Respironics BiPAP-Vision

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Respironics BiPAP-Vision
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Classification

• Electrically powered internal battery powers
  Vent Inoperative audible alarms if AC power
  lost. Error code 205 if internal low battery
  condition.
• 2 modes
• CPAP
• S/T
• Set Rate
• IT in seconds
• IPAP
• EPAP

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Circuit

• BiPAP circuit (with exhalation port or Whisper
  Swivel)
• Humidifier or HME
• With heated humidifier need circuit with water
  traps. Cannot cut into regular BiPAP circuit to
  add traps.

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Start Up

• Plug into AC mains Connect to 50 psi gas
  source
• Connect
• BiPAP circuit
• - dont cap
• Power switch
• RU corner
• on back
• panel
• ON

Dispos-able inlet filter
O2 module
Fuses
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(No Transcript)
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Power-on-self-test (POST) initiates
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After POST, Start Test Exhalation Port
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Follow steps on screen, block circuit, Start
Test.
Exhalation (castle) port
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Exhalation port test in progress
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Exhalation Port Test

• Analyzes leak rate of exhalation port
• If successful the value of Pt. Leak will be
  displayed
• If unsuccessful Tot. Leak will be displayed
• EPT must be performed when using the Plateau
  Exhalation Valve because the leak is
  significantly different than the port or swivel.

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Test Complete, press Monitoring to exit.
Monitoring
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Trigger Criteria in S/T

• Time Trigger (Rate)
• Flow Trigger
• 6 ml inspired volume detected
• Patient flow exceeds the shape signal (a shadow
  of the flow signal delayed by 300 ms)

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In S/T mode

• Only patient (flow) triggered breaths are flow
  cycled (PS).
• Time triggered breaths are time cycled according
  to the set Inspiratory Time.

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Cycle Criteria in S/T

• Time cycled
• Set Inspiratory Time
• A 3 sec maximum IPAP time has occurred
• Flow cycled
• Flow reversal detected
• Patient flow is less than signal flow
• Spontaneous Expiratory Threshold achieved
  another way to flow cycle

SET
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Alarm Silence
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IPAP 8
ALARMS
Mode/Messages
EPAP 3
Alarm Reset
Rate 12
SB
Pt Data Display Area
options
Monitoring
Fz/ UnFz
Scale
Parameters
Alarms
Mode
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To change settings, press Parameters then soft
key next to parameter and adjust with knob.
Soft keys
Knob
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Can set Parameters while in Stand-by
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Stand-by Mode

• Can set parameters and alarms while in SB
• Bumping the circuit may simulate pt inspiration,
  in which case Vision exits SB automatically and
  goes into ventilation mode.

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To change Mode, press Mode, then parameter soft
key to adjust, and then Activate New Mode soft
key
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Alarms displayed in Mode/Message Area
ALARM
Lo MinVen
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Alarms

• Lo Min
• Vent
• Hi Rate
• Lo Rate

• Hi Press
• Lo Press
• Lo Press
• Delay
• Apnea
• Learn
• Base
• Flow

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Cannot adjust Parameters when Monitoring displayed
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IPAP Rise Time
Timed Inspiration
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Can Change Bar Graphs to Waveforms with Options
soft key
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Mini-heart Nebulizer Tx