Related Manuals for Bunnell LifePulse
Summary of Contents for Bunnell LifePulse
- Page 1 ® LifePulse High Frequency Jet Ventilator Pocket Guide www.bunl.com 800-800-HFJV (4358) 24-Hour Support...
- Page 2 Recommendations include only general guidelines and may not apply to all situations. Each patient should be managed individually and may require more advanced adjustments.
-
Page 3: Pre-Use Testing
The LifePulse should pass two tests to ensure proper operation. Perform the System Test and the Operational Test using a test lung prior to starting the LifePulse on a patient. System Test: 1. Attach the LifePort Adapter to ET tube to a test lung while the conventional port is open to air 2. - Page 4 HFJV I-time Recently clinicians have shared changing HFJV I-time can be advantageous, depending on a patient’s pathophysiology and the pathogenesis of the disease or disorder. Rationale: • Some patients have longer inspiratory time constants, therefore they may benefit from a small increase in tidal volume delivered over a slightly longer period of time.
- Page 5 SETTING WHEN TO RAISE WHEN TO LOWER HFJV PIP To ↓CO To ↑CO Establish ∆P • Evidence of To ↓CO only with hyperinfla�on to extend HFJV Rate low compliance expiratory �me • To ↑CO when weaning HFJV To ↑CO To ↓CO I-�me when weaning When jet PIP ineffec�ve...
- Page 6 HYPOcarbia: PaCO too low? To Raise PaCO try the following in order: Decrease HFJV PIP • Decrease HFJV Rate • Decrease HFJV I-time • Increase CV PEEP • Go to Hypercarbia PaCO too high? flowchart Maintain current settings for ventilation and assess oxygenation...
- Page 7 HYPERcarbia: PaCO too high? To Lower PaCO try the following in order: Increase HFJV PIP • Increase HFJV I-time • Increase HFJV Rate* • Decrease CV PEEP** • Go to Hypocarbia PaCO too low? flowchart Maintain current settings for ventilation and assess oxygenation *Increasing HFJV Rate increases minute ventilation.
- Page 8 Hypoxemia with Underinflation or Atelectasis? To Raise PaO try the following in order: Increase CV PEEP • Increase CV Rate (3-5 bpm) • Increase CV PIP • Increase CV I-time • Increase FiO • Underinflation or PaCO too high? atelectasis still present? Decrease FiO Maintain current until <0.40 then...
- Page 9 Hypoxemia with overinflation or P.I.E/Air leak To decrease gas trapping and raise PaO try the following in order: Decrease/eliminate CV Rate • Decrease HFJV Rate • Optimize CV PEEP • Increase FiO • Decrease HFJV PIP • Decrease FiO too high? until <0.40 then decrease PEEP Maintain current...
- Page 10 Finding Optimal PEEP Switch CV to CPAP mode Maintain MAP Does SaO drop? and work on (Wait 1-5 min) lowering FiO Switch back to IMV Visit www.bunl.com or see the Quick Reference Guide for a more detailed version and considerations ↑PEEP by 1-2 Wait for SaO return to baseline...
- Page 11 SERVO Servo is the driving pressure automatically regulated to maintain Jet PIP. Servo changes as lung volume and mechanics change. Once stable blood gases are achieved and baseline value is determined servo pressure should be trended and maintained. Increased Servo •...
- Page 12 Notes...
- Page 13 Notes...
- Page 14 Scan here to download to a mobile device. Scan to request additional copies of the pocket guide.
- Page 15 Bunnell sets the standard for Gentle Ven�la�on through the support of dedicated healthcare professionals and the use of LifePulse High Frequency Jet Ven�lator. Customers are supported 24/7/365 through the Bunnell hotline offering clinical and technical support along with providing emergent rental and delivery of our life-saving products.
- Page 16 ® LifePulse High Frequency Jet Ventilator Pocket Guide www.bunl.com 800-800-HFJV (4358) For 24-Hour Support 03833-00.2...
Need help?
Do you have a question about the LifePulse and is the answer not in the manual?
Questions and answers