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WARNING:
Manually Bagging a Patient with an Injector Module continued
• To minimize the delivered concentration of NO
taken for use with the manual resuscitator bags:
- Concentrations greater than 20 ppm NO should not be used because of
- Use the smallest bag adequate to deliver the desired tidal volume.
- Oxygen tubing lengths greater than 72 inches should not be used (between the
- Use the highest fresh gas flow rate (up to 15 L/min) that is practical.
- Use the lowest practical inspired oxygen concentration.
- After starting fresh gas flow, squeeze the bag several times to empty residual
Manually Bagging a Patient with the INOblender
• The purge procedure must be followed to help ensure NO
system before the manual resuscitator bag is connected to the patient.
• The manual bag should be squeezed repeatedly during use to avoid NO
up in the bag.
• If the bag is not squeezed repeatedly while delivering INOMAX, the bag should
be removed from the patient and the bag purge procedure performed before
continuing.
• The INOblender should be upright when setting the oxygen flowrate for accurate
setting.
• Do not use pneumatically powered nebulizers with the INOblender. This will result
in significant over delivery of INOMAX in excess of 80 parts per million (ppm).
- The INOblender outlet pressure has been validated for use up to 400 millibar (5.8
psig) pressure. The amount of back-pressure generated by pneumatic nebulizers
is significantly greater (20-30 psig) and will result in over delivery of INOMAX
in excess of 80 ppm. The user adjusted dose setting on the INOblender will not
correlate with, or have an effect on the actual delivered dose.
- In addition, the INOblender flowmeter is not back-pressure compensated and will
display a lower flow rate than actual when pressure is applied to the outlet.
Purging Cylinders
• A new INOMAX cylinder and regulator must be purged before use to ensure the
patient does not receive an excess level of NO
• If the INOmax DS
depressurize the regulator supply line.
• If the INOmax DS
purge procedure.
• If the INOmax DS
procedure.
Part No. 20717 Rev-01
2014-07
excessive NO
generation.
2
injector module and the bag).
gas in the bag prior to using the system to ventilate a patient.
is not going to be used on a patient within 10 minutes,
IR
is not used and is pressurized for more than 10 minutes, repeat
IR
is depressurized and not used within 12 hours, repeat pre-use
IR
, the following steps should be
2
is purged from the
2
.
2
building
2
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