dräger evita 2 dura · 2016-09-05 · dräger evita 2 dura speaker ping-hui liu 05/08. contents!...
TRANSCRIPT
![Page 1: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/1.jpg)
Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08
![Page 2: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/2.jpg)
Contents ¡ Introduction
¡ Power source
¡ Internal mechanism
¡ Patient circuit-Single circuit
¡ Control panel
¡ Mode
¡ Maintenance
¡ Troubleshooting
¡ Others
22
![Page 3: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/3.jpg)
Introduction
¡ Range ¡ Neonatal(option)
¡ Pediatric
¡ 0.02-0.3L
¡ Adult
¡ 0.1-2.0L
¡ Invasive and NIV(option)
33
![Page 4: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/4.jpg)
Power source
¡ Electric power ¡ 100-127V AC, 50/60Hz
¡ 12V or 24V DC(option)
¡ Pneumatic power ¡ Oxygen
¡ 3-6bar(40-87 psig)
¡ Air
¡ 3-6bar(40-87 psig)
44
![Page 5: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/5.jpg)
Internal mechanism
¡ The gas resources ¡ Through filters
¡ Reduced to working pressure
¡ Two flow-control valves and inspiratory valve ¡ Regulate pressure and flow
¡ Control the FiO2
¡ To patient circuit
¡ Expiratory valve
55
![Page 6: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/6.jpg)
66
![Page 7: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/7.jpg)
Filter
Check valve
Pressure regulator
Pressure sensor
O2 sensor
Safe valve (100mbar)
PEEP valve
Proportional solenoid valve
Exp. valve
Ins. valve
![Page 8: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/8.jpg)
Inspiration route:
Calibration route:
Nebulizer route:
![Page 9: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/9.jpg)
Emergency air route
Expiration route
![Page 10: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/10.jpg)
Internal mechanism
¡ Valves type ¡ Flow control valve
¡ Expiratory valve
¡ PEEP valve
¡ Pressure transducer ¡ Position and side
¡ Flow sensor
1100
![Page 11: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/11.jpg)
Back panel
1111
![Page 12: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/12.jpg)
Front connection block for ventilation
1122
![Page 13: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/13.jpg)
Control panel
1133
![Page 14: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/14.jpg)
Special Functions ¡ Nebulization(~30’) ¡ Adult ventilation and pediatric ventilation
¡ O2 suction(180”, 120”) ¡ Adult(100%) and Pediatric(+25%)
¡ Manual inspiration(press >>Insp. Hold<<~15”) ¡ For IPPV, SIMV and MMV
¡ For BIPAP
¡ For CPAP/ASB
¡ Manual expiration hold(~15”)
1144
![Page 15: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/15.jpg)
Special Functions ¡ PEEPi ¡ PEEPi and trapping volume
¡ Sigh ¡ Set by PEEP level
¡ 2 breaths every 3 minutes
¡ Apnea ventilation ¡ Adjust Rate and Volume
¡ Fixed I:E
1155
![Page 16: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/16.jpg)
Mode
¡ Pediatric and Adult
¡ Assisted ventilation ¡ IPPV, BIPAP A/C
¡ Supported ventilation ¡ SIMV(+PS), BIPAP(/ASB), CPAP/ASB
¡ APRV
¡ Dual controlled ventilation ¡ Autoflow®
¡ MMV
1166
![Page 17: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/17.jpg)
BIPAP A/C, BIPAP and BIPAP/ASB
¡ Comparison ¡ BIPAP A/C vs. BIPAP(/ASB)
¡ BIPAP(/ASB) vs. PCV
¡ BIPAP(/ASB) ¡ Time window
¡ BIPAP vs. APRV?
1177
![Page 18: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/18.jpg)
Autoflow®
¡ Auto-adjusted flow
¡ A function of dual controlled ventilation
¡ A start breath, and then give another pressure-controlled breathing calculated by compliance
¡ Adjust PC level by Vtset
¡ Autoflow®, VS and PRVC
¡ For ¡ IPPV, SIMV and MMV
1188
![Page 19: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/19.jpg)
MMV
¡ Mandatory Minute Volume Ventilation
¡ SIMV vs. MMV
1199
![Page 20: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/20.jpg)
Troubleshooting ¡ The priority
¡ Warning !!! ¡ Caution !! ¡ Advisory!
¡ E.g. ¡ !!! ASB> 4s, ! Leakage ¡ !!! Flow measurement inop. ¡ !!! Loss of data ¡ !!! PEEP valve inop. ¡ ! Malfunction fan ¡ !!! Mixed inop., !!! Device failure
2200
![Page 21: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/21.jpg)
Maintenance
¡ Dismantling
2211
• 70 % ethanol solution for 1 hour
• CANNOT be autoclaved or steam-sterilized.
![Page 22: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/22.jpg)
Maintenance
2222
![Page 23: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/23.jpg)
Maintenance
¡ Patient circuits ¡ Pasteurization
¡ Cooling air filter ¡ when soiled or at the latest after 4 weeks
¡ O2 sensor when “O2 measurement inop.”
2233
![Page 24: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/24.jpg)
Others ¡ Sensor ¡ Calibration
¡ On/Off
¡ External flow source(option)
¡ Configuration ¡ Ventilation, code
¡ Device check ¡ Device
¡ Tightness
2244
![Page 25: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/25.jpg)
Reference
¡ Evita 2 dura Intensive Care Ventilator: Instructions for Use Software 4.n
¡ Mosby’s Respiratory Care Equipment
2255
![Page 26: Dräger Evita 2 Dura · 2016-09-05 · Dräger Evita 2 Dura Speaker Ping-Hui Liu 05/08. Contents! Introduction ! Power source ! Internal mechanism ! Patient circuit-Single circuit](https://reader033.vdocument.in/reader033/viewer/2022042112/5e8d2fcd0cf16f0e9008a660/html5/thumbnails/26.jpg)
Thanks for your attentions!