Alarm profile 12 25 15 32 Save Servoi

Mode Volume Control Volume control Basic Automode Admit patient Set ventilation mode Automode Trigger

12 -25 15: 32 Expiratory Minute. Volume Low Pplat (cm. H 2 O) Pmean

12 -25 15: 32 Respiratory Rate: High Pplat (cm. H 2 O) Pmean 34

Volume control • 300 and 300 A – If patient’s breathing effort reaches 2

Minute volume • 300 or 300 A – If RR < set RR (ie

Inspiratory rise time • 300 and 300 A – Inspiratory rise time set as

I-E cycling • 300 and 300 A – I-E cycling occurs when inspiratory flow

Apnoea back-up • 300 and 300 A – Apnoea > 20 secs (adults) pressure

Inspiratory rise time • 300 and 300 A – Always set as a %

Apnoea time • 300 and 300 A – Preset • Adult 20 s •

SIMV • 300 and 300 A – SIMV cycle = – SIMV period =

SIMV • 300 and 300 A – Mandatory (SIMV) breath given at end of

Automode • 300 A – Ventilator shifts from control to spontaneous mode if patient

Automode • 300 A – Ventilator shifts from spontaneous to control mode after a

Mode Volume Control Volume control Automode Admit patient Nebulizer Set ventilation mode Automode Status

Mode Volume Control Pressure control Basic PC above PEEP 18 Resp. Rate 15 Automode

Mode Volume Control Automode Basic 18 18 PC above PEEP Resp. Rate 15 Nebulizer

Mode Volume Control Pressure control Basic PC above PEEP 18 Resp. Rate 15 PEEP

Modes 12 -25 15: 32 Save Volume control Volume support Pressure control Pressure support/CPAP

12 -25 15: 32 Save Trends i PC above PEEP Quick start Flow Pressure

Pressure support 12 -25 15: 32 Save Trends i PS above PEEP Maximum inspiratory

12 -25 15: 32 Save Trends i PS above PEEP Quick start Flow Pressure

Slides: 197

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Alarm profile 12 -25 15: 32 Save Servoi ventilator Trends i Charles Gomersall Dept of Anaesthesia & Intensive Care The Chinese University of Hong Kong Prince of Wales Hospital Quick start Menu Main screen Version 1. 1 ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Disclaimer Alarm profile 12 -25 15: 32 Although considerable effort has been taken to ensure that the material in this tutorial accurately reflects the information provided by Maquet AB in its publications the author takes no responsibility for the accuracy of the information in this tutorial nor for any adverse event that occurs as a result of using this tutorial. Users are advised to consult the manual that accompanies their ventilator. Please note that this tutorial has not been endorsed by Maquet AB. Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Navigation Alarm profile 12 -25 15: 32 Save Trends i What’s different from a 300 A? Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

