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Weinmann MEDUVENT Standard Step-By-Step Instructions
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Weinmann MEDUVENT Standard Step-By-Step Instructions

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MEDUVENT Standard
Step-by-step instructions
• Function check
• Ventilation start-up based on height
• Resuscitation with manual mode
• Anesthesia induction (RSI)
• NIV therapy
Attention:
This document does
not replace the
instructions for use.
Full information can be
found in the instructions
for use.

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Summary of Contents for Weinmann MEDUVENT Standard

  • Page 1 MEDUVENT Standard Step-by-step instructions • Function check • Ventilation start-up based on height • Resuscitation with manual mode • Anesthesia induction (RSI) • NIV therapy Attention: This document does not replace the instructions for use. Full information can be found in the instructions...

  • Page 2: Function Check

    Function Check Hazardous therapy if device connected to patient during function check! If the device is connected to the patient during the function check, this might lead to therapy posing a risk as a result of excessively high pressures or unsuitable ventilation volumes.
  • Page 3 You can perform the function check with the following test lungs: • Testing bag WM 1453 • Testing bag WM 1454 • EasyLung for WEINMANN Emergency WM 28625 Requirement • The device is disconnected from the patient. • The rechargeable battery is fully charged.
  • Page 4 1. Select the “Function check” menu item. Follow the on-screen instructions. 2. Prepare the device: • Connect the breathing circuit to the device. • Connect the test lung to the breathing circuit. • Connect MEDUtrigger. 3. Select “Start”. 4. If you want to test the oxygen supply: Select “Yes”.
  • Page 5 oxygen supply rate (5-15 l/min). 6. Select “Start”. 7. Stop the oxygen supply and close the oxygen cylinder. This test item can be skipped if no oxygen source is available. 8. Select “Next”. 9. If an alarm tone sounds: Select “Yes”.
  • Page 6 10. If the alarm LED flashes red: Select “Yes”. 11. Press all the controls except the On/ Off button one after another. 12. If the MEDUtrigger is not displayed function check: Activate MEDUtrigger in the Operator menu and repeat the function check. 13. Proceed with the hygiene filter in accordance with the following table: Color Action Green...
  • Page 7 15. Enter the filter reset code specified in the Operator menu. On delivery, the filter reset code is “0000”. Select “OK”. 16. The status report appears (example: Function check passed). Proceed with the device in accordance with the following table: Display Meaning Action Device ready for use Function check Use device without restriction. passed.
  • Page 8 From now on, you no longer need to spend time considering which tidal volume and which respiratory rate (Vt) is best suited to your patient. With MEDUVENT Standard, you can now start ventilation even more accurately and quickly. When you enter the patient’s height and gender, your ventilator automatically calculates all the ventilation...
  • Page 9 1. Switch on ventilator. 2. Select “New patient”. 3. Enter patient’s gender and height and 4. Confirm with “Next”. select ventilation mode. 5. The device shows a preview of the 6. The device shows current ventilation ventilation parameters calculated. If parameters. necessary: Adjust ventilation parame- ters.
  • Page 10 Using presets and working within guidelines In the Start menu, you can set the patient's height under the “New patient” menu item. This section explains how the ventilator automatically calculates the ideal tidal volume using height and gender. Ideal body weight (IBW) is calculated from stated height (X) as shown below: •...

