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Positive-pressure ventilation machine overview

Medical Devices

Abstract:

Respiratory failure, is a condition where the lungs can’t properly exchange gases, significantly threating the patient life.

Introduction

What is a ventilator and What does it do? In essence, a ventilator takes over the body’s breathing process, either completely or partially, when illness causes the lungs to fail. This allows the patient to focus on fighting off the infection and recovering.

Respiratory system and physiology of Respiratory failure

The main job of the lungs is gas exchange, which can only happen through breathing. Breathing is a mechanical process that involves repeated stress on the lining of the lungs and the spread of this stress throughout the lung tissue and attached cells. Respiratory failure is defined as a situation where the tension or pressure of carbon dioxide in blood (PaCO2) rises above the normal range.

The ventilator, used to pump Filtered and oxygen-enriched air into the lungs, also uses a humidifier that warms and moistens the air supply to match the patient’s body temperature and physiological needs(while this gas is pumped in most cases directly to the lungs).

- Bilal Alhasan

What is ventilator?

Positive-pressure mechanical ventilation comes in two forms: total support (controlled mechanical ventilation) or partial support (assisted mechanical ventilation). In total support, the ventilator handles all aspects of breathing. More often, the ventilator provides the assistance to complete the breath which is started (demanded / triggered) by the patient, delivering the volume through a mechanism triggered by flow or pressure. Usually, both total and partial support can be supported together, such as assist control (AC).

ventilator

The ventilator, used to pump Filtered and oxygen-enriched air into the lungs, also uses a humidifier that warms and moistens the air supply to match the patient’s body temperature and physiological needs(while this gas is pumped in most cases directly to the lungs).

ventilator

How Assisted ventilation works: the device must read and recognize the patient effort and follow its lead to achieve better results. This effort appears for the device as unexpected change in pressure, volume or flow.

– Mandatory versus spontaneous breath: A spontaneous breath is one where the patient initiates (triggers) and cycles the inspiration. If the machine triggers or cycles the inspiration, the breath is considered mandatory. Thus, while spontaneous breaths can be either assisted or unassisted, mandatory breaths are always assisted by definition.

– Nebulization: The role of nebulizer is to pump nebulized medicine into the patient lungs during inspiration and it is mostly connected with the ventilation machine.

– Tube or NIV applications: The connection of the patient with the Ventilation machine could be done using tube. Or Non-invasively through a nasal or full facemask where the term “NIV” is used.

– Ventilation Mode: The term ”Mode” referees to particular setting on the device that controls the pattern of responses or actions the device conduct to assist or control breathing process.

– Volume Control means that device guarantees specific volume to be inhaled at inspiration at every breath or at specific amount of time. On the other hand, Pressure Control means that device guarantees specific set for inspiratory and expiratory pressure at every breath.

– Ventilation machine maneuvers: Most ventilation devices have special maneuvers that manufacturers claim they provide benefits to the patient at specific conditions.

– Waveform representation: Every ventilation machine should display the parameters of the patient related to the breathing process as waveform on the screen or loops on order to keep the track of monitoring patient condition and describes how the breath is delivered.

– Alarm system: Every Ventilation machine is provided with alarms and monitoring for the patient parameter to inform the stuff about threatening or critical changes happens to the patient conditions. Those alarms should be adjustable by device operator to fit the condition of the patient in terms of allowed or prohibited ranges.

– Device Sensors: Every ventilation device has set of sensors for different breathing variables such as Flow, pressure, CO2, O2 etc…these sensors enable the device to control and monitor the values of the breathing variables. These sensors must be high quality sensors, calibrated and checked every now and then to ensure the correctness and accuracy of their measurements.

 

Savina 300 ventilation machine

Savina 300 is a ventilator provided by Drager with the principle of as NIV as possible, supports variety of ventilation modes with high set of setting at NIV application mode with pressure and volume compensation, turbine-driven ventilation system, could be Powered through AC, internal battery or external battery, High quality set of sensors to monitor MV, PAW, FiO2, etCO2, flow, VT, and more different parameters values and Timing which could be written in parameter box or observed graphically through Loops –which could be displayed as big or small once- ,and wide range of possible waveforms, 

The device also stores the measurement for 24 hours in the trend table. For alarming conditions the device is provided with main speaker and backup hearable alarm voice in case of speaker failure, Alarm is visually displayed on the screen with flashing red LEDs. Large touch screen to with interactive interface to facilitate the device usage. Smooth surface and disposable hose system to guarantee disinfection.The Ventilation modes provided by the device includes (VC-CMV/VC-AC . VC-SIMV . VC-MM . PC-AC . PC-BIPAP . PC-APRV . SPN-CPAP)

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