User interface – a quick tour Alarm profile 12 -25 15: 32 Save What’s different from a 300 A? Setting the mode Changing parameters Starting up Trends i Modes Quick start Alarms Menu Main screen Advanced Click on “Maquet” to end the tutorial at any stage ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i A quick tour Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Menu touch pad Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Save Trends i Using the menu touch pad Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Volume control Basic Automode Admit patient Set ventilation mode Automode Trigger 500 1: 2. 0 Trigger sensitivity Resp. Rate T. pause 15 PEEP 5 I: E Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Tidal volume Nebulizer Save Trends i . V 10 Quick start T. Insp. rise 5 Menu Main screen O 2 conc. 40 Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Volume control Basic Automode Admit patient Set ventilation mode Automode Trigger 500 1: 2. 0 Trigger sensitivity Resp. Rate T. pause 15 PEEP 5 I: E Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Tidal volume Nebulizer Save Trends i . V 10 Quick start T. Insp. rise 5 Menu Main screen O 2 conc. 40 Cancel Accept . Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Volume control Basic Automode Admit patient Set ventilation mode Automode Trigger 550 1: 2. 0 Trigger sensitivity Resp. Rate T. pause 15 PEEP 5 I: E Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Tidal volume Nebulizer Save Trends i . V 10 Quick start T. Insp. rise 5 Menu Main screen O 2 conc. 40 Cancel Accept . Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Text and alarm messages appear here Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile pofile 12 -25 15: 32 Save Fixed keys Trends i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Silence/pre-silence alarms Alarm profile pofile 12 -25 15: 32 Save • Silences or presilences alarms for 2 minutes Trends i Quick start Menu Main screen Additional settings ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Silence/pre-silence alarms Alarm profile pofile 12 -25 15: 32 1: 58 • Silences or presilences alarms for 2 minutes • After silencing an alarm the Alarm silence symbol is shown with the remaining time Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Silence/pre-silence alarms Alarm profile 12 -25 15: 32 0: 55 • When alarms are presilenced a pre-silence symbol is shown as well as the remaining mute time Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save • Press this button to: Trends i – Display upper and lower alarm limits – Adjust preset limits – Adjust the alarm sound level Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Alarm profile Lower Pressure cm H 2 O Minute Ventilation l/min Respiratory Rate b/min End Exp. Pressure cm. H 2 O Save Upper Alarm sound level 40 100% 5. 0 40. 0 5 30 Trends i Quick start 3 Menu Main screen Autoset Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Save Alarm profile 12 -25 15: 32 Save • Saves: Trends i – Current curve values – Current parameter values – Setting values • 10 secs before and 10 secs after pressing key Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Recording Automode T Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 50 cm. H 2 O Save Trends i 70 l/min Quick start -70 700 ml Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Menu Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Save Alarm Review Trends i Options Compliance comp. Copy data Biomed Quick start Panel lock Change patient category Menu Main screen Close Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Menu Alarm Trends Review Recorded waveforms Save Trends i Options Compliance comp. Copy data Biomed Quick start Panel lock Change patient category Menu Main screen Close Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Recorded waveforms 12/25/02 14: 32: 10 50 cm. H 2 O Save 40 cm. H 2 O Trends i 70 l/min Quick start -70 700 ml Menu 475 ml Main screen 0. 0 s Settings Cursor Close Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Trends graphs Save Trends 14: 32 Recording saved i l/min 2 0 l/min 20 0 ml 800 Vee 0 MVi MVe 10. 5 10. 0 VTi VTe 300 296 Quick start Menu Main screen 0 14: 00 15: 00 Cursor Hours 1 Close ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Trends graphs Save Trends 14: 42 i l/min 2 0 l/min 20 0 ml 800 Vee 0 MVi MVe 10. 5 10. 0 VTi VTe 300 296 Quick start Menu Main screen 0 14: 00 15: 00 Cursor Hours 1 Close ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Trends graphs Save Trends 14: 32 i l/min 2 0 l/min 20 0 ml 800 Vee 0 MVi MVe 10. 5 10. 0 VTi VTe 300 296 Quick start Menu Main screen 0 14: 00 15: 00 Cursor Hours 1 Close ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Trends graphs Save Trends 14: 38 i l/min 2 0 l/min 20 0 ml 800 Vee 0 MVi MVe 10. 5 10. 0 VTi VTe 300 296 Quick start Menu Main screen 0 14: 00 15: 00 Cursor Hours 1 Close ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

i Alarm profile 12 -25 15: 32 Save • This function is not currently available Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIEMENS Alarm profile 12 -25 15: 32 Save Trends i Quick start Main rotary dial Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Save Trends i Using the main rotary dial Quick start Menu Main screen Additional settings . Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings . Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Volume control Basic Automode Admit patient Set ventilation mode Automode Trigger 500 1: 2. 0 Trigger sensitivity Resp. Rate T. pause 15 PEEP 5 I: E Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Tidal volume Nebulizer Save Trends i . V 10 Quick start T. Insp. rise 5 Menu Main screen O 2 conc. 40 Cancel Accept . Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Volume control Basic Automode Admit patient Set ventilation mode Automode Trigger 550 1: 2. 0 Trigger sensitivity Resp. Rate T. pause 15 PEEP 5 I: E Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Tidal volume Nebulizer Save Trends i . V 10 Quick start T. Insp. rise 5 Menu Main screen O 2 conc. 40 Cancel Accept Additional values . ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Measured values appear here Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Pplat (cm. H 2 O) Pmean 34 12 6 PEEP RR (b/min) O 2 (%) I: E VTi 30 42 48 Additional settings 5 36 Quick start 1: 2. 0 7. 4 VTe Trends i 15 MVe (l/min) Save 40 8. 5 6. 0 501 Menu Main screen 493 Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

