GE CARESCAPE R860 Quick Reference Manual
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GE CARESCAPE R860 Quick Reference Manual

GE CARESCAPE R860 Quick Reference Manual

Lung protective tools
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CARESCAPE R860
Lung Protective Tools
Quick Reference Guide
gehealthcare.com
Menu
Adult
No Alarms
Insp
Hold
Airway
Pressure
FiO2
PEEPe
Peak Pressure
30
5
25
%
cmH2O
cmH2O
40
10
40
60
22
3
10
40
Tidal Volume
Minute Volume
Respiratory Rate
7.0
500
14
20
ml
l/min
/min
12.0
600
20
0
4.0
400
5
-5
VTexp
500
ml
Tube compensation on
FiO2
Rate
Tinsp
PEEP
Pmax
Pinsp
30
25
14
0.90
5
40
Current Mode
Standby
A/C PC
%
/min
cmH2O
cmH2O
cmH2O
s
Gas
Exhaust
EXP
INSP
EXP
Exp
Manual
Hold
Breath
cmH2O
Pmax
Ppeak
PEEP
FiO2
30
%
15:36

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Summary of Contents for GE CARESCAPE R860

  • Page 1 CARESCAPE R860 Lung Protective Tools Quick Reference Guide Menu Adult No Alarms Insp Manual Hold Hold Breath Airway Pressure FiO2 PEEPe Peak Pressure cmH2O cmH2O cmH2O Pmax Ppeak Tidal Volume Minute Volume Respiratory Rate l/min /min 12.0 PEEP VTexp FiO2...
  • Page 2 Notice The materials contained in this document are intended for educational purposes only. This document does not establish specifications, operating procedures or maintenance methods for any of the products referenced. Always refer to the official written materials (labeling) provided with the product for specifications, operating procedures and maintenance requirements.

  • Page 3: Table Of Contents

    Steady State ................... .8 Using CARESCAPE R860 Clinical Decision Support Tool to Find Steady State for FRC Measurements ..9 Performing an FRC INview Procedure.

  • Page 4: Lung Protective Tools

    PEEP and lower pressures are intended to decrease lung injury and mortality risk . The CARESCAPE R860 offers an individualized approach to lung protective strategies with the use of FRC INview, PEEP IN view, Lung INview and SpiroDynamics.

  • Page 5: Equipment Set-Up

    Equipment Set-up Attach the Module Bay and Module CARESCAPE 860 INSP 1. Connect one end of the cable to the airway module 4. Connect the end of the cable to the airway module bay connection on the back of the ventilator, and bay connection, and tighten the screws.

  • Page 6: Insert The Water Trap

    Pmax Ppeak Tidal Volume Minute Volume Respiratory Rate l/min /min PEEP 12.0 VTexp FiO2 Tube compensation on 15:36 FiO2 Pinsp Rate Tinsp PEEP Pmax 0.90 Current Mode Standby A/C PC cmH2O /min cmH2O cmH2O CARESCAPE R860 Exhaust INSP Assembled View...
  • Page 7 0.90 Current Mode Standby A/C PC cmH2O /min cmH2O cmH2O CARESCAPE R860 Position of HME 4. If an HME (Heat and Moist Exchanger) is used, ensure that it is placed between the D-lite sensor and the patient ETT. Exhaust INSP...

  • Page 8: Steady State

    Steady State Prior to taking an FRC measurement the patient should be in a steady state with a constant level of delivered oxygen to ensure accuracy. The patient’s gas exchange must be stable for at least 10 minutes. To ensure accuracy: 1.

  • Page 9: Using Carescape R860 Clinical Decision Support Tool To Find Steady State For Frc Measurements

    Using CARESCAPE R860 Clinical Decision Support Tool to Find Steady State for FRC Measurements Note: To enter the Future/Clinical Decision Support Workspace, select the icon (as shown). If the icon is not available, then you are already in the Future/Decision Support Workspace.

  • Page 10: Performing An Frc Inview Procedure

    Performing an FRC INview Procedure 1. Scroll to the Clinical Decision Support Workspace. 2. Select FRC. 3. Select FRC INview tab. 4. Select FRC O and set the FRC O value. Note: FRC O is adjustable to within plus or minus 10% of set FiO value.

  • Page 11: Performing A Peep Inview Procedure

    Performing a PEEP INview Procedure 1. Scroll to Clinical Decision Support Workspace. After start is selected: 2. Select FRC. • The PEEP setting changes to the start PEEP setting 3. Select PEEP INview. • The FiO changes to the set FRC O , then returns to the set FiO to calculate FRC at the start PEEP.

  • Page 12: Set-Up For Spirodynamics

    The use of Lung INview and SpiroDynamics gives the clinician an enhanced view of the patient’s lung function with the addition of the intratracheal catheter. SpiroDynamics is a CARESCAPE R860 clinical decision support tool which draws a dynamic P/V curve, breath-by- breath, regardless of the volume- or pressure-controlled modes of ventilation. The catheter provides an accurate measurement of pressure delivery to the lungs by removing the resistance of the endotracheal tube from the spirometry loop.

  • Page 13: Spirodynamics Settings Menu

    SpiroDynamics Settings Menu 1. Scroll to Clinical Decision Support Tools. 2. Select the Spirometry view. 3. Select the SpiroDynamics tab. 4. Select the SpiroDynamics loop Field. 5. Select the settings icon in the upper right hand corner to access the settings menu. 6.

  • Page 14: Viewing Spirodynamics Data

    Viewing SpiroDynamics Data 1. Scroll to Clinical Decision Support Workspace. 2. Select Spirometry view. 3. Select the SpiroDynamics tab. Note: The current SpiroDynamics and Spirometry data is shown based on the SpiroDynamics settings. See SpiroDynamics settings menu for more information. 4.

  • Page 15: Performing A Lung Inview Procedure

    Performing a Lung INview Procedure 1. Attach the intratracheal pressure sensor to the 7. Scroll to Clinical Decision Support Workspace. auxiliary pressure port on the ventilator. 8. Select FRC. 2. Access Menu. 9. Select PEEP INview tab. 3. Select System. 10.

  • Page 16: Conclusion

    Individualized settings can help prevent Ventilator-Induced Lung Injury and shorten time in the ICU for your patients. CARESCAPE R860 provides the ability to assess the volume and pressure in the patient’s lungs so that clinician’s can tailor the vent settings accordingly.
  • Page 18 GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our broad expertise in medical imaging and information technologies, medical diagnostics, patient monitoring systems, drug discovery, biopharmaceutical manufacturing technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost.

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