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Weinmann MEDUMAT Standard2 Instructions Manual
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Weinmann MEDUMAT Standard2 Instructions Manual

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Download this manual See also: Instructions for Use Manual
MEDUMAT Standard
Step-by-step instructions
• Start ventilation by height
• NIV therapy
• Resuscitation (CPR)
• Anesthesia induction (RSI)
Important:
This document
does not replace the
instructions for use.
Complete information
can be found in the
instructions for use.
2

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Summary of Contents for Weinmann MEDUMAT Standard2

  • Page 1 MEDUMAT Standard Step-by-step instructions • Start ventilation by height • NIV therapy • Resuscitation (CPR) • Anesthesia induction (RSI) Important: This document does not replace the instructions for use. Complete information can be found in the instructions for use.

  • Page 2: Operating Steps

    Operating steps Switch on ventilator Select "New patient" Select patient height and gender Select "next" Select the ventilation mode and check Start ventilation the displayed ventilation parameters...
  • Page 3 Start ventilation by height Start faster and ventilate more precisely From now on, you will not need to spend a long time considering which tidal volume (Vt) is the most appropriate for your patient. With MEDUMAT Standard you can now initiate ventilation even more precisely and even faster. By entering the patient’s height and gender, your ventilator automatically calculates all the ventilation parameters for the ideal body weight (IBW).
  • Page 4 NIV therapy Switch on ventilator Select "New patient" in the start menu. Set the patient’s height and gender or select the appropriate patient group: Adult, Child, Infant...
  • Page 5 Select one of the following ventilation modes: CPAP* or CPAP + ASB (if available). *pure CPAP is the ventilation form CPAP + ASB with a ΔpASB of 0 mbar Select the desired CPAP therapy using the navigation button: PEEP, pMax, ΔpASB. After adjusting the values, begin the ventilation via "start".
  • Page 6 (Standard Operating Procedure) Non-invasive ventilation (NIV) by the emergency medical services Modified by Prof. Dr. med. Thoralf Kerner Logistical requirements Oxygen supply: at least a 2-l bottle, filled ............Check Emergency medical team familiar with NIV ............. Check Clinical requirements alert, cooperative (GCS > 12) .................
  • Page 7 Escalation levels In the event of imminent respiratory muscle fatigue, set pressure support (ASB). Immediate intubation in the absence of clinical improvement or the occurrence of contraindications! Caution • Continuous clinical observation and close patient contact • No delay in pharmacological therapy or necessary intubation •...
  • Page 8 Inspiratory trigger The inspiratory trigger triggers a pressure support or a mechanical breath as soon as inhalation effort is detected. Flow Trigger sensitivity: 1 l/ min-15 l/min 1 l/min 5 l/min 10 l/min 15 l/min Very sensitive sensitive insensitive Very insensitive Setting the levels of the inspiration trigger: (If "3 levels"...
  • Page 9 Pressure support and the expiration trigger Pressure ΔpASB PEEP Time Flow Max. 4 s 100% 80% Flow 5% Flow Time Pressure support ΔpASB The pressure support is always given as a value above PEEP. In addition to the set PEEP, a patient receives this as soon as the inspiration trigger has been detected. Example calculation: PEEP = 5 mbar, ΔpASB = 10 mbar inspiration pressure in the inhalation phase = 15 mbar Expiratory trigger...
  • Page 10 Pressure ramp (pressure increase time) A pressure ramp (or the pressure increase time) defines the time in which the pressure increases from the PEEP to the inspiration pressure. This pressure increase time can be set by the shape of the ramp: flat, medium and steep. < 0.2 seconds: steep Approx.
  • Page 12 Resuscitation (CPR) Switch on the device Press the CPR button and select the patient group Check the ventilation parameters. In the ventilation phase of 30:2 or 15:2 resuscitation, press the mask with the "Double C grip" over the patient’s mouth and nose. Then hold down the MEDUtrigger key until two mechanical breaths have been administered.
  • Page 13 Following successful intubation, change to continuous ventilation and check the ventilation parameters During the cardiac rhythm analysis or defibrillation, select "pause" to pause the ventilation. • No movement artifacts • Reduction of thoracic impedance • No oxygen enrichment of ambient Following successful defibrillation, if applicable, press "pause"...
  • Page 14 Advanced Life Support https://cprguidelines.eu/ European Resuscitation Council Guidelines for Resuscitation 2015 Monsieurs, Koenraad G.Khalifa, Gamal Eldin Abbas et al. Resuscitation , Volume 95 , 1 - 80 © 2015 European Resuscitation Council. Published by Elsevier Ireland Ltd. All rights reserved.
  • Page 16 Anesthesia induction (RSI) Switch on the device Select "New patient" on the home screen and set the patient’s height and gender. Or select the appropriate patient group: Adult, Child, Infant. Select "RSI" in the "mode" submenu MEDUMAT Standard² begins therapy in demand mode. In this mode, the spontaneously breathing patient is pre-oxygenated.
  • Page 17 To check the tube position following successful intubation or as a fallback position for a difficult airway, change to the manual mode. Check the ventilation parameters. Connect the patient hose system to the tube or press the mask with the "Double C grip" over the patient’s mouth and nose and trigger mechanical breath...
  • Page 18 Excerpt from the S1 guideline "Pre-hospital emergency anesthesia in adults" of the German Association for Anesthesiology and Intensive Care Medicine (DGAI) Indications for pre-hospital emergency anesthesia • Acute respiratory insufficiency (hypoxia and/or respiratory rate* < 6 or > 29/min) and contraindications for or failure of non-invasive ventilation (NIV) •...
  • Page 19 Rapid Sequence Induction (RSI) • If applicable, remove the cervical spine immobilization and begin manual in-line stabilization • Announcement of the anesthetic medicine with active substance and dosage, step-by-step application • Wait for loss of consciousness and relaxation effect • Airway management without intermediate ventilation in normoxic patients* •...
  • Page 20 Siebenstücken 14 24558 Henstedt-Ulzburg Germany China Weinmann (Shanghai) Medical Device Trading Co. Ltd. T: +86 21 52 30 22 25 • info@weinmann-emt.cn U.A.E. WEINMANN Emergency Medical Technology GmbH + Co.KG (Branch) T: +971 432 100 31 • info-dubai@weinmann-emt.com France WEINMANN Emergency France SARL – Paris – Les Ulis T: +33 1 69 41 51 20 •...