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Summary of Contents for Bunnell LifePulse 204
- Page 2 Bunnell Incorporated www.bunl.com 800-800-4358 (HFJV) info@bunl.com 436 Lawndale Drive Salt Lake City, Utah 84115 intl 801-467-0800 f 801-467-0867 Bunnell LifePulse HFV Quick Reference Guide # 03202-00.1 © 2017 Bunnell Incorporated...
- Page 3 00.0 PEEP cm H2O VENT INOP UPPER LOWER LIMIT LIMIT cm H2O CONTROLS ENTER .020 RATE I-TIME SECONDS I:E RATIO cm H2O HUMIDIFIER ALARMS CHECK CIRCUIT HIGH TEMP PAUSE WATER TEMP LEVEL bunnell LifePulse INSPIRED INFANT CARE HIGH FREQUENCY VENTILATOR...
- Page 4 88.8 PAUSE WATER TEMPERATURE Life Pulse 5. Press PUSH TO LOAD on top of the Patient Box and bunnell HIGH FREQUENCY VENTILATOR INSPIRED INFANT CARE gently stretch the pinch tube into the jaws of the pinch PURGE GAS OUT valve.
- Page 5 Testing and Preparation Perform System Test: Attach a LifePort adapter and ET tube to a test lung. Press SYSTEM TEST and verify the LifePulse runs through the test sequence and returns to Standby mode with an audible and visual alarm active. Press AUDIO PAUSED to cancel the high priority “passed test”...
- Page 6 All infants treated with the LifePulse should be connected to a conventional ventilator and appropriate physiologic monitors. They must be intubated with a standard ET tube with a Bunnell WARNING: Do not leave the patient’s bedside while the LifePort adapter attached.
- Page 7 Patient Management During HFJV GENERAL RULES • HFJV ΔP (PIP - PEEP) is the primary determinant of PaCO . HFJV I-time and Rate are secondary. • Resting lung volume (FRC supported by set PEEP) and mean airway pressure (MAP) are crucial determinants of PaO •...
- Page 8 Ventilation Control Flow Chart Hypercarbia Hypocarbia PaCO PaCO PaCO High? Low? To raise P aCO try the To lower PaCO try the following in order : following in order : 1. decrease HFJV PIP 1. increase HFJV PIP 2. decrease HFJV Rate 2.
- Page 9 Oxygenation Flow Chart Hypoxemia Underinflation Overinflation or Atelectasis? too Low or P.I.E./Air leak? To decrease gas trapping & raise To raise MAP & P aO try the P aO try the following in order : following in order : 1. decrease CV Rate 1.
- Page 10 Optimizing MAP During HFJV MAP may be too low if FiO > 0.5 or SpO < 85% Underinflation or PIE/AIrleak or In rare situations in which PEEP Atelectasis? normal inflation? may be excessive: Make sure to provide 3-5 Uniform overinflation or Increase MAP by raising CMV breaths compromised BP despite lower...
- Page 11 The Importance of Servo • Servo = driving pressure that automatically regulates flow. • Servo changes with each change in HFJV or CV settings. • Servo changes as lung volume or mechanics change. Servo Increases with: Servo Decreases with: • Improving compliance or resistance •...
- Page 12 Weaning Patient from LifePulse 1. Lower HFJV PIP Slowly • Avoid lowering PEEP/MAP until FiO is < 0.40. • Maintain HFJV Rate. • Reduce the HFJV PIP (1-2 cm H O) as needed per PCO 2. Lower HFJV and CV PIP to Teens •...
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