic: 30-255 mmHg

Diastolic: 15-220 mmHg

Mean: 20-235 mmHg

Pulse Rate (PR) from NIBP 30-240 bpm

ABP Systolic: 0-300 mmHg

Diastolic: 0-300 mmHg

Mean: 0-300 mmHg

Pulse Rate (PR) from ABP 30-240 bpm

End-tidal CO2 (EtCO2) 0-100 mmHg

Respiration Rate (RR) 0-100 bpm (breaths/min)

Heart Rate (HR) from ECG 20-300 bpm

STJ Level -10.00-10.00 mm

PR Interval 0.000-1.000 s

QRS Interval 0.000-1.000 s

QT/QTc Interval 0.000-1.000 s

P-QRS-T Axes -360-360 °

Shocks Delivered 0-50

Gain 1 mV

Speed 25 mm/sec

Status Messages - Active mode, instructions, indications

N/A

Elapsed Time hh:mm:ss

Current Date and Time dd/mm/yyyy, hh:mm AM/PM

Battery Status N/A

Connection Status N/A


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Associated Maestro Preferences

Alarm Indicators N/A

Maestro Preferences Associated with Defibrillator


Temperature °C

°F

°C

Energy (electrical therapy) J

Ws

J

CO2 mmHg

kPa

%

mmHg

Defibrillator Learner Display

Parameter Values

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Appendix C - AED Controls

APPENDIX C - AED CONTROLS AND DISPLAY OPTIONSAvailable controls will vary based on the user’s role. The following tables provide the available selections and defaults (when applicable) for:





Facilitator Controls

Learner Controls

AED Facilitator Controls


Therapy Pads Reversal On /Off Off

Therapy Pads On /Off Off

Learner Layout Selection Generic Defibrillator Generic Defibrillator

Metronome Rate 100-120 beats per min. 100 beats per min.

Power On /Off Off


Metronome On/Off Off

Voice Instructions On/Off On

AED Learner Controls


Power On/Off Off

Shock Administers shock. N/A

Appendix C - AED Controls

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Learner Display


AED Learner Display

Parameter Values

Shocks Delivered 0-50

Status Messages - instructions, indications N/A

Elapsed Time hh:mm:ss

Current Date and Time dd/mm/yyyy, hh:mm AM/PM

Battery Status N/A



Maestro Preferences Associated with AED


Energy (electrical therapy) J

Ws

J

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Appendix D - Ventilator Controls

APPENDIX D - VENTILATOR CONTROLS AND DISPLAY OPTIONSAvailable controls will vary based on the user’s role. The following tables provide the available selections and defaults (when applicable) for:




• Learner Display Options


Facilitator ControlsVentilator Facilitator Controls


Tracheal Tube/Mask On /Off Off

Pulse Oximeter SpO2 - Plethysmograph

On /Off Off

CO2 Attachment - Capnograph On /Off Off

Edi catheter On /Off Off

Breathing Circuit Disconnect On /Off Off

Leak 0-100% 0%

NAVA Mode - Neurally Adjusted Ventilatory Assist Mode

Enabled/Disabled Disabled

Power On /Off Off

Pi - Inspiratory Pressure 0-125 cmH2O 20 cmH2O

Pi Backup 0-125 cmH2O 20 cmH2O

ΔPsupp - Support Pressure 0-119 cmH2O 20 cmH2O

PEEP - Positive end-expiratory Pressure

0-50 cmH2O 5 cmH2O

End Inspiration - Percent of Peak Flow

0-70% 30%

Flow Trigger 0.2-20.0 L/min 3 L/min


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VT - Tidal Volume 100-4000 ml 500 ml

VT Backup 100-4000 ml 500 ml

FiO2 - Oxygen Concentration of the Delivered Gas

0-100% 40%

Tpause - Pause Time 0.0-1.5 seconds 0.4s

I:E Inspiratory time:expiratory time ratio

1.0:1.0 to 1.0:4.0 (I:E) 1:2

I:E Inspiratory time:expiratory time ratio backup

1.0:1.0 to 1.0:4.0 (I:E) 1:2

Ti - Inspiratory Time (non-functional)

0.1-5.0 seconds N/A

Ti Backup (non-functional) 0.1-5.0 seconds N/A

RR - Respiratory Rate 4-150 breaths per minute 15 breaths per min.

