R E S P I R A T O R Y
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vylife® Boussignac1 device,3 ventilation modes
vylife® Boussignac
2 3
Proven interest of NIV-2P (5,6):
vylife® Boussignac, 1 device, 3 ventilation modes
CPAP mode
Non Invasive Ventilation with 2 levels of pressure
Continuous Positive Airway Pressure (one pressure level)
NIV-2P mode
COPD (Chronic Obstructive Pulmonary Disease) and Pneumopathy with hypoxemia
APE (Acute Pulmonary Edema)
1211109876543210
0 1 2 3 4 5 6 7 8
WOB
CPAP7.5 cmH2O
Spontaneousventilation
DELTA P
Time
cmH2O
Exp.
Insp.
9 10 11 12
DELTA P
Atmosphericpressure
Decreaseof venous return
Decreaseof left ventricular afterload
APE Hypoxemia CPAPmode
Alveolar recruitment
Improvment of ventilation /perfusion ratio
Decrease the WOB
Pulmonaryvolume
Hemodynamic
COPD, Pneumopathy
with hypoxemiaHypercapnia NIV-2P
mode
Decrease the WOB
Increase of tidal volumeIS
(Inspiratory Support)
Alveolar recruitmentPEP
(PositiveExpiratory Pressure)
Improvement of ventilation /perfusion ratio
Decrease the WOB
The Work Of Breathing (WOB)is the expenditure of energy required to inspire air in the lungs.
Delta Pis the difference between inspiratory pressure and expiratory pressure.
• Increased gazometric and ventilator parameters• Decreased morbidity and mortality• Decreased length of stay• Reduced risk of reintubation
12
11
10
9
8
7
6
5
4
3
2
1
0
-1
Insp.
Insp.
Exp.
Exp.
EPAP
Time
IPAP
cmH2O
Temps0
5
10
15
12
1 2
4
5 6
3
1 EPAP: Expiratory Positive Airway Pressure2 Inspiratory trigger3 IS (Inspiratory Support) = IPAP-EPAP4 Slope: speed from expiratory pressure to inspiratory
pressure5 IPAP: Inspiratory Positive Airway Pressure6 Expiratory triggerIPAP : Inspiratory Positive Airway Pressure
EPAP : Expiratory Positive Airway Pressure
Respiratory cycle in NIV-2P
APNEA mode
Return to spontaneous ventilationfollowing cardiac arrest
Mechanical ventilationAPNEA Mode
Transport of intubated patient
Proven interest of CPAP:
Interest of mechanical ventilation:
• Pressure control• Physiological mechanical ventilation: in open system, lung elastance and compliance regulates the speed and volume of gas
• Proven efficiency in the management of acute pulmonary edema (1,2)
• Avoids the need for tracheal intubation (3)
• Cost/benefit ratio shows a positive result in favour of CPAP in pre-hospital medical care (4)
vylife® Boussignac
4 5
3 Easy to use
• vylife® Boussignac starts with the chosen mode of ventilation and pressures• Adjustable pressure with buttons “+” and “-”• Inspiratory Support (IS)=IPAP-EPAP• Portable• Capnograph connection via interface or manometer port
1 Effective
Mode VNI-2P (10, 11)
• Pressurisation quality• Accurate trigger
CPAP mode (7,8)
• Flow rate of gas available for inspiration is 280 to 320 l/min• The difference between inspiratory pressure and expiratory pressure (Delta P) is only1.5 +/- 0.2 cmH2O (9)
• Regulation of inspired FiO2
2 Safevylife® Boussignac is an open system, if necessary the patient can breathe atmospheric air and thus constantly breathe the required volume of gas.The pressure in the lungs cannot be superior to the virtual valve (A):
Oxygen accelerationOxygen supplyOxygen molecules arrivein the chamber
The oxygen molecules collide with each other,generating turbulence which transforms the speedinto pressure
The oxygen molecules are acceleratedat the speed of sound when they pass troughfour micro-channels
The oxygen molecules strike a deflectorwhich sends them back to the central zone(mixing zone)
