dos and donts of engstrom final

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Engstrom Ventilator-DOs Cleaning & Sterilization Instructions •Display Back Panel & VentilatorFan Filters- weekly cleaning •Exhalation Valve & Flow Sensor: •After every case wash and soak parts in warm water and mild detergent for a minimum 15 minutes, then rinse in cold water followed by hot water, Dry in room air allowing cavities to drain. •If required you can sterilize the expiratory valve and flow sensor by steam autoclaving (134 degrees C) or EO. •Check for cracks and damage and replace if any defects are visible •Please ensure that expiratory valve and flow sensor are dry when replaced •Ensure that the water trap O-Ring is present

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Page 1: DOs and DONTs of Engstrom Final

Engstrom Ventilator-DOs• Cleaning & Sterilization Instructions

•Display Back Panel & VentilatorFan Filters- weekly cleaning

•Exhalation Valve & Flow Sensor:

•After every case wash and soak parts in warm water and mild detergent for a minimum 15 minutes, then rinse in cold water followed by hot water, Dry in room air allowing cavities to drain.

•If required you can sterilize the expiratory valve and flow sensor by steam autoclaving (134 degrees C) or EO.

•Check for cracks and damage and replace if any defects are visible

•Please ensure that expiratory valve and flow sensor are dry when replaced

•Ensure that the water trap O-Ring is present while re-assembling expiratory flow sensor

Page 2: DOs and DONTs of Engstrom Final

Engstrom Ventilator-DOs•Nebulizer Cleaning and Disinfection:

•Immediately after use with medication , run a cycle with only sterile water.

•Cleaning and Disinfecting between patients:Separate the Nebulizer and the cable, remove nebulae unit from the T-Adapter, remove filler cap from the nebulae, empty any excess liquid, rinse the parts with sterile water, allow the parts of air dry

•The nebulae parts can be disinfected by CIDEX, NU-CIDEX or CIDEX-OPA

•The nebulae parts can also be sterilized by steam autoclaving (134 degrees C)

Page 3: DOs and DONTs of Engstrom Final

3 /GE Title or job number /

04/07/23

How to start the ventilatorNormal Operation:• Turn the power switch to the ON position; after successfully completing Power On Self Tests, the Patient Setup menu will be displayed

• Select the Patient Type - Adult or Pediatric or neonatal (default ventilation settings vary dependent upon patient population. Ensure neonatal flow sensor is connected if neonatal patient type is selected)

•  Select Checkout to perform the ventilator checkout procedure (this procedure is recommended prior to placing a new patient on the vent)

• Enter Patient Weight (allows the ventilator to make initial ventilation parameter suggestions)

• Select Vent Setup (in the Patient Setup menu or by pressing the menu key) to select/ adjust ventilation settings

• Set alarm limits using the Alarms Setup menu

• Go to Vent Preferences menu and select following:

• Select Back Up Mode and Parameters

• Select Leak Compensation On

• Select Assist Control Mode On

• Select Trigger Compensation On

• Select Tidal Volume Based on- ATPD (if HMEF is used)/ BTPS (if Active Humidifier is used)

• Select ARC (Automatic Resistance Compensation) if required.

• Connect the patient circuit to the patient airway

•Begin ventilation by selecting Start Ventilator in the Patient Setup menu or by turning Standby mode to OFF in the Vent Setup menu

Page 4: DOs and DONTs of Engstrom Final

4 /GE Title or job number /

04/07/23

How to start the ventilator

Emergency Operation:• Turn the power switch to the ON position; after successfully completing Power On Self Tests, the Patient Setup menu will be displayed

• Select the Patient Type - Adult or Pediatric or neonatal (default ventilation settings vary dependent upon patient population. Ensure neonatal flow sensor is connected if neonatal patient type is selected

• Enter Patient Weight (allows the ventilator to make initial ventilation parameter suggestions)

• Begin ventilation by selecting Start Ventilator in the Patient Setup menu or by turning Standby mode to OFF in the Vent Setup menu (default ventilation settings used)

•Connect the patient circuit to the patient airway 

Page 5: DOs and DONTs of Engstrom Final

Engstrom Ventilator-Don'ts

• Please do not try to disinfect/sterilize the expiratory valve and flow sensor with CIDEX, NU-CIDEX or CIDEX-OPA

•Do not autoclave or submerge the nebuliser cable

•Do not select the Neonatal patient type without connecting the neonatal flow sensor

•Do not forget to check whether the P-limit is set appropriately in volume based modes of ventilation like VCV and SIMV-VC

•Do not use compressed air or water jet to clean the expiratory flow sensor

•Do not forget to set the back up ventilation mode and parameters for each patient.

Page 6: DOs and DONTs of Engstrom Final

 

1st Bin   

 

2nd Bin   

3rd Bin

   

Hot RO / Distilled water  +  Mild Detergent Rinse for 15 - 20 Minutes

Plain RO / Distilled Water To Remove the Soap particles  Rinse for 15 - 20 Minutes

   

To Dry In Room Air

  

To EO

or

Autoclave

  

Cleaning protocol for Flow sensor & Exhalation Sensor

Page 7: DOs and DONTs of Engstrom Final

Engstrom Ventilator - Check List for CleaningENGSTROM CARE STATION Check List for Cleaning

SNO DESCRIPTION QTY1 Aerogen Pro Nebuliser Consisting of :---1a Aerogen Nebuliser with filler cap 11c TEE Nebuliser Adult AG-AP1010 with plug 11d TEE Nebuliser Paediatric AG-AP1010 with plug 1

SNO DESCRIPTION QTY1 Exhalation Valve Assembly kit consisting of :---1a Exhalation Valve Housing 11b Exhalation Diaphragm {White} 11c Exhalation Flow Sensor 11d Exhalation Water trap 1

Neonatal flow sensor

NOTE :-- The Following Cables does nor require cleaningAerogen Nebuliser Cable 1Neonatal flow sensor Cable 1

Page 8: DOs and DONTs of Engstrom Final

Engstrom Ventilator – Nebuliser Use in NEONATES

CAUTION

To prevent damage to the neonatal flow sensor, remove it from the patient circuit during the delivery of nebulized medication and turn the Neo Flow Sensor Off.

WARNING

Volume control, volume monitoring, and flow monitoring are not available when the neonatal flow sensor is turned off.

Page 9: DOs and DONTs of Engstrom Final

Engstrom Ventilator – Nebuliser Use in NEONATESTo turn the flow sensor off:

1. Select PCV mode, if in Therapy.

2. Push System Setup.

3. Select Neo Flow Sensor Setup.

4. Select Neo Flow Sensor.

5. Select Off.

Important :

If the neonatal flow sensor is turned off, the only mode available for ventilation will be PCV.

If the neonatal flow sensor is turned off or the cable is disconnected, the Trigger will automatically change to -0.5 cmH2O if it was set above 0 cmH2O.