F60 Advanced Modes www.flight-medical.com 1 Flight Medical Confidential 1.

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Presentation transcript:

F60 Advanced Modes www.flight-medical.com 1 Flight Medical Confidential 1

Understanding F60 Modes Controlled (mandatory) Modes Supported (spontaneous) Modes Combined (mixed) Modes Spontaneous Breathing (CPAP)

Understanding F60 Modes Controlled (mandatory) Modes Supported (spontaneous) Modes Combined (mixed) Modes Spontaneous Breathing (CPAP) ACMV - PC SPONT + PS SIMV – PC SPONT with PSV = 0 ACMV – VC SPONT VtG SIMV - VC SPONT MVG B-LEV

Spontaneous Sub-Modes: Volume Guarantee Volume Guarantee is pressure control with a guaranteed volume by using a targeted tidal volume with an optional minimum preset rate (MVG) to provide a minimum minute volume. Two volume targets are available in VG ventilation: VtG: Tidal Volume Guarantee MVG: Minute Volume Guarantee “best of volume control ventilation and pressure control ventilation” In Spontaneous (S) mode, the device delivers bi-level pressure support. This mode provides only spontaneous breaths. In this mode, an Inspiratory Positive Airway Pressure (IPAP) is delivered during inhalation and a lower Expiratory Positive Airway Pressure (EPAP) is delivered during exhalation.

VtG (Tidal Volume Guarantee) In VtG mode, the target volume is reached by controlling the pressure support applied to the patient based on three parameter settings: Target VtG – The target tidal volume. PSV min – The minimum pressure allowed by the operator. PSV max – The maximum pressure allowed by the operator.

MVG (Minute Volume Guarantee) In MVG mode, when the patient fails to trigger a breath within the interval determined by the Rate control, the ventilator triggers a mandatory breath with a set Ti. The Rate, in combination with the Target VtG setting, determines the minimum delivered minute volume. Target VtG – The target tidal volume. PSV min – The minimum pressure that can be applied. PSV max – The maximum pressure that can be applied. Rate – The minimum rate (determines the interval).

Flight 60 B-LEV mode The ventilator cycles between two different baseline pressures based on time. Patient is allowed to breathe spontaneously at both the high and low pressure baselines.

Flight 60 B-LEV mode

Flight 60 B-LEV mode Controls specific to B-LEV:

Advanced Modes - Pocket Guide Mode Name Description Ventilators and synonyms Flight 60 Equivalence AVAPS -Average Volume Assured Pressure Support Spontaneous and mandatory! Pressure support, flow cycled; the pressure is adjusted to maintain the set tidal volume Philips Trilogy, V60, BiPAPs VtG = S AVAPS MVG = ST AVAPS

Advanced Modes - Pocket Guide Mode Name Description Ventilators and synonyms Flight 60 Equivalence AVAPS -Average Volume Assured Pressure Support Spontaneous and mandatory! Pressure support, flow cycled; the pressure is adjusted to maintain the set tidal volume Philips Trilogy, V60, BiPAPs VtG = S AVAPS MVG = ST AVAPS PRVC -Pressure Regulated Volume Control Only mandatory! pressure controlled and time cycled; the PRVC: (Vela, Servo + other) APV: Hamilton Autoflow: Drager MVG for non-triggering patients = ACMV-PRVC MVG for triggering patients = SIMV-PRVC

Advanced Modes - Pocket Guide Mode Name Description Ventilators and Synonyms Flight 60 Equivalence Bi - Level The ventilator cycles between two different baseline pressures based on time. Patient is allowed to breathe spontaneously at both the high and low pressure baselines. Hamilton: Dua-PAP, APRV PB 840: BiLevel Event Mdeical: Dual Level PEEP Servo: BiVent B-LEV mode APRV Inverse I:E ratio Bi-Level ventilation