Philips BiPAP AVAPS Quick Start Manual

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Philips Healthcare is part of Philips Respironics International
Royal Philips Electronics Headquarters
+33 1 47 28 30 82
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How to reach us
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www.philips.com/healthcare
+65 6882 5282
Hold entire unit at each end and slide release latch to the right.
healthcare@philips.com
Philips Respironics Australia
Asia
+61 2 9666 4444
+49 7031 463 2254
Philips Respironics China
Europe, Middle East, Africa
+86 400 828 6665
Heated Tubing
+49 7031 463 2254
+86 800 828 6665
(optional)
Latin America
Philips Respironics Deutschland
+55 11 2125 0744
+49 8152 93 06 0
North America
Philips Respironics France
+1 425 487 7000
+33 2 51 89 36 00
800 285 5585 (toll free, US only)
Philips Respironics Italy
Philips Respironics )LOOLQJ WKH KXPLGLÀHU FKDPEHU
+39 039 203 1
1010 Murry Ridge Lane
Murrysville, PA 15668
Philips Respironics Switzerland
+41 6 27 45 17 50
Customer Service
+1 724 387 4000
Philps Respironics United Kingdom
+1 800 345 6443 (toll free)
+44 800 1300 845
www.philips.com/respironics
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MCI4105612
1106444 R02
JJB 03/20/2013
© 2013 Koninklijke Philips Electronics N.V. All rights are reserved.
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LCD display
Release latch screen
(bottom view)
Air outlet port
Number settings
Humidifier icon
Release latch
Control wheel/Push button
Bacteria filter*
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at end of tube when using the
setting will light up on the device. This icon lights up (different colors)
optional heated tube.
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is being applied.
with water.
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not force door higher than the locked position.
‡ Orange - the heated tube is attached.
(b) Grasp front of chamber and slide toward you.
2. (a) Gently push tab located inside round opening  7XUQ FRQWURO ZKHHO WR DGMXVW KXPLGLÀHU QXPEHU WR WKH GHVLUHG
setting (0 to 5) and press. The settings represent relative humidity
on top of chamber. (b) Separate top and bottom
of chamber. levels that will remain consistent throughout the night even if room
temperature changes.
3. Fill bottom chamber with distilled water.
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Preheat Mode
chamber.
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Reassemble the chamber by placing the hinges on KXPLGLÀHU PXVW EH DWWDFKHG )URP WKH +RPH VFUHHQ VHOHFW Therapy,
lid over the two tabs on back of chamber. Close lid then press and hold down the control wheel for 5 seconds. There
until it locks in place with an audible click. Insert will be a single beep and the device will now be in preheat mode. The
ÀOOHG FKDPEHU LQWR KXPLGLÀHU KXPLGLÀHU LFRQ ) will illuminate during this time.
Guidelines for Ventilation Set-up
Conversion table to set the Inspiratory Time for controlled breaths
Initial IPAP = 8 to 10 cmH O, EPAP = 4 cmH O and RR = 10 to 12 BPM
2 2
Settings
Set back up breath rate
IPAP Increase IPAP if the patient wants more air, targeting patient tidal (BPM)
volume at 8 ml/kg of ideal weight
10
EPAP ‡ without OSAS (Obstructive Sleep Apnea Syndrome): 4 – 5 cmH O
11
2
‡ with OSAS: increase EPAP to remove obstructive apnea events 12
‡ with intrinsic PEP (stable chronic COPD): 5 – 6 cmH O 13
2
14
BPM Set to 2 – 3 BPM under patient's spontaneous frequency
15
Rise Obstructive patients prefer short rise time:
16
Time from 1 to 4 (100 ms to 400 ms)
17
Restrictive patients prefer long rise time:
18
from 3 to 6 (300 ms to 600 ms)
19
Ti Set Ti between 25% and 33% for obstructive patients
20
Set Ti between 33% and 50% for restrictive patients
(refer to table opposite) 21
22
OHS COPD Other restrictive
23
diseases (NMD, etc.)
24
Vt Target 8 to 10 ml/kg of ideal body weight (refer to table opposite)
25
IPAP Allow a wide range Allow a more Allow a more restrictive
Window of pressure variation restrictive pressure pressure window to Set the Inspiratory Time in seconds: Ti (Second) = 60/Respiratory rate x % Ti
(IPAPmin to ensure the right window to combine combine comfort and
Conversion table to set the target Tidal Volume in relation to the ideal weight
and pressure at the right FRPIRUW DQG HIÀFDF\ safety.
IPAPmax) time.
‡ IPAPmin = ‡ IPAPmin =
Height
‡ IPAPmin = EPAP comfortable IPAP HIÀFLHQW ,3$3
‡ IPAPmax = ‡ IPAPmax = ‡ IPAPmax =
1.50 m
25 – 30 cmH O IPAPmin + 5 cmH O IPAPmin + 5 cmH O
2 2 2
1.55 m
AVAPS AVAPS Rate setting depends on patient needs and clinical condition:
1.60 m
Rate 0.5 cmH O/min to 3 cmH O/min so target tidal volume is reached smoothly
1.65 m
2 2
3 cmH O/min to 5 cmH O/min so target tidal volume is reached
1.70 m
2 2
more rapidly
1.75 m
Check patient arterial blood gases (PaCO and PaO ) and oxygen saturation (SpO ) 1.80 m
2 2 2
1.85 m
Important: Guidelines are intended to serve only as a reference. They shall be
1.90 m
used only in conjunction with the instructions and/or protocol set forth by the
physician and institution in which the assist device is being used. The guidelines are
Calculated with an ideal Body Mass Index of 23 kg/m
not intended to supersede established medical protocols.
I/E 1/3, I/E 1/2, I/E 1/1,
Ti/Ttot 25% Ti/Ttot 33% Ti/Ttot 50%
1.5 s 2.0 s 3.0 s
1.4 s 1.8 s 2.7 s
1.3 s 1.7 s 2.5 s
1.2 s 1.5 s 2.3 s
1.1 s 1.4 s 2.1 s
1.0 s 1.3 s 2.0 s
0.9 s 1.3 s 1.8 s
0.9 s 1.2 s 1.7 s
0.8 s 1.1 s 1.6 s
0.8 s 1.1 s 1.5 s
0.8 s 1.0 s 1.5 s
0.7 s 1.0 s 1.4 s
0.7 s 0.9 s 1.3 s
0.7 s 0.9 s 1.3 s
Quickstart Guide
0.6 s 0.8 s 1.2 s
0.6 s 0.8 s 1.2 s
‡ Set-up Device
‡ Start Therapy
Calculated ideal Target Vte Target Vte
‡ Stop Therapy
weight (if BMI = 23) if 8 ml/kg if 10 ml/kg
‡ View Information
52.0 kg 410 ml 520 ml
‡ Comfort Settings
55.0 kg 440 ml 550 ml
59.0 kg 470 ml 590 ml
‡ Menus
62.5 kg 500 ml 620 ml
‡ +XPLGLÀFDWLRQ
66.5 kg 530 ml 660 ml
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70.5 kg 560 ml 700 ml
74.5 kg 600 ml 740 ml ‡ Guidelines for Ventilation Set-up
78.5 kg 630 ml 780 ml
83.0 kg 660 ml 830 ml
2 (BMI = weight/height 2 )
BiPAP AVAPS
BiPAP S/T