ResMed Elisee 350 Clinical Manual page 59

3 Setting alarm thresholds
0 0
cm
H O ACV ACV
2 Ventil. Ventil.
stop stop Parameters settings
90
80
V
70
T
500
ml
60
FiO FiO
2
50
┘HP 60
%
40
F
15
bpm
30
20
10
0
<PE
0 0
cm
ACV ACV
H O
2
Ventil. Ventil.
Alarms setting
stop stop
90
35 35 50 50
80
70
F Pmax Pmax
60 0 0
50
┘HP
bpm cmH2O
1000 1000
40
30
Vte Vte
20
0
10
ml
0
300 300
<PE
0 cm
ACV ACV
H O
Ventil. Ventil.
2
stop stop Alarms setting
90
35 35 40 40
80
70
F Pmax Pmax
60 0 0
50
bpm cmH2O
1000 1000
40 ┘HP
30
Vte Vte
20
0
10
ml
0
<PE 300 300
Setting the
CAUTION
If you change any of the alarm settings, see Section 6.5 on page 74 for instructions on
testing the alarms.
This setting is used:
•
Usually for ventilation in volume-based modes
•
With a single circuit. When using a single circuit, this is the only way of detecting when the
patient circuit is disconnected.
Δ
Pi represents the minimum pressure threshold to be maintained during inspiration. If the
pressure falls below this threshold, the Low Pressure alarm is triggered.
Δ
Pi = Pmax – PEEP, where Pmax is the maximum inspiratory pressure measurement.
Example of how to set the
7 cm H O:
2
0 0 cm
H O ACV ACV
2 Ventil. Ventil.
stop stop Parameters setting
90
80
V
T
70
500
ml
60
FiO FiO
2
60
50
%
F
40 ┘HP
15
bpm
30
20
10
<PE
0
0 0
cm
H O ACV ACV
2
Ventil. Ventil.
Alarms setting
stop stop
90
35 35
40 40
80
70
F Pmax Pmax
60 0 0
50
bpm cmH2O
1000 1000
40
┘HP
30
Vti Vti
20
0
10
ml
<PE
0 300 300
NOT013281-8
M
o d
e s
1. Press
info
PEEP PEEP
0
cm
H O
2
2. Press the value to be modified (here, Pmax = 50).
I:E I:E
V V
1:2.0 S S
E E
T T
N N
A A
T T
R R
I I
T T 3. Press
1/3
L L
the top of the screen when the upper or lower limit is
reached), then press
Cancel Cancel
info
30 30
OK OK
Leak Leak
- - - -
Note: It is possible to change several alarm thresholds in
%
15,0 15,0
succession and confirm them all at once.
V
E
0,0
Now you can:
l/min
3,0 3,0
•
Set the ventilation mode again by pressing
M
o d
e s s
info
30 30
•
P a Adjust the parameters again by pressing
r a
Leak Leak
m m
- - - -
%
15,0 15,0
V V
S S
E E
V T T
E
N N
0,0 A A
T T
R R
l/min
I I
T T
3,0 3,0 L L
Δ
Pi alarm threshold – Special case
Δ
Pi alarm threshold, with PEEP at 5 cm H
1. On the parameter settings screen, set the target PEEP to
Cancel Cancel
5 cm H
info
2
OK OK
PEEP PEEP
5
cm
H O
2
Vmax Vmax
60
l/
min
1/3
M
o d
2. On the alarms screen, set
e s s
info
the Low Pressure alarm, the pressure during inspiration must
P a
∆
Pi Pi
r a
always exceed the threshold of 7 cm H
0
m m
cmH2O
7
15,0 15,0
V V
S S
E E
V
i T T
N N
0,0 0,0
A A
T T
R R
l/min
I I
T T
3,0 3,0
L L
.
or to set the value (a flashing message appears at
to confirm.
OK OK
O.
Δ
Pi to 7 cm H
M o
d e
s
P P a a
.
r r a a
m m
Δ
O and the Pi value at
2
O. To avoid triggering
2
O above PEEP.
2
How to use Elisée 350 53/102