Pressure monitoringor administration of additional oxygen or EtCO2 monitoring
Oxygen breaking
Creation of a virtual valve
Pressure (A)
Pressure directlydepends on
flow rate of gas
When you increase the flow rate,you increase the pressure
When you decrease the flow rate,you decrease the pressure
Flow rate of gas available280 – 320 L/min
Open toatmosphere
No risk of barotrauma / volotraumaNo risk of hypoventilation
vylife® Boussignac: all the advantages of Boussignac CPAP + a trigger
Open system: no risk of asphyxia
Special “star”shaped O2 tube: Thanks to this design, the patient will always get O2 even if the tube is kinked
Large screen: Easy to read (ventilation mode,pressures, battery, respiratory frequency)
One click connection:no risk of misconnection
Disposable kit: ready to use
Easy to use:+ increases pressure- decreases pressure
www.vygon.com
References
(1) Hubble Mw, and al. Effectiveness of continuous positive airway pressure in the management of acute pulmonary edema. Prehosp Emerg Care. 2006;10:430-439(2) Gray A et al. Noninvasive ventilation in acute cardiogenic pulmonary edema. N Engl J Med. 2008;359:142-151(3) Wang He, and al. Medical conditions associated with out-of-hospital intubation. Prehosp Emerg Care. 2011;15:338-346(4) Hubble MW, and al. Estimates of cost-effectiveness of prehospital continuous positive airway pressure in the management of acutepulmonary edema. Prehosp Emerg Care. 2008;12:277-285(5) Meduri Gu and al. Noninvasive positive pressure ventilation via face mask. First-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest 1996 Jan;109(1):179-93(6) Ram FS and al. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease. Cochrane DatabaseSyst Rev. 2004;(3):CD004101(7) Templier F and al. Ann Fr Anest Reanim 2003 ;22 :103-7(8) Lyazidi A and al. Evaluation des systèmes à Pression Positive Continue (CPAP) sur banc d’essai. Hôpitaux Universitaires de Genève(9) P. Valero MD, A. Khoury MD, G. Capellier MD, Phd, D. Robert MD, Phd. Comparison between 3 devices delivering Continuous Positive Airway Pressure (CPAP). Poster(10) Brochard L. et al. Evaluation d’un nouvel appareil de ventilation assistée portable : la Vylife Boussignac. Poster SRLF 2009(11) Jaber S. et al. Un nouveau ventilateur «léger», la Vylife - BiPAP Boussignac : évaluation sur banc test. Poster SFAR 2012
AU
GU
ST 2
013
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CPA
P 13
207
E
Complete range
vylife® kit without harnessCodes 5567.303 / 403 / 503 / 603
Oxygen extension tubeRinged tubeCPAP BoussignacFiO2 ringTriggerFacial mask
Codes 5582.802 (AFNOR)
2 vylife® kits
1 vylife® charger
1 vylife®device1 Rapid instructions for use1 Oxygen stopcock
Codes 5582.700 (without Oxygen stopcock)
2 vylife® kits
1 vylife® charger
1 vylife®device1 Rapid instructions for use
vylife® kit with harnessCodes 5568.303 / 403 / 503 / 603
Oxygen extension tubeRinged tubeCPAP BoussignacFiO2 ringTriggerFacial mask
Single use kit
O2 vylife® kit
5568.303 / 403 / 503 / 603 5568.303 / 403 / 503 / 603
Vygon – 5, rue Adeline • 95440 ECOUEN • FRANCEReception: +33 (0)1.39.92.63.63 – Service clients France: +33 (0)1.39.92.63.81Export customer service: +33 (0)1.39.92.64.15Fax: +33 (0)1.39.92.64.44 • www.vygon.com
For further information, please contact: [email protected] specifications shown in this leaflet are for information only and are not, under any circumstances, of a contractual nature.