MACS CPAP System Self Guided Tour Program Objectives This program is a self guided tour of the MACS CPAP System. At the end of.

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Transcript MACS CPAP System Self Guided Tour Program Objectives This program is a self guided tour of the MACS CPAP System. At the end of.

Slide 1

MACS CPAP System
Self Guided Tour


Slide 2

Program Objectives
This program is a self guided tour of the
MACS CPAP System.
At the end of this tour you will be able to:







Describe the main operating features of MACS
Identify the controls and connections
Describe the patient circuit
Set-up MACS for patient operation
Define various clinical environments for CPAP application
Clean and maintain the MACS


Slide 3

Features and Controls – Rear Panel

Driving Gas Input
 Connection for 50 psi
oxygen source gas
 Always use a high flow
gas source (pressure
take-off) that can provide
55 + 15 psi pressure at a
minimum of 40 L/min


Slide 4

Features and Controls – Rear Panel

Air Entrainment
 Ambient air is entrained for
internal gas mixing
 External housing contains
air filter
 Air filter replacement is part
of the preventative
maintenance


Slide 5

Features and Controls – Front Panel
CPAP Control
 Adjusts the CPAP from 0
to 20 cm H2O
 Automatic sensitivity
 Flow adjusts automatically
to meet patient demand
up to 140 L/min
 Oxygen concentration is
maintained at set %
Oxygen control


Slide 6

Features and Controls – Front Panel
% Oxygen Control
 Delivered oxygen choice
 65%
 100%
 Sets the spontaneous
breath oxygen
concentration


Slide 7

Features and Controls – Front Panel

Pressure Gauge
 Shows pressure in
patient circuit at the
output of MACS
 Gives an indication of
patient effort


Slide 8

Features and Controls – Front Panel

Circuit Connection 1
 Connection for the large
bore hose of the patient
circuit


Slide 9

Features and Controls – Front Panel

Circuit Connection 2
 Patient circuit small hose
connection
 Connects to the
expiratory valve on the
patient circuit


Slide 10

Patient Circuit

Patient circuit is a disposable, single limb system;
 Both hoses attach to the front of MACS
 Patient end connects for clinical intervention
 Directly to an endotracheal tube (invasive)
 Resuscitator face mask (noninvasive)
 Use 90 degree elbow to connect bacteria filter for
operator protection


Slide 11

Patient Circuit

Use only Airon Corporation patient circuits;
 Calibration of the CPAP control is based upon the Airon
patient circuit
 Using other manufacturers circuits may cause
 errors in pressure delivery
 high expiratory flow resistance
 interference with CPAP sensitivity
 increased oxygen usage


Slide 12

Program Objectives
MACS CPAP System self guided tour, objectives
completed so far:
 Describe the main operating features of MACS
 Identify the controls and connections
 Describe the patient circuit
With an understanding of MACS’s capabilities, let’s look at
patient application.


Slide 13

Patient Application

Initial Set-up
 Attach Airon patient circuit
to MACS
 Attach a high pressure
oxygen hose to the rear of
MACS
 Attach this hose to the
oxygen source


Slide 14

Patient Application
Set % Oxygen Control
 Set % Oxygen control to the desired
oxygen level
 All breaths receive set oxygen level
+ 10%
 Oxygen tank time doubles with 65%
 Caution - with rapid, large tidal
volumes on 100% oxygen, the
actual delivered percentage might
be slightly less than 100%


Slide 15

Patient Application
Start CPAP
 Turn on oxygen source
 Attach patient breathing
circuit to the patient using
either a mask or endotracheal
tube
 Adjust the CPAP control to
the level desired
 If the patient is not attached
to the circuit, or there is a
large leak, a high flow of gas
will occur


Slide 16

Patient Application

Monitor patient
 Assess per your protocol
 patient breathing rate
 comfort
 oxygenation
 CO2


Slide 17

Clinical Issues

Pediatric Support
 MACS is safe for pediatric - adult
patients
 Use the lowest possible settings
 Monitor closely for patient synchrony


Slide 18

Clinical Issues

Providing nebulized medications
 A medication nebulizer may be placed
between the patient connection and the
patient
 Patient will inhale medication during every
breath and exhale back out through patient
circuit
 Filters may be added for personnel safety


Slide 19

Clinical Issues
CO2 Monitoring
 Any type of CO2 analyzer may be
used
 Inline style analyzers should be
place between the patient circuit
connection and the patient
 Place the sampling tube of
sidestream analyzers under the
patient mask


Slide 20

Clinical Issues

Altitude Operation
 MACS can be used for air
transports in unpressurized
cabins up to 15,000 feet
 Pressure settings will not change
as altitude changes


Slide 21

Patient Safety

Patient Safety Features
 Internal Safety Pressure Release –
limits circuit pressure to 40 cm H2O
 Anti-Suffocation System – in the event
of device malfunction, an internal
valve will allow ambient air to enter the
patient circuit


Slide 22

Cleaning and Maintenance

 Clean MACS between patients using a
soft cloth and a mild detergent /
disinfectant
 Do not immerse MACS in water
 Patient circuit is disposable, single use
application and should not be cleaned,
disinfected or reused
 MACS should receive preventative
maintenance every 2 years


Slide 23

Program Objectives
MACS CPAP System self guided tour
completed; you should now be able to:







Describe the main operating features of MACS
Identify the controls and connections
Describe the patient circuit
Set-up MACS for patient operation
Define various clinical environments for CPAP application
Clean and maintain MACS

Next Step – consider reviewing the MACS Case Study and
completing the competency evaluation


Slide 24

Contact Information

Thank you for you interest in the
MACS CPAP System
For more information visit www.macs-cpap.com
or call Airon Corporation at 888-448-1238