Philips BiPAP A30 Setup Manual

4
Humidification
Philips Healthcare is part of Philips Respironics International
Humidi cation
Royal Philips Electronics Headquarters
+33 1 47 28 30 82
How to reach us
Philips Respironics Asia Pacific
www.philips.com/healthcare
+65 6882 5282
healthcare@philips.com
Philips Respironics Australia
Asia
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+49 7031 463 2254
Philips Respironics China
Europe, Middle East, Africa
+86 400 828 6665
+49 7031 463 2254
+86 800 828 6665
Latin America
Philips Respironics Deutschland
+55 11 2125 0744
+49 8152 93 06 0
North America
Philips Respironics France
+1 425 487 7000
+33 2 51 89 36 00
800 285 5585 (toll free, US only)
Philips Respironics Italy
Philips Respironics
+39 039 203 1
1010 Murry Ridge Lane
Murrysville, PA 15668
Philips Respironics Switzerland
+41 6 27 45 17 50
Customer Service
+1 724 387 4000
Philps Respironics United Kingdom
+1 800 345 6443 (toll free)
+44 800 1300 845
www.philips.com/respironics
On the Standby screen, if a humidifier is connected, you can select
BiPAP A30 is registered trademark of Philips.
Undocking the
Please visit www.philips.com/respironics to find out more
humidifier
© 2011 Koninklijke Philips Electronics N.V. All rights are reserved.
(bottom
view)
Philips Healthcare reserves the right to make changes in specifications and/or to
discontinue any product at any time without notice or obligation and will not be
liable for any consequences resulting from the use of this publication.
Broudy NA 9/26/11 12NC 452296276561 MCI 4104424 PN 1093370
5
Connection to oximetry
With device turned o , remove and fill chamber with water.
With device turned off, remove and fill chamber Back of device
with water.
2
1. (a) Lift humidifier door until it locks in place. Do not force 1
1. (a) Lift humidifier door until it locks in place. Do door higher than the locked position. (b) Grasp front of
chamber and slide toward you.
not force door higher than the locked position.
(b) Grasp front of chamber and slide toward you.
2. (a) Gently push tab located inside round opening on top
of chamber. (b) Separate top and bottom of chamber.
2. (a) Gently push tab located inside round opening
on top of chamber. (b) Separate top and bottom
of chamber.
3. Fill bottom chamber with distilled water.
6
3. Fill bottom chamber with distilled water.
4. Observe maximum fill lines located on sides A
of chamber.
4. Observe maximum fill lines located on sides of chamber.
5. Do not overfill.
Reassemble the chamber by placing the hinges
on lid over the two tabs on back of chamber.
5. Do not overfill.
Close lid until it locks in place with an audible
Reassemble the chamber by p lacing the hinges on lid over the
B
two tabs on back of chamber. Close lid until it locks in place click. Insert filled chamber into humidifier.
with an audible click. Insert filled chamber into humidifier.
so humidifier preheats before therapy is delivered.
C
Release
D
latch
6
Guidelines for ventilation set-up
Nurse call connector
1 Initial IPAP = 8 to 10 cmH O, EPAP = 4 cmH
2
settings
3 2 Accessory slot
IPAP Increase IPAP if the patient wants more air, targeting patient tidal
(cover shown)
volume at 8 ml/Kg of ideal weight
3 SD card slot EPAP • without SAS: 4 – 5 cmH O
2
• with SAS: increase EPAP to remove obstructive apnea events
4 DC power inlet
4 • with intrinsic PEP (stable chronic COPD): 5 – 6 cmH
AC power inlet
5
BPM Set to 2 – 3 BPM under patient's spontaneous frequency
6 Filter area Rise Obstructive patients prefer short rise time:
5
time from 1 to 4 (100 ms to 400 ms)
Restrictive patients prefer long rise time: from 3 to 6
To plug the oximetry module:
(300 ms to 600 ms)
Remove the cover from the accessory
A
Ti Set Ti between 25% and 33% for obstructive patients
slot at the back of the BiPAP A30. Set Ti between 33% and 50% for restrictive patients
(refer to table opposite)
B Remove the cover from the oximetry
OHS COPD
accessory.
