Work Equipment Stuff

Drager equipment?

• filter

• inspiratory/expiratory circuit with water trap

• flow sensor

• exhalation valve

• hme

• sterile water

• oxygen and air hoses

Drager indications?

• respiratory failure

• apnea

• impending ventilatory failure

• airway protection

• severe hypoxemia

• hypercapnia

• post op

Drager contraindications?

• untreated pneumo

• DNR/DNI

Causes of Drager high pressure?

• obstruction

• secretions

• kink

• bronchospasm

Causes of Drager low pressure?

• disconnect

• cuff/circuit leak

• insufficient flow

• extubation

What to do if Drager has o2 failure?

• check connections

• bag while troubleshooting

What to do if Drager has power loss?

manual ventilation

V60 required equipment?

• wall o2 hose

• single-limb NIV circuit

• exhalation port

• bacterial/viral filter

• mask

• gel

• humidification if needed

• aerogen if needed

V60 operational check

• connect AC power and o2

• confirm settings

V60 indications?

• acute hypercapnic failure

• copd

• cardiogenic pulmonary edema

• osa

• post op/extubation support

V60 contraindications?

• respiratory arrest

• inability to protect airway

• vomiting

• facial trauma

• DNR/DNI

• untreated pneumo

• volutrauma/barotrauma

• severe hemodynamic instability

V60 - normal ipap setting?

10-12

V60 - normal epap setting?

5

V60 - normal rise time?

2-3

V60 - when should ramp be used?

only as comfort not for acute respiratory failure

what’s ramp?

gradual increase in pressure from when you turn on the machine

what’s rise time?

how fast pt reaches ipap each breath

what to check if V60 has low pressure/vt?

• leak

• interface

• circuit

what to do if V60 has low o2?

check wall source

what to do if pt on V60 vomits?

• remove mask

• protect airway

• suction

V60 backup rate?

10-12

V60 i-time?

0.8-1.2 secs

731 required equipment?

• circuit

• hme

• filter

• 14 fr suction catheter

• low o2 backup bag

• oxygen hose

• charged battery

• o2 tank

731 pre-transport readiness?

• battery charge

• o2

• circuit connections

731 indications?

• transport ventilation

• acute respiratory failure

• airway protection

• severe hypoxemia

• hypercapnia

731 contraindications?

• inadequate oxygenation supply

• low battery

• unstable hemodynamics

731 causes of high pressure?

• secretions

• kink

• bronchospasm

731 causes of low pressure?

• disconnect

• cuff leak

• extubation

731 what to do if o2 cylinder is depleted during transport?

• use backup ventilation

vapotherm required equipment?

• disposable cartridge

• sterile water

• heated tubing

• hfnc cannula

• o2 and air connections

vapotherm indications?

• hypoxemic respiratory failure

• post-extubation support

vapotherm contraindications?

• respiratory arrest

• immediate need for intubation

vapotherm what to do if there’s no flow?

inspect:

• flow path

• disconnects

• gas sources

vapotherm what to do if there are cartridge issues?

verify cartridge installation and function

vapotherm what to do for gas-supply failure?

check o2 and air connections

what to do if pt on vapotherm has worsening respiratory distress despite maximum therapy?

immediately prepare for higher respiratory support

volara required equipment?

• pt circuit

• mouthpiece/mask

• gas source

• nebulizer kit if needed

volara indications?

lung expansion and secretion clearance

volara contraindications?

• untreated pneumo

• inability to tolerate therapy

possible causes of poor pressure on volara?

circuit and interface leaks

what to do if pt on volara is intolerant?

stop and assess

what to do if pt on volara is in acute respiratory distress?

stop therapy

hfcwo required equipment?

• vest generator

• inflatable vest

• hoses

• power cord

hfcwo indications?

• cf

• bronchiectasis

• impaired secretion clearance

• neu

hfcwo contraindications?

• unstable chest wall injury

• untreated pneumo

• active pulmonary hemorrhage

• recent thoracic surgery

what to do after hfcwo?

• coughing

• suctioning