Ventilating Infants and Small Children
Operatin
g Concept
QUICK USER GUIDE FOR EVITA XL
• Patient mode »Pediatrics«
Using infant size patient circuit connectors 6-42kg
1 Clamp hinged circuit support arm to rail on the left-hand
side and tighten screws.
• Connect ventilator circuit segments of appropriate lengths
(lengths suggested are in meters).
2 Install water trap(s) in vertical position.
Patient mode: »Adults« 42kg plus
1 Attach circuit support arm to the rail on the left-hand side of
the ventilator and tighten screws.
• Connect ventilator circuit segments of appropriate lengths
(lengths suggested are in meters).
2 Install water trap(s) in vertical position if using circuit with them
3 Connect Y-piece, with the rubber sleeve of the Y-piece on
the inspiratory side (reusable silicone circuit).
Control Panel
Its main elements are:
1 A large screen with all the information and controls needed for ventilation.
2 Fixed function keys ("hard" keys) major on-screen functions,
Alarm Silence« for silencing the
audible alarm for two minutes.
Alarm Limits« for adjusting
alarm limits.
Ventilator Settings« for setting ventilation mode and parameters.
Unassigned key for future functions.
» Sensor Parameter« for calibrating sensors.activating/deactivating monitoring
. » System Setup« for configuringbsystem functions.
Start/Standby« for selecting standby mode or normal operation.
3 Central rotary dial knob for selecting, confirming settings on-screen.
The Screen...
.
1 Alarm messages
2 Operator prompts
• Therapy status with ventilation mode,e.g. SIMV,
• Patient mode, e.g. " Adult" for adults.
4 Waveforms, loops, and trends visualizing ventilation,
5 Presentation of set ventilation parameters
6 Essential, measured values of ventilation
7 Humidification type and status.
8 Touch-sensitive screen keys for the specific screen pages
9 Power supply indicator.
To select a screen page:
• Touch the respective screen key:
• Main« to select the main screen.
• Values« to select a different group of measured
values in the field for numerical values.
• »Data...« to display all measured values,
the logbook or trends on an additional screen
»Special Procedure... nebulization, O2 for suction
For full manual see http://warney/ServiceManuals/D-H/DRAGER/
To set the ventilation mode, ventilation parameters:
1 Press Ventilator Settings« or
•
touch one of the virtual screen knobs at the bottom of the screen.
»Ventilator Settings« in the bottom part of the screen
• Screen knobs and screen keys are displayed in the form of horizontal and
vertical tabs as on a file catalog card.
• Horizontal screen keys for the ventilation mode.
•
Vertical screen keys for selecting supplemental settings.
Screen keys:
1 Touch a screen key to select it.
2 The screen key turns yellow.
3 Press dial knob to confirm.
4 The screen key turns pale/dark green, respectively.
Screen knobs:
1 Touch a screen knob to select it.
2 The screen knob turns yellow.
3 Turn dial knob to set.
4 Press dial knob to confirm.
5 The screen knob turns pale/dark green, respectively.
To set ventilation parameters directly:
From the main screen
Touch the desired screen knob
• displays the »Ventilator Settings« menu.
• The selected screen knob is already yellow and be adjusted
• Turn dial knob to adjust setting, press dial knob to confirm.
• The color of the screen knob changes dark green –
• the setting is now in effect.
• To call up additional information texts:
Touch »? q« screen key.
To quit the menu:
Press »X« screen key.
09837547
For full manual see http://warney/ServiceManuals/D-H/DRAGER/
QUICK GUIDE TO DEVICE CHECK/LEAK TEST EVITA XL
Checks of Readiness for Operation
• To be performed before using on a patient, to confirm ventilator is working properly, ready for operation.
• If the patient circuit is modified, the patient circuit leak test must be repeated.
1 Preparing the adult test lung 84 03 201
The test lung assembly consists elbow connector, a 7 mm diameter
ET-tube connector for simulating airway resistance,
2 liter breathing bag to simulate compliance.
NOTE: Do not use permanently stretched breathing bags,
these might cause artifacts
Insert the elbow connector into the Y-piece only when EvitaXL advises you to do so.
2 Preparing the infant test lung 84 09 742
for use with the infant patient circuit:
The test lung consists of a tracheal tube CH 12 to simulate
airway resistance and a small bellow to simulate compliance.
3 To switch ventilator ON, flip protective cover* up and press
• The self-test screen is now displayed on EvitaXL.
• The self-test is performed automatically.
• Wait for this test phase to be ompleted.
.
• Touch »Standby« and press dial knob to confirm.
• Standby activated !!! appears in the line for alarm messages.
• To reset this message: Touch »Alarm Reset« screen
• Touch dial knob and confirm
• Touch »Device Check« screen key:
Touch »Check« screen key.
NOTE: No device check is possible while
the ventilator is performing a calibration
of the flow or O2 sensor. In this case, wait
until calibration has been completed and
restart device check.
For full manual see http://warney/ServiceManuals/D-H/DRAGER/
The following tests are performed during the device check:
• System
— Expiratory valve fit and throughput
— Fit of flow sensor
— Fit of neonatal flow sensor (for "NeoFlow" option)
— Type of humifier
— Completeness of patient hoses
— Fit of temperature sensor
• Function
— Test of Air-O2-switch over valve
— Test of safety relief valve
— Check of gas supply pressure
— Test of Back-up alarm
• Sensors
— Flow sensor calibration
— Calibration of neonatal flow sensor (for "NeoFlow" option)
— O2 sensor calibration
— CO2 sensor zeroed
— CO2 sensor calibration
— Patient circuit leak test
• Questions are displayed and must be answered by touching screen keys »Yes« and »No«.
• