Dräger PulmoVista 500 Manual page 41

Electrical impedance tomography (eit) device handling, application tips and examples
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EXaMPLE: 40:40 ManEUvEr
Recruitment-Maneuver
Objective:
– Re-expand collapsed lung tissue
– Maintain sufficient PEEP to prevent de-recruitment after RM
How-to:
– Increase end-inspiratory pressure (Pinsp) for a short time
– Impose sufficient pressure to exceed the critical opening pressure
of the affected lung region and to recruit non ventilated or poorly
ventilated lung tissue
Step 2: assess with Pulmovista® 500 if maneuver could open
the lung
1. Open the End-inspiratory Trend View:
Compare the status before ( Cursor Ref ) and during the RM ( Cursor C ).
< 5 % ?
> 10 % ?
40 mbar
40 s
Inspiratory hold:
Inspiratory pressure of 40 mbar for 40 s
REF
C
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Cllinical Application

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