12 -25 15: 32 Expiratory Minute. Volume Low Pplat (cm. H 2 O) Pmean 34 RR (b/min) O 2 (%) I: E VTi 30 42 48 5 36 Quick start 1: 2. 0 5. 2 VTe Trends i 15 MVe (l/min) Save 40 12 6 PEEP Additional settings Alarm profile 8. 5 6. 0 356 Menu Main screen 346 Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

12 -25 15: 32 Respiratory Rate: High Pplat (cm. H 2 O) Pmean 34 RR (b/min) O 2 (%) I: E VTi 30 42 48 5 36 Quick start 1: 2. 0 8. 5 VTe Trends i 31 MVe (l/min) Save 40 12 6 PEEP Additional settings Alarm profile 8. 5 6. 0 292 Menu Main screen 274 Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 34 Ppeak 24 12 5 Pplat Pmean PEEP O 2 Vee I: E 7. 0 7. 5 501 471 MVe MVi VTe Trends i 15 21 0 1: 2. 0 RR Additional settings Save Quick start Menu Main screen Next page ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save PEEPtot Trends C static i E C dyn 16 Ri 17 Re 24 WOB tot 922 Tc Additional settings Quick start Menu Main screen Next page ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values Special function keys ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Special function keys Alarm profile 12 -25 15: 32 Save • Start breath Trends i – Activates a set breath • O 2 breaths – Changes the Fi. O 2 to 1. 0 for one minute – Can be interrupted by re-pressing within one minute Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Special function keys Alarm profile 12 -25 15: 32 Save • Expiratory hold i – Produces an expiratory pause hold for measuring total PEEP – Lasts as long as the key is pushed up to a maximum of 30 secs Quick start • Inspiratory hold – Produces an inspiratory pause hold for measuring plateau pressure – Lasts as long as the key is pushed up to a maximum of 30 secs Trends Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values Direct access knobs ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save i • Parameter controlled by each direct access knob depends on ventilation mode selected • Turn the knob to the desired value shown in the box above the knob Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min PC above PEEP 15 mm. Hg Trends Quick start Menu Main screen Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure. Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save i • Parameter controlled by each direct access knob depends on ventilation mode selected • Turn the knob to the desired value shown in the box above the knob Quick start PC above PEEP Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min 15 PC above PEEP 15 mm. Hg Trends Menu Main screen Additional values mm. Hg ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save i • If the bar in the box is white the setting is within what is generally considered safe limits Quick start PC above PEEP Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min 15 Tidal volume 500 ml Trends Menu Main screen Additional values mm. Hg ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save i • If the bar turns yellow the setting is outside what are generally considered safe limits PC above PEEP Additional settings O 2 conc. 30 % % PEEP 5 cm H O 2 Resp. rate 15 b/min 31 Tidal volume 500 ml Trends Quick start Menu Main screen Additional values mm. Hg ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save i • If the bar turns red the setting is significantly outside what are generally considered safe limits • An audible alarm and alarm message is given PC above PEEP Additional settings O 2 conc. 30 % % PEEP 5 cm H O 2 Resp. rate 15 b/min 60 Tidal volume 500 ml Trends Quick start Menu Main screen Additional values mm. Hg ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save i • When you come to a safety limit the knob is inactive for 2 seconds in order to make you aware that you have passed a safety limit PC above PEEP Additional settings O 2 conc. 30 % % PEEP 5 cm H O 2 Resp. rate 15 b/min 60 Tidal volume 500 ml Trends Quick start Menu Main screen Additional values mm. Hg ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Direct access knobs Save Trends i • NB When you turn a direct access knob the changes in ventilation take place from the next breath without additional confirmation Quick start Menu Main screen Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min PC above PEEP 15 mm. Hg Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values Mains indicator ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values Start/stop ventilation (standby) ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Waveform area Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode T Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 50 cm. H 2 O Save Trends i 70 l/min Quick start -70 700 ml Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Patient category Trends i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save What’s different from a Servo 300/300 A? Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Volume control Volume support Save Trends i Pressure support Apnoea time Inspiratory rise time Quick start User interface Menu Main screen SIMV Automode ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Volume control Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control • 300 and 300 A – If patient’s breathing effort reaches 2 cm H 2 O below preset PEEP ventilator permits a higher flow – pressure is then regulated to 2 cm H 2 O above PEEP Alarm profile 12 -25 15: 32 Save • Servoi – If a pressure drop of 3 cm H 2 O is detected during inspiration the ventilator switches to pressure support, resulting in increased flow – When flow to calculated target level flow maintained until set tidal volume delivered Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Volume support Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Minute volume • 300 or 300 A – If RR < set RR (ie minute vol. < set minute vol. ) – new target VT is calculated (based on preset minute volume) & used to regulate insp. pressure – Max. VT =150% of preset Alarm profile 12 -25 15: 32 Save • Servoi – Neither RR nor minute volume are set – Inspiratory pressure is regulated purely based on preset VT Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Inspiratory rise time • 300 and 300 A – Inspiratory rise time set as a % of breath cycle time, which is in turn dependent on set RR Alarm profile 12 -25 15: 32 Save • Servoi – Inspiratory rise time set as Trends i • % in control and SIMV modes • absolute time (s) in support modes. (NB. As a result the proportion of inspiration taken up by rise time will increase with RR) Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

