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Draeger Babylog VN600 Using Manual

Deliver volume targeted ventilation by dr jonathan hurst and liverpool women's hospital

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USING THE DRAEGER
VN800/VN600 VENTILATOR TO
DELIVER VOLUME TARGETED
VENTILATION
Thank you to Dr Jonathan Hurst and Liverpool Women's
Hospital for producing the contents of this guide & giving
permission to share

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Summary of Contents for Draeger Babylog VN600

  • Page 1 USING THE DRAEGER VN800/VN600 VENTILATOR TO DELIVER VOLUME TARGETED VENTILATION Thank you to Dr Jonathan Hurst and Liverpool Women’s Hospital for producing the contents of this guide & giving permission to share...
  • Page 2 Setting up Volume Targeted Ventiliation (PC-AC VG) on the Dräger Babylog VN800 or VN600 The default setting on the ventilators is usually PC-AC VG (pressure controlled – assist controlled with volume guarantee), as per the screen above. When setting up the ventilator, at admission, it is vital that you ensure the following: 1.
  • Page 3 2.2 The PC-AC VG interface (on Dräger Babylog VN800) Baby’s Measured tidal volume PIP (in VG) – large number Mode highlighted current (Leak-compensated) in Pmean – smaller number & in invasive working ml/kg mode weight (in grams) Ensure leak is...
  • Page 4: Troubleshooting / Alarms

    Troubleshooting / alarms • Tidal volume low (amber) / Minute volume low (red) These two alarm messages can appear together, and in this case, the Pmax limit has also been reached (blue circle) in order to try and achieve the tidal volume delivery. The top bar of the ventilator will also illuminate so that this can be visible from a distance.
  • Page 5 • Respiratory rate high (red) / Disconection detected When ET tube leaks above 65% are detected by the ventilator, the delivery of volume guarantee breaths is suboptimal (7). The ventilator will try to compensate for this and the respiratory rate (and consequent minute volume) will increase to try to deliver the settings.
  • Page 6 • Changing from PC-AC VG to PC-SIMV mode When changing from PC-AC VG to PC-SIMV mode, there are several steps that need to be undertaken in order to turn the VG off (see below): 1. Touch the PC-SIMV box on the bottom of the ventilator screen (orange circle).
  • Page 7 3. Then click on the ‘off’ button (red circle) and click the rotary knob to confirm. This will then grey out the volume settings and allow you to set your Pinsp (peak inspiratory pressure) (yellow circle), and then confirm your setting by pressing the rotary knob again. NB.
  • Page 8 VN800 / VN600 Glossary of terms The VN800 settings and terminology that may be unfamiliar to the practitioner setting up the ventilator, especially on first setting. If this is the case, always check the settings with someone who has prior experience. Below is a table of terms, with explanations. Term item Description &...
  • Page 9 ΔPsupp (setting) This is the set pressure support, when used in PC-SIMV mode. It should be defaulted to 5cmH O. This value is the added pressure above PEEP that will be given to support any breaths the baby performs above the mandatory set rate in this mode.