RR Backup 4-150 breaths per minute 15 breaths per min

Ti rise - Inspiratory Rise Time 0.1-0.4 seconds 0.2s

Ta - Apnea Time 15-45 seconds 20s

Edi Trigger (Depends on if NAVA mode is enabled or disabled)

0.1-2.0 µV 0.5 µV

NAVA Level (Depends on if NAVA mode is enabled or disabled)

0-15 cmH2O/µV 0.5 cmH2O/µV

Type of Ventilation Invasive

Non-invasive

Invasive

Ventilation Mode Volume-controlled Ventilation (VCV)

Pressure-controlled Ventilation (PCV)

Continuous Positive Airway Pressure (CPAP)

Volume Support Ventilation (VSV)

Neurally Adjusted Ventilatory Assist (NAVA)

Synchronized Intermittent-Mandatory Ventilation (SIMV)

Volume-controlled Ventilation (VCV)

Ventilator Facilitator Controls



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Learner ControlsVentilator Learner Controls


Pi - Inspiratory Pressure 0-125 cmH2O 20 cmH2O

Pi Backup 0-125 cmH2O 20 cmH2O

ΔPsupp - Support Pressure 0-119 cmH2O 20 cmH2O

PEEP - Positive end-expiratory Pressure

0-50 cmH2O 5 cmH2O

End Inspiration - Percent of Peak Flow

0-70% 30%

Flow Trigger 0.2-20.0 L/min 3.0 L/min

VT - Tidal Volume 100-4000 ml 500 ml

VT Backup 100-4000 ml 500 ml

FiO2 - Oxygen Concentration of the Delivered Gas

21-100% 40%

Tpause- Pause Time 0.0-1.5 seconds 0.4s

Inspiratory Hold Button can be activated for up to 30 seconds

Off

I:E Inspiratory time:expiratory time ratio

1.0:1.0 to 1.0:4.0 (I:E) 1:2

I:E Inspiratory time:expiratory time ratio backup

1.0:1.0 to 1.0:4.0 (I:E) 1:2

Ti rise - Inspiratory Rise Time 0.1-0.4 seconds 0.2s

Tapnea - Apnea Time 15-45 seconds 20s

Edi Trigger (Depends on if NAVA mode is enabled or disabled)

0.1-2.0 µV 0.5 µV

NAVA Level (Depends on if NAVA mode is enabled or disabled)

0-15 cmH2O/µV 0.5 cmH2O/µV

Type of Ventilation Invasive

Non-invasive

Invasive

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Ventilation Mode Volume-controlled Ventilation (VCV)

Pressure-controlled Ventilation (PCV)

Continuous Positive Airway Pressure (CPAP)

Volume Support Ventilation (VSV)

Neurally Adjusted Ventilatory Assist (NAVA)

Synchronized Intermittent-Mandatory Ventilation (SIMV)

Volume-controlled Ventilation (VCV)

Ventilation Setup Setup options will vary depending upon the ventilation mode selected.

N/A

Ventilation Start

Standby

Standby

Power On/Off On

Display Lock Locked/Unlocked Unlocked

Navigation Dial and Select Navigate and select the highlighted option.

N/A

Scale Adjustment of scale level for vital signs.

N/A

Layout Adjustment of display layout of the vital signs.

N/A

Alarms Silencer Silences all alarms for 2 minutes. N/A

Alarm Level Available for each vital sign. N/A

Alarm Sound (Silences for 2 minutes)

On/Off On

Ventilator Learner Controls



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Learner Parameters DisplayedVentilator Learner Display

Parameter Values

Pmean - Mean airway pressure -20-200 cmH2O

Ppeak - Peak airway pressure -20-200 cmH2O

Pplateau -20-200 cmH2O

PEEP - Positive end-expiratory Pressure -20-200 cmH2O

Insp Flow - Peak Inspiratory Flow -400-400 L/min

Exp Flow - Peak Expiratory Flow -400-400 L/min

MVe - Expiratory Minute Volume 0-100 L/min

MVi - Inspiratory Minute Volume 0-100 L/min

MV - Minute Volume 0-100 L/min

MVspont - Spontaneous Expiratory Minute Volume 0-100 L/min

VTe - Expiratory Tidal Volume 0-6000 ml

VTi - Inspiratory Tidal Volume 0-6000 ml

Leak - Leakage percent 0-100%

VT - Tidal Volume 0-6000 ml

FiO2 - Oxygen Concentration of the Delivered Gas 0-100%

RRsp - Spontaneous Respiratory Rate 0-150 breaths per minute

Te - Expiratory Time 0.10-0.80 seconds

I:E - Inspiratory:Expiratory Ratio 1.0:600 to 150:1.0 (I:E)