I-E cycling • 300 and 300 A – I-E cycling occurs when inspiratory flow = 5% of maximum inspiratory flow Alarm profile 12 -25 15: 32 Save • Servoi – I-E cycling occurs when inspiratory flow = set % of maximum inspiratory flow – Set % = inspiratory cycle -off Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Apnoea back-up • 300 and 300 A – Apnoea > 20 secs (adults) pressure regulated volume control Alarm profile 12 -25 15: 32 Save • Servoi Trends i – Apnoea > set apnoea time Back-up mode (volume control) Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Pressure support Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Apnoea back-up • 300 and 300 A – None Alarm profile 12 -25 15: 32 Save • Servoi Trends i – Apnoea > set apnoea time Back-up mode (pressure control) Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Inspiratory rise time • 300 and 300 A – Inspiratory rise time set as a % of breath cycle time, which is in turn dependent on set RR Alarm profile 12 -25 15: 32 Save • Servoi – Inspiratory rise time set as an absolute time (in seconds). – NB. As a result the proportion of inspiration taken up by rise time will increase with RR Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Inspiratory rise time Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Inspiratory rise time • 300 and 300 A – Always set as a % of cycle time Alarm profile 12 -25 15: 32 Save • Servoi – Set as a % of cycle time control modes and SIMV – Set as an absolute time in support modes Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Apnoea time • 300 and 300 A – Preset • Adult 20 s • Paediatric 15 s • Neonate 10 s Alarm profile 12 -25 15: 32 Save • Servoi – Adjustable in volume support, pressure support/CPAP and SIMV modes – Press “Alarm profile” to set time • Adult 15 -45 s • Infant 5 -15 s Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV • 300 and 300 A – SIMV cycle = – SIMV period = Alarm profile 12 -25 15: 32 Save • Servoi Trends i – SIMV cycle = – SIMV period = set breath cycle time Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV • 300 and 300 A – Mandatory (SIMV) breath given at end of SIMV period if patient does not trigger ventilator during SIMV period Alarm profile 12 -25 15: 32 Save • Servoi – Mandatory (SIMV) breath given after 90% of SIMV period if patient does not trigger ventilator in initial 90% of SIMV period Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode • 300 A – Ventilator shifts from control to spontaneous mode if patient triggers 2 consecutive breaths Alarm profile 12 -25 15: 32 Save • Servoi – Ventilator shifts from control to spontaneous mode if patient triggers ventilator Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode • 300 A – Ventilator shifts from spontaneous to control mode after a set period of apnoea: • Adult 12 s • Paediatric 8 s • Neonate 5 s Alarm profile 12 -25 15: 32 Save • Servoi – Ventilator shifts from control to spontaneous mode after trigger timeout period – Increases with each successive breath until the set trigger timeout limit is reached Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Setting the mode Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Volume control Automode Admit patient Nebulizer Set ventilation mode Automode Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) Save Select ventilation mode Volume control SIMV (Vol. Control) Pressure Support Pressure control SIMV (Press. Control) Pressure Support PRVC SIMV (PRVC) Pressure Support Trends i . Quick start Pressure Support/CPAP Menu Volume Support Main screen Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Pressure control Basic PC above PEEP 18 Resp. Rate 15 Automode Admit patient Nebulizer Set ventilation mode Automode Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Trigger 1: 2. 0 Trigger sensitivity I: E Status Save Trends i . V T. Insp. rise 5 Quick start PEEP 5 Menu Main screen O 2 conc. 40 Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Basic 18 18 PC above PEEP Resp. Rate 15 Nebulizer Set ventilation mode PC above PEEP Pressure control Admit patient Automode Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) I: E Trigger 1: 2. 0 Trigger sensitivity I: E Status Save Trends i . V T. Insp. rise 5 Quick start PEEP 5 Menu Main screen O 2 conc. 40 Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PC above PEEP Alarm profile 12 -25 15: 32 Save 18 Trends i Quick start Menu • If the bar in the box is white the setting is within what is generally considered safe limits Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PC above PEEP Alarm profile 12 -25 15: 32 Save 31 Trends i Quick start • If the bar turns yellow the setting is outside what are generally considered safe limits Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PC above PEEP Alarm profile 12 -25 15: 32 Save 60 Trends i Quick start Menu • If the bar turns red the setting is significantly outside what are generally considered safe limits Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Inspiratory rise time Alarm profile 12 -25 15: 32 Save • Can be altered to increase patient comfort • Some patients find sudden “bolus” of gas uncomfortable • Excessively long rise time can result in receiving