GETInGE 8855 Non Invasive Ventilation and High Flow Therapy User Guide

8855 Non Invasive Ventilation and High Flow

Non invasive
ventilation & High Flow therapy
– Servo-air short guide

Patient circuit set up
Non invasive ventilation when using active humidifier.

Ventilation modes and settings

Ventilation mode| Breath types| Trigger sensitivity| Inspiratory Pressure| Inspiratory Time| End inspiration| Backup ventilation
---|---|---|---|---|---|---
NIV PS (Pressure
Support)| Support/Control
(Backup PC)| Automatic (Flow/Volume
or Pressure)| PS above PEEP/ Backup PC
above PEEP| Set for PC Backup
(in sec or I:E ratio)| Set % of peak inspiratory flow,
or pressure cycled| Backup PC based on set
Apnea time
NIV PS (CPAP)*| Spontaneous/ Control
(Backup PC)| Automatic (Flow/Volume
or Pressure)| PS above PEEP set to zero/
Backup PC above PEEP| Set for PC Backup
(in sec or I:E ratio)| Set % of peak inspiratory flow, or pressure cycled| Backup PC based on set
Apnea time
NIV PC (Pressure
Control)| Assist/ Control| Automatic
(Flow/Volumeor Pressure)| PC above PEEP| Set for PC Assist/ Control (in sec or I:E ratio)| Time cycled| N/A
High Flow therapy| Spontaneous| N/A| N/A| N/A| N/A| N/A

• CPAP – Set PS above PEEP level to zero (0).

Disconnection flow and configuration options

Standby/Biomed/Configuration/Start up configuration it is possible to choose different NIV disconnection functionalities when the leakage exceeds 95%.

ventilation will be paused and a constant flow of 40 l/min in Adult category and in pediatric category 15 l/min, will be delivered.| The ventilation will be paused and a constant flow of 7.5 l/min will
be delivered.
Alarms: Yellow – Medium priority “Leakage too high” alarm| Alarms: Red – High priority “Leakage too high” alarm
A dialogue appears. ”Leakage detected”| Alarms: Red – High priority “Leakage too high” alarm
A dialogue appears ”Leakage detected”

Nebulization

Nebulization may be used during Non invasive ventilation and High Flow therapy. The Aerogen nebulizer can be placed at the Y piece or between the inspiratory tube and the dry side of the humidifier. NIV PS

• The PS breath is initiated by the patient. The patient controls the respiratory rate and partially the tidal volume.

• Delivers ventilator support using the preset pressure level and with a decelerating flow.

• The Trigger sensitivity is automatically set and leakage compensated. Trigger criteria are based on flow/volume or pressure.
  

• The Inspiratory Rise Time setting determines the time for the inspiratory pressure to reach the set value.

• The termination of breath delivery is determined by the End Inspiratory setting. It represents the percentage of peak inspiratory flow. The higher the End Inspiratory setting the shorter the inspiratory phase.

NIV PC

• Delivers a constant pressure over a preset inspiratory time and at a preset respiratory rate.

• Delivers the inspiratory pressure with a decelerating flow pattern.
  

• Changes in lung or thorax resistance or compliance will affect the volume delivered.

• The patient can also trigger a Pressure Controlled breath (i.e. assisted breath). Trigger criteria are based on flow/volume or pressure.

Settings

Trigger
In NIV the trigger sensitivity is automatically adjusted, by flow/volume or pressure. You can see how the breath is triggered by the white indication in the waveforms. Inspiratory rise time
The Inspiratory rise time (Tinsp.rise) is the time to reach the set pressure target (PS above PEEP). The Tinsp.rise time may be increased to enhance patient comfort.![GETInGE 8855 Non Invasive Ventilation and High Flow Therapy

• Inspiratory rise time](https://manuals.plus/wp- content/uploads/2023/10/GETInGE-8855-Non-Invasive-Ventilation-and-High-Flow- Therapy-Inspiratory-rise-time.jpg) End inspiration
  Duration of inspiration can be adjusted using the End inspiration setting.
  End inspiration is set to assure patient ventilator synchronization and comfort.

End inspiration can be set 10 – 70%

• if set too low, inspiration will be longer, which may cause pulmonary hyperinflation and increased work of breathing.
• if set too high, inspiration will be shorter, which may mean that the patient receives insufficient tidal volume.

Setting up NIV

• Plug in the power cord, connect the oxygen hose and switch ON the ventilator.
• Start the PRE-USE CHECK. Follow on-screen instructions (you need the test tube during the pre-use check). The patient circuit test is included in the pre-use check.
• Choose PATIENT CATEGORY: Adult or Pediatric.
• Choose VENTILATION TYPE: Non invasive.
• Tap VENTILATION MODES
• Choose ventilation mode and adjust the settings. Start with low PEEP and PS/PC above PEEP.
• Set the desired alarm limits in the alarm window. Certain alarms can be permanently silenced.
• Tap START VENTILATION, a waiting position dialog is displayed. In this position, ventilation will start if the ventilator system detects patient activity.
• If using a mask, hold the mask with one hand to minimize leakage for the first NIV breaths.
• This will allow early accurate monitoring and assessment of tidal volumes.
• Secure the interface appropriately, e.g. with head straps.
• Increase the support in steps of 1 cmH2O. Titrate the End inspiration and Inspiratory rise time to achieve good patient synchrony and comfort.

Stop NIV and go to standby

• Remove the patient interface from the patient.
• Tap the standby symbol up in the left corner on the screen.
• Tap and hold to go to Standby.

High Flow therapy

Delivers a set flow of heated and humidified gas with a set concentration of oxygen to the patient.
The patient must be breathing spontaneously.
Flow settings ranges:
Adult: 5-60 l/min Pediatric: 2-30 l/min

Alarms
No alarms to be set in High Flow. Two alarms are available in High Flow. Flow through expiratory tube
If the patient circuit is connected to the expiratory inlet the alarm “Flow through expiratory tube” will be activated. Inspiratory pressure high
If an occlusion occurs, the “Inspiratory pressure high” alarm will be activated.
Patient circuit set up High Flow therapy

1. Connect the patient circuit to the inspiratory outlet and the humidifier.
2. Connect the high-flow nasal cannula to the patient circuit.

Refer to User´s manual for more detailed information.

This document is intended to provide information to an international audience outside of the US. Servo-air may be
pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.
Manufacturer · Maquet Critical Care AB · Röntgenvägen 2 SE-171 54 Solna · Sweden · +46 (0)10 335 73 00
www.getinge.com
Servo-air © Maquet Critical Care AB 2023 · Servo-air is a trademark of MAQUET Critical Care AB · MX-8855 Rev02

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