special device setups for covid-19 patients · 2020. 5. 7. · double circuit o 2 coupling insert...

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Special device setups for COVID-19 patients

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Page 1: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Special device setups for COVID-19 patients

Page 2: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Content

NIV with oxygen through oxygen port near mask ................................................. 4

NIV with oxygen through oxygen port ...... 5

NIV ............................................................ 7

IV .............................................................. 8

NIV – Double circuit ................................. 10

NIV – Single circuit ................................... 11

NIV – Single leak circuit ............................ 12

IV – Double circuit .................................... 13

IV – Single circuit ...................................... 14

IV – Single leak circuit .............................. 15

- The understanding of COVID-19 and knowledge of its management is incomplete and continually evolving. Meanwhile, scientists and healthcare professionals will find themselves increasingly confronted by the pandemic.

- This document is based on the latest published information and recommendations on Covid-19, as well as practical findings collected from clinical community to date. Given that these are expected to change as new data comes to light, this document will be updated.

- This document aims to assist in understanding the application of ResMed devices in providing ventilation support to patients with clinical syndromes due to COVID-19 infection. It is based on current information, which is changing rapidly. The purpose is not to direct clinical practice, but to provide clear information on available ResMed products and their application.

- As such it can not be considered as a recommendation itself.- The objective of this guide is to describe different setups possible with ResMed ventilators. You will find in this guide the different

configurations which ensure appropriate setup of ResMed ventilators in regards to circuit configurations, mask type, filters positioning and oxygen connection.

- For further information, please refer to the user guides of the ResMed ventilators and to the instructions for use of any other component including into the circuit configuration.

DISCLAIMER

Page 3: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

3

Page 4: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

4

Non-vented mask

Leak port or leak valve. Select mask setting: Nasal

Oximetry module

Oximeter Sensor

Standard tube single

Catheter mount (optional)

Oxygen tubeAnti-viral filter oranti-viral HMEF* Oxygen connector port

NIV with oxygen through oxygen port near mask

1

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring not possible. | SpO2

Page 5: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

5

Non-vented mask

Leak port or leak valve. Select mask setting: Nasal

Catheter mount (optional)

Anti-viral filter oranti-viral HMEF*Oxygen tubeOxygen connector port

Oximetry module

Oximeter Sensor

Standard tube single

NIV with oxygen through oxygen port2

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring not possible. | SpO2 monitoring possible with separate module

Page 6: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

6

Page 7: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Anti-viral filter or anti-viral HMEF*

Non-vented mask

Catheter mount (optional)

Leak port or leak valve. Select mask setting: Nasal

T-piece

FiO2 monitoring sensorFiO2 cable

O2 coupling insert

To O2 supply

Oxygen tubeLow pressure oxygen connector

Standard tube single

7

NIV1

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 8: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Tracheostomy

Anti-viral filter or anti-viral HMEF*

Leak port or leak valve. Select mask setting: Nasal

Catheter mount

Standard tube singleFiO2 sensorFiO2 cable

T-piece adapter for FiO2 monitoring kit

O2 coupling insert

To O2 supply

Oxygen tubeLow pressure oxygen connector

8

IV3

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 9: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

9

Page 10: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Double circuit

O2 coupling insert

To O2 supply

Oxygen tube

Non-vented mask

Low pressure oxygen connector

Anti-viral filter oranti-viral HMEF*

Catheter mount

10

NIV – Double circuit1

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 11: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Non-vented mask

Anti-viral filter oranti-viral HMEF*

Catheter mount

O2 coupling insert

To O2 supply

Oxygen tube

Single circuit with valve

Low pressure oxygen connector

11

NIV – Single circuit2

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 12: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Catheter mount

Non-vented mask

Anti-viral filter oranti-viral HMEF*

O2 coupling insert

To O2 supply

Oxygen tube Leak port or leak valve. Select mask setting: Nasal

Single with leak

Low pressure oxygen connector

12

NIV – Single leak circuit3

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible if O2 connected at the back of the device. | SpO2 monitoring possible with separate module.

Page 13: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Endotracheal tube or

Tracheostomy

Anti-viral filter oranti-viral HMEF*Double circuit

O2 coupling insert

To O2 supply

Oxygen tubeLow pressure oxygen connector

Catheter mount

13

IV – Double circuit5

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 14: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Endotracheal tube or

Tracheostomy

Anti-viral filter oranti-viral HMEF*

O2 coupling insert

To O2 supply

Oxygen tube

Single circuit

Low pressure oxygen connector

Catheter mount

14

IV – Single circuit6

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 15: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

Endotracheal tube or

Tracheostomy

single leak circuitAnti-viral filter

or anti-viral HMEF*

O2 coupling insert

To O2 supply

Oxygen tube Leak port or leak valve. Select mask setting: Nasal

Catheter mount

Low pressure oxygen connector

15

IV – Single leak circuit7

This low dispersion circuit is not the intended use for these devices, but emerging clinical practice in treating COVID-19 shows that it is a likely need given the ventilator shortage and the concern of infection risk to healthcare workers during the COVID-19 pandemic. For further information, please refer to the related product “warning & caution” section and the national guidelines.* HMEF = Heat Moisture Exchange Filter. The shape and colour of filter might vary. Note: FiO2 monitoring possible. | SpO2 monitoring possible with separate module

Page 16: Special device setups for COVID-19 patients · 2020. 5. 7. · Double circuit O 2 coupling insert To O 2 supply Oxygen tube Non-vented mask Low pressure oxygen connector Anti-viral

© 2020 ResMed Pty Ltd., 10111997 / 1 2020 04

See ResMed.com for ResMed locations worldwide. Astral, Lumis and Stellar are trademarks and/or registered trademarks of the ResMed family of companies. Specifications may change without notice. Product availability may vary across regions. Nonin products are distributed by ResMed.