Mallinckrodt INOmax DSIR Pocket Manual page 24

Delivery system, series 3 software
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Circuit Connection
Diagrams
WARNING:
• The hyperinflation bag will, under some conditions, contain NO
1 ppm. Use of large tidal volume breaths may expose the patients to the NO
present in the bag, for part of the breath. In general, if the inspiratory flow rate
induced by the manual ventilation does not exceed the fresh gas flow rate,
the patient should not be exposed to the concentrations of NO
hyperinflation bag.
• Adult and infant hyperinflation bags generate more NO
minute ventilation. If use of the bag is interrupted (for example, to adjust a
tracheal tube), before resuming ventilation of the patient, the user should
squeeze the bag several times to empty residual gas from the bag.
• Because of the potential for inhalation of excessive concentrations of
NO
, and the difficulty in monitoring the peak inhaled NO
2
ventilation with a hyperinflation bag or self inflating bag is intended only for
short term use.
• The monitoring system within the INOmax DSIR will not detect generation of
NO
within the hyperinflation bag or self-inflating bag devices and the alarms
2
for excessive NO
system.
• 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
excessive NO
- Use the smallest bag adequate to deliver the desired tidal volume.
- Oxygen tubing lengths greater than 72 inches should not be used.
- 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 gas in the bag prior to using the system to ventilate a patient.
Part No. 20751 Rev-01
2014-08
cannot warn of NO
2
generation.
2
24
2
produced within the manual bag
2
, the following steps should be
2
in excess of
2
present in the
2
when used at lower
concentrations,
2
2

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