Download VT Plus HF
Transcript
VT Plus HF Operators Manual Inspiratory Hose Ventilator Analyzer Inlet TEST LUNG Outlet Expiratory Hose fec002.eps Figure A-1. Circuit Connection for the Analyzer in Bi-directional Mode Note When using the Analyzer with a ventilator and a test lung, the bidirectional breath detect mode is preferred. Only use the inspiratory and expiratory breath detect modes if measurements cannot be made in the bi-directional mode. Additional breath detect modes were implemented for users that are accustomed to performing measurements with flow devices that can only measure flow in one direction. Base Flow In the inspiratory and expiratory limb of the breathing circuit, some ventilators may have a bias flow when no flow is going to or from the patient (test lung). This is implemented differently on different ventilators and is called by different names by the various ventilator manufactures. It may be called base flow, bias flow, flow-by, blow-by, or many other names. In the inspiratory- or expiratory-only breath detection modes, the Analyzer can measure the base flow present. The detection and calculation of base flow may take 30 to 60 seconds. In expiratory-only mode, detection of base flow requires a sufficient endexpiratory period and sufficient change in pressure. The use of lower-lung compliance settings improves performance in expiratory mode. During expiratory-only mode, the base flow is subtracted from the flow signal for obtaining the ventilator parameters, such as tidal volume and peak flow. During inspiratory-only mode, the base flow is not subtracted, because the base flow is typically turned of during the inspiratory phase on most ventilators. A-6