preset levels of ventilatory support for relatively short periods Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Inspiratory rise time Alarm profile 12 -25 15: 32 Save • Control modes and SIMV Trends i – Rise time set as a % of cycle time – SIMV • Cycle time is set Quick start – Control modes Menu • Cycle time = 60/RR Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Inspiratory rise time Alarm profile 12 -25 15: 32 Save • Support modes – Rise time set as an absolute time Proportion of inspiratory time that is taken up by rise time increases as cycle time shortens (ie increased RR) Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Triggering Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Pressure control Basic PC above PEEP 18 Resp. Rate 15 Automode Admit patient Nebulizer Set ventilation mode Automode I: E 1: 2. 0 Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) Save Trigger sensitivity i Trigger. . V Trends Trigger sensitivity V -20 T. Insp. rise 0 5 Quick start PEEP 5 Menu Main screen O 2 conc. 40 Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Pressure control Basic PC above PEEP 18 Resp. Rate 15 Automode Admit patient Nebulizer Set ventilation mode Automode I: E 1: 2. 0 Status Alarm profile 12 -25 15: 32 Ti =1. 33 s (33%) Save Trigger sensitivity i Trigger . -2 Trends Trigger sensitivity V -20 T. Insp. rise 0 5 Quick start PEEP 5 Menu Main screen O 2 conc. 40 Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Save Trends i Automode Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Alarm profile 12 -25 15: 32 Save • When automode has been selected the soft key turns white Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Admit patient Volume support Mode Volume Control Nebulizer Status Alarm profile 12 -25 15: 32 Save • Control mode Trends i Quick start Menu Main screen Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min Tidal volume 500 ml Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Admit patient Volume support Mode Volume Control Nebulizer Status Alarm profile 12 -25 15: 32 Save • Support mode Trends i Quick start Menu Main screen Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min Tidal volume 500 ml Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Volume Control Pressure control Basic PC above PEEP 18 Resp. Rate 15 PEEP 5 Admit patient Automode Nebulizer Set ventilation mode Automode 12 -25 15: 32 1: 2. 0 Trigger sensitivity T. Insp. rise Insp. cycle off V Save Trends i Trigger 5 Alarm profile Ti =1. 33 s (33%) I: E Status . PS above PEEP 20 5 Quick start Trigger timeout 7 Menu Main screen O 2 conc. 40 Cancel Accept Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Alarm profile 12 -25 15: 32 Save • Automode can only be set in association with the following modes of ventilation Trends i – Volume control – Pressure regulated volume control – Pressure control Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Modes 12 -25 15: 32 Save Volume control Volume support Pressure control Pressure support/CPAP PRVC Alarm profile Trends i Quick start SIMV Menu Main screen Automode Back up ventilation Click on a mode to find out more about it or on the return button to return to the previous menu ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control Alarm profile 12 -25 15: 32 Save • volume preset assist/control ventilation • ventilator delivers preset volume in preset inspiratory time with preset pause time and preset flow pattern Trends i – when triggered by the patient’s respiratory efforts – as determined by the preset ventilatory rate Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control Alarm profile 12 -25 15: 32 Save Trends 50 cm. H 2 O i 70 l/min Quick start Menu -70 Main screen 700 ml ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control Alarm profile 12 -25 15: 32 • Ventilator will deliver breaths to ensure preset frequency is achieved • In general preset volume is delivered according to preset waveform for all breaths • With the Servo i it possible for the patient to obtain a higher inspiratory flow and tidal volume from the ventilator than is pre-set Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control Alarm profile 12 -25 15: 32 • Flow is usually dependent on preset volume and the inspiratory time. • Inspiratory time is determined by the I: E ratio and the respiratory rate • If the flow does not meet patient demand the flow is automatically increased. Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control Alarm profile 12 -25 15: 32 • If a pressure drop of 3 cm H 2 O is detected during inspiration the ventilator switches to pressure support, resulting in increased flow • When flow to calculated target level flow maintained until set tidal volume delivered Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume control Alarm profile 12 -25 15: 32 Save Flow Trends i Quick start Menu Main screen Insp. time Pause time Exp time Time ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure control Alarm profile 12 -25 15: 32 • Pressure preset assist/control ventilation • Similar to volume control except pressure is preset • Inadequate flow unlikely to be a problem Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

