Datum/Dateinamen/Autor Evita 4. Datum/Dateinamen/Autor Ventilation üAutoFlow ® üBIPAP* üAPRV...
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Transcript of Datum/Dateinamen/Autor Evita 4. Datum/Dateinamen/Autor Ventilation üAutoFlow ® üBIPAP* üAPRV...
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Evita 4
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Ventilation AutoFlow ®
BIPAP* APRV ATC PPS NIV
Monitoring Respiration SPO2
CO2
Ventilation at a Glance: Powerful and Easy
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Operation Panel Swivel mounted Easy to detach Central rotary knob Touch screen Interactive device check Start settings
Maneuvers P.01 PEEPi (all modes) R and C Loops, trends Logbook
Ventilation at a Glance: Powerful and Easy
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User oriented Ideal bodyweight setting Configurable start settings Only active parameters displayed Automatic online calibration of Flow and O2
Help function
Additional value Power back up Open real time - data interface Open for new developments Versatile udates and upgrades since 1995
Ventilation at a Glance: Powerful and Easy
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Front Panel Swivel mounted
– to reduce reflections– to adapt to place and persons– for access to the patient system
Compact, close to basic unit Sealed unit, no openings
Easy to clean and disinfect More than 3m connection cable
integrated Rail connector for standard rail
Operation: Easy Steps ... Safe Therapy
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Configurability meet clinical needs Standby / interactive device check focus on the important information,
e.g. only the mode specific functions are displayed a full size real time curve and four monitoring parameters are always visible different monitoring parameters and curves can easily be selected and preconfigured
complexity is reduced by a clear structure and by selections for needs of the hospital less training and safe handling
Operation: Optimized for the Situation
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Customers Value Start procedure Ideal body weight setting Guided interactive device check Standby Configurable start ventilation mode Configurable start parameter Configurable standard settings and alarms Automatic online calibration of sensors Help-function
Power on - Easy Start
[kg]
65
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Volume strategy IPPV / CMV
IPPVAssist / AC)
SIMV MMV
Pressure strategy BIPAP / BIPAPAssist
(PCV+ / PCV+Assist)
APRV ASB (Psupp)
Ventilation therapy - Overview
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Room to Breathe BIPAP (PCV+) APRV AutoFlow (IPPV/SIMV/MMV) ATC PPS
Additional Modes NIV / Mask Ventilation ILV
Ventilation therapy - Overview
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Continuity throughout all modes Automatic Tube Compensation ATC Apnea ventilation except with IPPV / MMV Flow-trigger Easy to adjust: frequency f, inspiration time Tinsp
Resistance and compliance-calculation Intrinsic-PEEP measurement P0.1 - occlusion pressure
Ventilation therapy - Overview
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Adjustments VT, Freq., Tinsp, O2, Flow, PEEP
Monitoring From resistance to intrinsic PEEP Loops and trends for diagnosis
e.g. SIMV Safe handling User guidance with direct acknowledgement
Ventilation therapy - Conventional Volume Ventiation
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Volume Strategy
SIMV AutoFlow
PAW high - alarm Flow-trigger Apnea ventilation
Ventilation therapy - Easy to Adjust
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Pressure Strategy
BIPAP / PCV+
VTi high - alarm Flow-trigger Apnea ventilation
Ventilation therapy - Easy to Adjust
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Room to breathe - What does it mean? Decelerating flow to reduce peak pressures and to optimize
gas distribution Ventilation - easier and less invasive Early spontaneous breathing in volume- and pressure oriented
ventilation
Room to breathe - Customer value no relaxation, less sedation better alveolar recruitment less shunt, less dead space ventilation better venous return weaning is enhanced
Ventilation Therapy - Room to Breathe
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AutoFlow automatic regulation of flow to meet changing
lung conditions and spontaneous breathing pressure peaks are cut off automatically
VT is maintained at minimum pressure level less sedation and less alarms
with spontaneous breathing patients less adjustments to adapt ventilation to
active patients
AutoFlow - To use with? IPPV/CMV - SIMV - MMV
Ventilaton therapy - Room to Breathe
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Beatmungstherapie - Room to Breathe
MMV AutoFlow / ATC
Minute ventilation garanteed
Patient only gets the necessary mandatory support
Mandatory frequency is reduced proportionally to spontaneous minute ventilation
automatic Weaning
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BIPAP / PCV+ True pressure controlled
ventilation combined with spontaneous breathing on both pressure levels
optimized in- and exspiratory trigger
BIPAP/PCV+ - Customer value One Mode from intubation to
weaning Higher patient comfort less Alarms, easy to use
Ventilation therapy - Room to Breathe
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APRV Spontaneous breathing
under CPAP with brief release periods
Suitable for patients with poor gas exchange
Normal lung areas are emptied
“Slow” lung areas change volume to a lesser extent
optimized recruitment
Ventilation therapy - Room to Breathe
Paw
P
PT
T
t
hoch
hoch
tief
tief
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ATC Increased patient
comfort Improved
synchronisation in assisted ventilation
The electronic extubation helps to predict weaning success
The tracheal pressure is beeing monitored without usage of a measurement catheter
Ventilation therapy - Room to Breathe
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PPS Pressure support
proportional to patient effort
PPS follows spontaneous volume and flow
PPS gives the weak patient the necessary strength to breathe
Even weak patients with R&C changes can control breathing and the ventilator
Ventilation therapy - Room to Breathe
Volumen Assist
+
Flow Assist
+
PEEP
=
Atemwegsdruck
P
P
P
OPTIONOPTION
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NIV NIV adapted
monitoring and alarms NIV optimimised,
automatic leakage compensation
Unmistakable colour scheme
Same high end performance as in tube mode
Additional vent mode BIPAPAssist / PCV+Assist
Ventilation therapy - NIV / Mask ventilation OPTIONOPTION
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Monitoring of values, curves, loops or trends
Pre-configurable to meet clinical standards/needs
Standard O2
Pressure Flow Volume
Optional CO2 SpO2
Monitoring - Extended Application Range
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Intrinsic PEEP lung status information available
in every mode auto stop of measurements if
pressure increases (mes. time 1) or flow becomes zero (mes. time 2)
improved monitoring of inverse ratio ventilation (IRV)
extended application with respect tomodes and lung conditions Paw
t
Insp.- and Exsp.- valve closed Exsp.-valve opened
PEEP
mes. time 1 mes. time 2PEEPi VTrap
PEEPi
Extended Application Range
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Occclusion Pressure P0.1 available in all modes autoscaling of time axis screen freeze with
cursor function fordetailed analysis
determines neuromuscular driveearly indication of fatigue levels
support for optimum weaning protocols
Extended Application Range
Paw
CPAP-0,5 mbar
100 ms
P 0.1
P1
P2
t
Insp.-Ventil geschlossen
Insp.-Ventil geöffnet
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Weaning - Indices RSB - Rapid Shallow
Breathing Index RSB = f / Vt
NIF - Negative Inspiration Force
Vt ASB = Volume inhaled during ASB stroke
Extended Application Range
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Loops Throughout all modes Loops and settings
simultaneous Pressure, flow,
volume, CO2 and tracheal pressure
Zoom - “Big Loop!” Reference Loop Loop cursor to
measure upper and lower inflection point
Extended Application Range
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Trends 8 pre-configurable
parameters over 24 h 2 trends simultaneous Cursor function
Logbook All alarms and events
listed Background alarms listed Marker for background
alarms Alarm silence ON and
OFF listed
Trends - Logbook