ResMed Stellar 100 Manual page 7

GOSH- to –Home Long Term Ventilation Service
MASK FIT
Where possible fit mask first then start ventilation once good placement of mask has been achieved
Fit the mask correctly
To fit the mask well, ensure the nostrils are not occluded and the mask is not in the eyes.
Nasal mask: place the mask at the tip of top lip and roll up to the nasal bridge
Fullface mask: start with base at the crease of the chin and roll up to sit below the eye.
You must check the mask visually
Can you feel exhalation port?
the child is able to breathe out their CO2. It must be checked by visually ensuring the port is clean
and clear and by waving your hand over the port at the front of the mask to ensure you can feel
pressure release
Make sure nostrils are not blocked
Is the mask on too tight or lose?
the straps are not too tight. If straps become undone, tighten by standing in front of the child and
tighten both straps together.
Is the headgear on the right way round?
Do you have a good seal?
for leak around the eyes, nasal bridge and below mask, if there is still a large leak and the child is
using a nasal mask check for oral leak using hands. If oral leak is noted, assist to close jaw or use a
dummy, contact a NIV CNS for mask review if unable to fix.
Is the mask clean- wipe it down daily!
Aware of what to do in the event of a pressure sore
Contact the NIV team straight away for any red marking, introduce Barrier dressing like Siltape or
switch mask if Grade 1, remove or switch mask if Grade 2 or above.
Garry Rendle & Victoria Robinson NIV CNS 27/03/2020
The exhalation port must be kept clear at all time as this is where
Check position of the headgear straps using 2 finger-tension that
Once the mask has been fitted, start pressure and use hands to check