  • Page 12: Manual Mode

    Resuscitation with Manual Mode 1. Switch on ventilator. 2. Select patient group and switch to “Manual” mode. Alternatively, select “New patient”, set the patient’s gender and height and select “Manual” mode. Note: It is possible to switch to “Man- ual” ventilation mode from any ventila- tion mode at any time.
  • Page 13 4. Once the airway has been secured, switch to IPPV ventilation via the menu button and “Ventilation mode”. 5. Ventilate continuously in “IPPV” mode. The device shows the parameters for IPPV ventilation. Info: If the set pMax is reached during CPR, MEDUVENT Standard restricts inspiratory pressure.
  • Page 14 Advanced Life Support ADVANCED LIFE SUPPORT Unresponsive with absent or abnormal breathing Call EMS/Resuscitation team CPR 30:2 Rettungsdienst- oder Attach defibrillator/monitor Reanimationsteam rufen Assess rhythm Shockable Non-shockable (VF/PULSELESS VT) (PEA/ASYSTOLE) 1 shock Immediately resume chest Return of spontaneous Immediately resume chest compressions for 2 minutes circulation (ROSC) compressions for 2 minutes...
  • Page 16 Anesthesia Induction (RSI) with Manual Mode 1. Switch on ventilator. 2. Set the patient’s gender and height and select “CPAP” or “CPAP+PS” ventilation mode for pre-oxygenation. Confirm with “Next”. 3. Select a low PEEP for pre-oxygenation of a spontaneously-breathing patient. If possible, use of pressure support (PS) should be considered.
  • Page 17 5. Following successful pre-oxygen- ation, switch to “Manual” mode. 6. Auscultate tube position by getting MEDUtrigger trigger manual mechanical breaths. In an emergency, perform mask ventilation using MEDUtrigger. 7. Once the airway has been secured successfully, perform continuous man- datory ventilation, switching to “IPPV” mode to do so.
  • Page 18 Excerpt from the S1 guideline ”Prehospital Emergency Anaesthesia in Adults” of the DGAI (German Society for Anesthesiology & Intensive Care Medicine) 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 •...
  • Page 19 Please note that these are excerpts from the S1 Guideline "Prehospital Emergency Anesthesia in adults". The complete guideline is available on the website of the Scientific Medical Society's Working Group (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaft e.V.) at: awmf.org. Source: Anästh Intensivmed 2015;56:317-335 Aktiv Druck & Verlag GmbH (Translation by WEINMANN Emergency) Please note that different standard operating procedures or guidelines may apply in your region.
  • Page 20 NIV therapy 1. Switch on ventilator. 2. Select “New patient”. Alternatively, select the corresponding Emergency mode: Adult, Child, Infant. 3. Set patient’s gender and height.
  • Page 21 4. Select “CPAP” or “CPAP+PS” ventilation mode and confirm with “Next”. 5. Set desired PEEP and, if available, PS and select “Start”. 6. The parameters can be adapted during ventilation with the aid of the navigation knob. If necessary: Switch ventilation mode via the Menu button.
  • Page 22 Modified in accordance with the AGNN’s 2019 treatment recommendations for emergency medicine (AGNN = Arbeitsgemeinschaft in Norddeutschland tätiger Notärzte e.V. - Working group of emergency physicians working in North Germany), translated by WEINMANN Emergency Logistical requirements Oxygen supply: At least one 2-l cylinder, full........... Check Emergency team familiar with NIV ..............
  • Page 23 Pulmonary edema Primary device settings Mode .......................CPAP PEEP (depending on patient comfort and oxygenation situation): ..5 - 10 (12) mbar ..........Initially 100 %, then reduce to suit requirements Criteria for objective and success Increase in SpO ..................... Check Reduction in dyspnea ..................Check Reduction in respiratory rate and heart rate ...........
  • Page 24 Exacerbated COPD Primary device settings Ventilation mode: ..................CPAP+PS PEEP: ....................... 3/6 mbar ΔpPS (to suit comfort and oxygenation): ..increase slowly, peak pressure max. 25 mbar Trigger on inspiration: ..............as low as possible : ....................as required Criteria for objective and success Target SpO: > 85 % ..................Check Reduction in dyspnea ...................
  • Page 28 T: +34 91 79 01 137 • info-spain@weinmann-emt.es We Simplify Saving Lives WEINMANN-Emergency.com Follow us on: 67796 2021-09 EN © Copyright. Reproduction of any kind only with the express consent of WEINMANN Emergency. Subject to printing errors as well as to technical and design amendments.