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Weinmann MEDUMAT Standard2 Step-By-Step Instructions

Weinmann MEDUMAT Standard2 Step-By-Step Instructions

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MEDUMAT Standard
2
Step-by-step instructions
• Start ventilation by height
• NIV therapy
Important:
• Resuscitation (CPR) with IPPV
This document
• Resuscitation (CPR) with CCSV
does not replace the
instructions for use.
• Anesthesia induction (RSI)
Complete information
can be found in
the instructions
for use.

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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 Important: • Resuscitation (CPR) with IPPV This document • Resuscitation (CPR) with CCSV does not replace the instructions for use. • Anesthesia induction (RSI) 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 don't have to think long about which tidal volume (Vt) is best for your patient. With MEDUMAT Standard , you can now initiate ventilation even more precisely and quickly.
  • 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 SOP NIV (Standard Operating Procedure) Non-invasive ventilation (NIV) by the EMS 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 This instruction might not be valid in your country. Please check local guidelines. 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 •...
  • 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: Approx.
  • Page 11 This instruction might not be valid in your country. Please check local guidelines.
  • Page 12 Resuscitation (CPR) with IPPV 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.
  • Page 13 Following successful intubation, switch to continuous ventilation “CPR IPPV”. 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 air Following successful defibrillation, if applicable, press “pause”...
  • Page 14 Resuscitation (CPR) with CCSV 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.
  • Page 15 Following successful intubation, switch to continuous ventilation “CPR CCSV”. Perform chest compressions continu- ously. MEDUMAT Standard² will deliver a mechanical breath synchronously to each compression. You can use the frequency tachometer shown above to determine the frequen- cy of the compressions. If a chest compression device is brought to the patient, this must be indicated via the middle navigation button.
  • Page 16 In the absence of chest compressions, the hands-off time is displayed. When the alarm limit is reached, the device outputs a hands-off time alarm. If this is not answered with compressions, the device automatically switches to "CPR IPPV” ventilation. If chest compressions are detected again by MEDUMAT Standard²...
  • Page 17 Interactive Simulation Operate MEDUMAT Standard² live on your computer with our free simulation software. You can find more information at: WEINMANN-Emergency.com...
  • Page 18 Advanced Life Support https://cprguidelines.eu/ European Resuscitation Council Guidelines for Resuscitation 2021 J. Soar, et al., European Resuscitation Council Guidelines 2021: Adult advanced life support, Resuscitation (2021), https://doi.org/10.1016/j.resuscitation.2021.02.010...
  • Page 19 This instruction might not be valid in your country. Please check local guidelines.
  • Page 20 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 21 To check the tube position following successful intubation or as a fallback position for a difficult airway, switch to the Manual mode. Check the ventilation parameters. Con- nect the patient hose system to the tube or press the mask with the “Dou- ble C grip”...
  • Page 22 Excerpt from the S1 guideline "Prehospital Emergency Anaesthesia in Adults" of the DGAI Indications for prehospital emergency anaesthesia • Acute respiratory insufficiency (hypoxia and/or respiratory rate* < 6 or > 29/min) and contraindications for or failure of non-invasive ventilation • Loss of consciousness/neurological deficit with risk of aspiration Multiple trauma/severe trauma with hemodynamic instability, systolic BP <...
  • Page 23 Rapid Sequence Induction (RSI) • If applicable, remove the cervical spine immobilization and begin manual in-line stabilization • Announcement of the Anaesthesia medication 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 24 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 •...