12 -25 15: 32 Save Trends i PC above PEEP Quick start Flow Pressure control Alarm profile Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure control Alarm profile 12 -25 15: 32 Save • Theoretical decrease in risk of barotrauma • Improved oxygenation due to decelerating flow pattern • Risk of hypoventilation as lung compliance falls Trends i Quick start Menu Main screen – monitor tidal and minute volumes ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure regulated volume control Alarm profile 12 -25 15: 32 Save • Preset tidal volume delivered in preset inspiratory time at preset frequency • Ventilator automatically adapts inspiratory pressure control level to changes in mechanical properties of chest • Inspiratory pressure constant • Inspiratory flow decelerating Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

12 -25 15: 32 Save Trends i Pressure PRVC Alarm profile Flow Quick start Menu Volume Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PRVC Alarm profile 12 -25 15: 32 Save Upper Pressure limit 5 cm H 2 O Trends Pressure i Flow Quick start Menu Volume Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PRVC Alarm profile 12 -25 15: 32 Save • Has the advantages of pressure control ventilation without the disadvantage of potential hypoventilation/over-ventilation as chest compliance changes Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PRVC Alarm profile 12 -25 15: 32 Save • With automode off: Trends i – PRVC • With automode on: – PRVC if patient is apnoeic – VS if patient is triggering the ventilator Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