C Plug the oximetry accessory into the
Vt target 8 to 10 ml/kg of ideal body weight (refer to table opposite)
accessory slot.
IPAP Allow a wide range Allow a more
D Plug the oximetry sensor of your choice
window of pressure variation restrictive pressure
to the oximetry module.
(IPAPmin to ensure the right window to combine
and pressure at the right comfort and efficacy.
When the oximetry module is connected,
IPAPmax) time.
• IPAPmin =
the SpO and heart rate values are
• IPAPmin = EPAP comfortable IPAP
2
monitored on the main screen (see below).
• IPAPmax = • IPAPmax =
25 – 30 cmH O IPAPmin + 5
2
A
S/T AVAPS: 0.5 AVAPS AVAPS rate setting depends on patient needs and clinical condition:
cm
H O rate
2 0.5 cmH O/min to 3 cmH O/min so target tidal volume is reached smoothly
0 5 10 15 20 25 30 2 2
Pressure Vte Leak 3 cmH O/min to 5 cmH O/min so target tidal volume is reached
12.1 cm 0 2 2
ml 0.0 l/min
H O more rapidly
2
MinVent RR I:E Ratio
0.0 12 BPM 1:1.0 Check patient arterial blood gases (PaCO and PaO
l/min
2
SpO Heart Rate
2
85 79 Important: Guidelines are intended to serve only as a reference. They shall be
used only in conjunction with the instructions and/or protocol set forth by the
2
Humidifier Menu physician and institution in which the assist device is being used. The guidelines are
not intended to supersede established medical protocols.
Conversion table to set the inspiratory time for controlled breaths
O and RR = 10 to 12 BPM
2
Set back up breath rate I/E 1/3, I/E 1/2, I/E 1/1,
(BPM) Ti/Ttot 25% Ti/Ttot 33% Ti/Ttot 50%
10 1.5 s 2.0 s 3.0 s
11 1.4 s 1.8 s 2.7 s
12 1.3 s 1.7 s 2.5 s
O
13 1.2 s 1.5 s 2.3 s
2
14 1.1 s 1.4 s 2.1 s
15 1.0 s 1.3 s 2.0 s
16 0.9 s 1.3 s 1.8 s
17 0.9 s 1.2 s 1.7 s
18 0.8 s 1.1 s 1.6 s
19 0.8 s 1.1 s 1.5 s
20 0.8 s 1.0 s 1.5 s
21 0.7 s 1.0 s 1.4 s
22 0.7 s 0.9 s 1.3 s
Other restrictive
23 0.7 s 0.9 s 1.3 s
diseases (NMD, etc.)
24 0.6 s 0.8 s 1.2 s
25 0.6 s 0.8 s 1.2 s
Allow a more restrictive
Set the inspiratory time in seconds: Ti (Second) = 60/Respiratory rate x % Ti
pressure window to
combine comfort and
Conversion table to set the target tidal volume in relation to the ideal weight
safety.
• IPAPmin =
Height Calculated ideal Target Vte Target Vte
efficient IPAP
weight (if BMI = 23) if 8 ml/kg if 10 ml/kg
• IPAPmax =
1.50 m 52.0 kg 410 ml 520 ml
IPAPmin + 5
1.55 m 55.0 kg 440 ml 550 ml
1.60 m 59.0 kg 470 ml 590 ml
1.65 m 62.5 kg 500 ml 620 ml
1.70 m 66.5 kg 530 ml 660 ml
1.75 m 70.5 kg 560 ml 700 ml
) and oxygen saturation (SpO ) 1.80 m 74.5 kg 600 ml 740 ml
2 2
1.85 m 78.5 kg 630 ml 780 ml
1.90 m 83.0 kg 660 ml 830 ml
Calculated with an ideal Body Mass Index of 23 kg/m 2 (BMI = weight/height
BiPAP A30
Set-up guide
1 5
Getting started Connection to oximetry
2 6
Main screen Guidelines for ventilation set-up
3
Menus
4
Humidification
2 )