Tpause- Pause Time 0.0-1.5 seconds

Ti - Inspiratory Time 0.2-10.0 seconds

RR- Respiratory Rate 0-150 breaths per minute

Ti rise - Inspiratory Rise Time 0.0-0.4 seconds

Cstat - Static Compliance 0-500 ml/ cmH2O

Cdyn - Dynamic Compliance 0-200 ml/ cmH2O

Ri - Inspiratory Flow Resistance 0-500 cmH2O/(L/s)

Re - Expiratory Flow Resistance 0-500 cmH2O/(L/s)

RSB - Rapid Shallow Breathing Index 0.1-600.0 1/(L*min)

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RCe- Expiratory Time Constant 0-3 seconds

RCi - Inspiratory Time Constant 0-3 seconds

EtCO2 - End Tidal CO2 0-100 mmHg

VeCO2 - Exhaled CO2 Volume 0-1000 ml

ViCO2 - Inspired CO2 Volume 0-1000 ml

RREtCO2 - Respiratory Rate From EtCO2 0-100 breaths per minute

SpO2 - Oxygen Saturation 0-100%

PRSpO2 - Pulse rate from SpO2 probe 0-275 beats per minute

Edipeak 0-50 µV

Edimin 0-50 µV

Pressure Waveform -20 to 200 cmH2O

Flow Waveform -400 to 400 L/min

Volume Waveform 0-6000 mL

Pressure Volume Loop -20 to 200 cmH2O to 0-6000 mL

Pressure Flow Loop -20 to 200 cmH2O to -400 to 400 L/min

Volume Flow Loop 0-6000 mL to -400 to 400 L/min

Edi Waveform 0-50 µV

SpO2 (Plethysmograph) Waveform 0-100%

CO2 (Capnograph) Waveform 0-100%

Status Messages Area - Alarms, Stand-by or Active, Ventilation Details, Patient Information

N/A


Trigger Indicators - Flow and Edi Waveform Trigger Indicators

N/A

Current Date and Time N/A

Battery Status N/A


Ventilator Learner Display

Parameter Values


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Learner Display Options


Ventilator Display Option Available Selections

Waves and Numberis (3&8) 3 Waveforms and 8 Numerics

Loop Graph, Waves and Numerics (3 &2&8) 3 Loops and 2 Waveforms and 8 Numerics

Numerics (35) 35 Numerics

Waves and Numerics (4&8) 4 Waveforms and 8 Numerics

Maestro Preferences Associated with Ventilator


Temperature °C

°F

°C

Airway Pressure cmH2O

mBar

cmH2O

CO2 mmHg

kPa

%

mmHg

caehealthcare.com

For more information about CAE products, contact your regional sales manager

or the CAE distributor in your country, or visit caehealthcare.com.

Tel +1 941-377-5562 or 866-233-6384

For customer service, please contact CAE.

Customer Service Headquarters - United States Monday - Friday from 7:00 a.m. to 6:00 p.m. ETPhone 1-866-462-7920Email: [email protected]

Customer Service - CanadaMonday - Friday from 8:00 a.m. to 5:00 p.m. ETPhone 1-877-223-6273Email: [email protected]

Customer Service - Europe, Middle East, andAfricaMonday - Friday from 8:00 a.m. to 5:00 p.m. CETPhone +49 (0) 6131 4950354Email: [email protected]

Customer Service - United Kingdom and IrelandMonday - Friday from 9:00 a.m. to 5:00 p.m. GMTPhone +44 (0)800-917-1851Email: [email protected]

Customer Service - Latin AmericaMonday - Friday from 9:00 a.m. to 5:00 p.m. BRT/BRSTPhone +55 11 5069-1510Email: [email protected]

Customer Service - Asia PacificMonday - Friday from 8:00 a.m. to 5:00 p.m. CETPhone +49 (0) 6131 4950354Email: [email protected]

©2020 CAE

CAEMaestro Evolve · 2020. 8. 24. · CAEEmbody - Virtual Patient ... • A graphics card capable...

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