Transcript Evita 4 Training - Diagramas Gratis

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Evita 4
Ventilation at a Glance: Powerful and Easy
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Ventilation
 AutoFlow ®
 BIPAP*
 APRV
 ATC
 PPS
 NIV
Monitoring
 Respiration
 SPO2
 CO2
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Ventilation at a Glance: Powerful and Easy
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
Operation: Easy Steps ... Safe Therapy
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
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 Easy to clean and disinfect
 More than 3m connection cable
integrated
 Rail connector for standard rail
Operation: Optimized for the Situation
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
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 complexity is reduced by a clear structure and by selections
for needs of the hospital
 less training and safe handling
Power on - Easy Start
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Customers Value
 Start procedure
 Ideal body weight setting
65
 Guided interactive device check
 Standby
[ kg ]
 Configurable start ventilation mode
 Configurable start parameter
 Configurable standard settings and alarms
 Automatic online calibration of sensors
 Help-function
Ventilation therapy - Overview
Volume strategy
 IPPV / CMV
IPPVAssist / AC)
 SIMV
 MMV
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Pressure strategy
 BIPAP / BIPAPAssist
(PCV+ / PCV+Assist)
 APRV
 ASB (Psupp)
Ventilation therapy - Overview
Room to Breathe
 BIPAP (PCV+)
 APRV
 AutoFlow (IPPV/SIMV/MMV)
 ATC
 PPS
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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 - Conventional Volume Ventiation
Adjustments
 VT, Freq., Tinsp, O2, Flow, PEEP
Monitoring
 From resistance to intrinsic PEEP
 Loops and trends for diagnosis
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e.g. SIMV
 Safe handling
 User guidance with direct
acknowledgement
Ventilation therapy - Easy to Adjust
Volume Strategy
SIMV AutoFlow
 PAW high - alarm
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 Flow-trigger
 Apnea ventilation
Ventilation therapy - Easy to Adjust
Pressure Strategy
BIPAP / PCV+
 VTi high - alarm
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 Flow-trigger
 Apnea ventilation
Ventilation Therapy - Room to Breathe
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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
Ventilaton therapy - Room to Breathe
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
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AutoFlow - To use with?
 IPPV/CMV - SIMV - MMV
Beatmungstherapie - Room to Breathe
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MMV AutoFlow / ATC
 Minute ventilation
garanteed
 Patient only gets the
necessary mandatory
support
 Mandatory frequency is
reduced proportionally
to spontaneous minute
ventilation
 automatic Weaning
Ventilation therapy - Room to Breathe
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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
Paw
APRV
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 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
Phoch
t
P
tief
Thoch
Ttief
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Ventilation therapy - Room to Breathe
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
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Ventilation therapy - Room to Breathe
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
OPTION
P
Volumen Assist
P
+
Flow Assist
+
P
PEEP
=
Atemwegsdruck
Ventilation therapy - NIV / Mask ventilation
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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
OPTION
Monitoring - Extended Application Range
Monitoring of values, curves, loops or trends
Pre-configurable to meet clinical standards/needs
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Standard
 O2
 Pressure
 Flow
 Volume
Optional
 CO2
 SpO2
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 to
modes and lung conditions
Paw
Insp.- and Exsp.valve closed
Exsp.-valve opened
PEEPi
PEEP
t
mes. time 1 mes. time 2
PEEPi
VTrap
Extended Application Range
Occclusion Pressure P0.1
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 available in all modes
 autoscaling of time axis
Paw
 screen freeze with
cursor function for
detailed analysis
CPAP
 determines
-0,5 mbar
neuromuscular drive
early indication of fatigue
levels
 support for optimum
weaning protocols
Insp.-Ventil geschlossen
100 ms
Insp.-Ventil geöffnet
t
P1
P 0.1
P2
Extended Application Range
Weaning - Indices
 RSB - Rapid Shallow
Breathing Index
 RSB = f / Vt
 NIF - Negative
Inspiration Force
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 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
Trends - Logbook
Trends
 8 pre-configurable
parameters over 24 h
 2 trends simultaneous
 Cursor function
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Logbook
 All alarms and events
listed
 Background alarms listed
 Marker for background
alarms
 Alarm silence ON and
OFF listed