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Dräger V500 Manual
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Dräger V500 Manual

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Dräger V500 Ventilator
Overview of Modes and Features for NICU
Nurses

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Summary of Contents for Dräger V500

  • Page 1 Dräger V500 Ventilator Overview of Modes and Features for NICU Nurses...
  • Page 2 Objectives Discuss the modes of the Dräger V500 that will be • used in the NICU Display screen shots of each mode • Display screen shots of different alarms • Identify differences between the Dräger and the • Avea Identify differences between pressure ventilation •...
  • Page 3 Dräger V500 Touch Screen Monitor Alarm Silence Analyzer and Measured Ve Control Knob Inspiratory Limb Expiratory Limb 3 | © 2015...
  • Page 4 Dräger V500 Flow Sensor Analyzer and Measured Ve 4 | © 2015...

  • Page 5: Screen Overview

    Screen Overview Mode Patient Size Alarms Silence Indicator Waveforms Manual Breath Loops Settings Adjust Measurements 5 | © 2015...
  • Page 6 Pressure Control-Assist Control Settings Measurements Pinsp (PIP) Inhaled Tidal Volume • • PEEP Exhaled Tidal Volume • • Rate mL/kg Tidal Volume • • Inspiratory Time Minute Ventilation • • Trigger Pmean • • − % Leak Baby can trigger the •...
  • Page 7 Pressure Control-Assist Control 7 | © 2015...
  • Page 8 Pressure Control-SIMV Settings Measurements Pinsp(PIP) Inhaled Tidal Volume • • PEEP Exhaled Tidal Volume • • Rate mL/kg Tidal Volume • • Inspiratory Time Minute Ventilation • • Trigger Pmean • • Pressure Support % Leak • • − C20/C When patient triggers a •...
  • Page 9 Pressure Control-SIMV 9 | © 2015...
  • Page 10 Pressure Control-SIMV Brown colored waveform indicates a spontaneous 10 | © 2015 breath...
  • Page 11 Volume Guarantee-Assist Control Settings Measurements Tidal Volume • • PEEP Inhaled Tidal Volume • • Rate Exhaled Tidal Volume • • Inspiratory Time mL/kg Tidal Volume • • Trigger Minute Ventilation • • Pmax Pmean • • − % Leak Maximum pressure the •...
  • Page 12 Volume Guarantee-Assist Control 12 | © 2015...
  • Page 13 Volume Guarantee-SIMV Settings Measurements Tidal Volume • • PEEP Inhaled Tidal Volume • • Rate • Exhaled Tidal Volume • Inspiratory Time • mL/kg Tidal Volume • Trigger • Minute Ventilation • Pmax • Pmean • − Maximum pressure the ventilator % Leak will use to deliver the set volume •...
  • Page 14 Volume Guarantee-SIMV 14 | © 2015...
  • Page 15 Nasal CPAP Settings Interfaces PEEP (CPAP Level) Flexi-Trunk • • RAM Cannula • • PmanInsp • − Pressure delivered when manual breath is pressed TmanInsp • − Inspiratory time to deliver manual breath 15 | © 2015...
  • Page 16 Nasal CPAP 16 | © 2015...
  • Page 17 Nasal IMV Settings Interfaces Pinsp (PIP) Flexi-Trunk • • PEEP RAM Cannula • • Rate • Inspiratory Time • • *This is a NON-SYNCHRONIZED mode. (Baby Cannot trigger a breath) 17 | © 2015...
  • Page 18 Nasal IMV 18 | © 2015...
  • Page 19 HFJV Screen Shot 19 | © 2015...
  • Page 20 High Tidal Volume Medium Priority Alarm 20 | © 2015...
  • Page 21 Circuit Disconnect High Priority Alarm 21 | © 2015...
  • Page 22 Pressure Limit Alarm while in Volume Guarantee 22 | © 2015...
  • Page 23 Airway Obstruction Alarm 23 | © 2015...
  • Page 24 Differences in Increase O Suction Increase O Function • − Avea: FiO increases by 10% Increase FiO Button  − Dräger: FiO increases by 1.3 times the set FiO Example 1: Set FiO is 25%. O Suction is activated, FiO ...
  • Page 25 Differences in Set PIP Avea: • − Total PIP = Insp pressure + PEEP Dräger: • − Total PIP = Pinsp 25 | © 2015...
  • Page 26 Differences in Manual Breath Function Avea: • − Manual breath function delivers set pressure/volume and I time Dräger: • − Man Insp/hold function Pressing and releasing will deliver set pressure and set I  time. Pressing and holding will deliver sustained inflation ...
  • Page 27 Differences in Manual Breath Function Avea: • − Manual breath function delivers set pressure/volume and I time Dräger: • − Man Insp/hold function In PC will deliver set pressure and set I time.  Function can deliver prolonged I time if desired In VG will deliver breath at the set Pmax level ...
  • Page 28 What is Pressure Ventilation? Pressure ventilation or PC is a mode in which the ventilator will • deliver a set pressure − Tidal volume will vary depending on the patient’s compliance and resistance Tidal volume will increase: • − Improved lung compliance −...
  • Page 29 What is Volume Guarantee? Volume ventilation is a mode in which the ventilator will deliver a set volume • − Peak inspiratory pressures will vary depending on patient’s compliance and resistance − Peak inspiratory pressures can be limited for safety Peak inspiratory pressure will increase: •...
  • Page 30 Compliance Increased Decreased Causes Causes • • − − Surfactant administration Surfactant deficiency − − Decreased inflammation Inflammation − − Increased lung maturity Structural immaturity − Pressure Control Infection • − Pressure Control Increased Tidal Volume • − Volume Guarantee Decreased Tidal Volume •...
  • Page 31 Resistance Increased Decreased Causes Causes • • − − Bronchospasm Bronchodilator administration − − Secretions Suctioning − − Kinked ETT Air leak Pressure Control Pressure Control • • − − Decreased Tidal Volume Increased Tidal Volume Volume Guarantee Volume Guarantee •...
  • Page 32 Why is Volume Ventilation Preferred? In Pressure Control ventilation, the patient’s tidal volumes • change depending on compliance and resistance. − Because of this, the patient does not receive a consistent minute ventilation Ve = Vt x Respiratory Rate  −...
  • Page 33 Why is consistent minute ventilation important? Alveolar minute ventilation affects carbon dioxide • removal and PaCO2. − PaCO2=CO2 Production/Alveolar minute ventilation Consistent minute ventilation can aid in keeping a • normal acid/base balance. Severe hypocarbia or severe hypercarbia can • cause rapid changes in cerebral blood flow Rapid changes in cerebral blood flow can cause: •...
  • Page 34 Questions? Please contact Ryan Sura or Alicia Rummel with any • questions or concerns that you may have. Ryan.sura@childrensmn.org • Alicia.rummel@childrensmn.org • 34 | © 2015...