PRVC Alarm profile 12 -25 15: 32 • In this mode the pressure is titrated to the tidal volume • should not be used in a situation where the inspiratory tidal volume leaving the ventilator is not an accurate reflection of delivered tidal volume (eg circuit leak, uncuffed tube) Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume support Alarm profile 12 -25 15: 32 • Every breath is patient triggered • Pressure square wave with decelerating flow • Ventilator automatically titrates pressure to achieve preset tidal volume with the lowest possible pressure Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume support Alarm profile 12 -25 15: 32 Save i 10 cm H 2 O Quick start Flow Pressure Upper Pressure limit 5 cm H 2 O Trends Menu Volume Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume support Alarm profile 12 -25 15: 32 Save Flow Pressure Upper Pressure limit 5 cm H 2 O 10 cm H 2 O Maximum inspiratory flow Trends i Set % of max inspiratory flow Quick start Menu Volume Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Volume support Alarm profile 12 -25 15: 32 Save • If apnoea time is exceeded ventilator automatically: Trends i – Alarms and switches to Back up mode (volume control with default settings) if Automode is off • Remains in Back up mode until alarm is reset Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure support/CPAP Alarm profile 12 -25 15: 32 Save • With both PS and PEEP >0 Trends i – pressure support ventilation with PEEP • With PEEP = 0 Quick start – pressure support ventilation Menu • With PS = 0 Main screen – PS of 2 cm. H 2 O plus PEEP ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure support Alarm profile 12 -25 15: 32 Save • inspiratory assist • constant preset airway pressure supplied during inspiration Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure support 12 -25 15: 32 Save Trends i PS above PEEP Maximum inspiratory flow Flow Alarm profile PEEP Set % of max inspiratory flow Quick start Menu Volume Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

12 -25 15: 32 Save Trends i PS above PEEP Quick start Flow Pressure support Alarm profile Menu Volume Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure support Alarm profile 12 -25 15: 32 • allows patient to control inspiratory and expiratory times, inspiratory flow and tidal volumes. This control can improve patient comfort • can be combined with SIMV or CPAP or used on its own in patients whose gas exchange is improving and in whom weaning is being attempted Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure support Alarm profile 12 -25 15: 32 • pressure support of 3. 5 -14. 5 cm. H 2 O required to overcome the additional work of breathing due to breathing through ETT and demand valve. Patients who require pressure support of < 6 cm. H 2 O can probably be extubated • may unload respiratory muscles and reduce diaphragmatic fatigue Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pressure support Alarm profile 12 -25 15: 32 Save • disadvantages: – VT and minute ventilation variable, excessively large VT may be delivered – high initial flow and termination algorithm may be unsuitable for severe airflow obstruction Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Back-up ventilation Alarm profile 12 -25 15: 32 Save • Operates in association with volume support and pressure support/CPAP • Does not operate when Automode is on Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Back-up ventilation Alarm profile 12 -25 15: 32 Save i Pressure control Pressure support/ CPAP Apnoea> set apnoea time Trends Default pressure = PS or 20 cm. H 2 O Default I: E ratio Default respiratory rate Default inspiratory rise time Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Back-up ventilation Alarm profile 12 -25 15: 32 Save i Volume control Volume support Apnoea> set apnoea time Trends VT = set VT Default I: E ratio Default respiratory rate Default inspiratory rise time Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV (VC) & PS Alarm profile 12 -25 15: 32 Save • patient can breathe spontaneously but also receives a set number of volume controlled mechanical breaths • volume controlled breaths are synchronized with the patient’s breathing to prevent the possibility of a mechanical breath on top of a spontaneous breath • remaining breaths are pressure supported Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV Pressure Alarm profile 12 -25 15: 32 Save Pressure support above PEEP Trends i PEEP Time Flow Quick start Menu Main screen Time Trig ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV (VC) + PS Alarm profile 12 -25 15: 32 • If the patient is apnoeic the ventilator delivers volume controlled breaths at the preset SIMV rate • If the patient triggers the ventilator the response of the ventilator depends on the point in the ventilator cycle at which triggering occurs Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV (VC) & PS Alarm profile 12 -25 15: 32 Save • Time is split up into a series of SIMV cycles • duration of each SIMV cycle = Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV (VC) & PS Alarm profile 12 -25 15: 32 Save • Each SIMV cycle is made up of 2 parts: Trends i – SIMV period • =breath cycle time Quick start – spontaneous period Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save SIMV cycle Trends i SIMV period Volume controlled breath Quick start Menu T T Pressure supported breath Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Volume controlled breath Quick start Menu Main screen 90% of SIMV period ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV (PC) + PS Alarm profile 12 -25 15: 32 Save • Very similar to SIMV (VC) &PS except that controlled breaths are pressure rather than volume controlled Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

SIMV (PRVC) + PS Alarm profile 12 -25 15: 32 Save • Very similar to SIMV (VC) &PS except that controlled breaths are PRVC breaths rather than volume controlled breaths Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Alarm profile 12 -25 15: 32 • Active in VC, PC and PRVC modes • When automode is on ventilator switches between control and spontaneous modes based on presence or absence of triggering Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Alarm profile 12 -25 15: 32 Save Pressure control Apnoea Volume control Apnoea Triggering Pressure support Trends i Volume support Quick start Menu PRVC Apnoea Triggering Main screen Volume support ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Automode Alarm profile 12 -25 15: 32 Save • Trigger timeout Trends i – = duration of apnoea before ventilator switches from support mode to control mode – The limit increases with each successive breath until the set trigger timeout limit is reached Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Changing the parameters Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Mode Pressure Control Automode Admit patient Nebulizer Status Alarm profile 12 -25 15: 32 Changing parameters Save Trends i • Direct access knobs • Additional settings Quick start Menu Main screen Additional settings O 2 conc. 30 % PEEP 5 cm H O 2 Resp. rate 15 b/min PC above PEEP 15 mm. Hg Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Alarms Trends i This module will be available in later versions of this tutorial Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Starting up Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Pre-use check Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Standby Alarm profile 12 -25 15: 32 Save Trends i Do you want to start Pre-use check? Yes Quick start No Menu Press Additional settings Main screen to start ventilation Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Pre-use check Alarm profile 12 -25 15: 32 • Do not use the ventilator if it does not pass the pre-use check Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Check batteries Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Status Alarm profile 12 -25 15: 32 Save Trends i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Status Alarm profile 12 -25 15: 32 Status General O 2 cell Exp. cassette Modules Options Pre-use check Save Version Universal Serial no. 2017 Pre-use check Passed: 2002 -02 -06 14: 52 Operating time 167 hours Next Preventative Maintenance 1423 hours Battery backup time 312 min Barometric pressure 1023 h. Pa Air Pressure 394 k. Pa*100 O 2 pressure 401 k. Pa*100 Trends i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Status Alarm profile 12 -25 15: 32 Status General O 2 cell Exp. cassette Modules Options Pre-use check Save Trends Modules status Battery 52 min, Slot position 1 Battery 51 min, Slot position 2 Battery 49 min, Slot position 3 Battery 52 min, Slot position 4 Battery 52 min, Slot position 5 Battery 52 min, Slot position 6 i Quick start Menu Main screen Additional settings Additional values ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm profile 12 -25 15: 32 Save Advanced Trends i This module will be available in later versions of this tutorial Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold

Alarm messages Alarm profile 12 -25 15: 32 Save • This module will be available in a later version of this tutorial Trends i Quick start Menu Main screen ! Start breath Charles Gomersall 2003 O 2 breaths Exp. hold Insp. hold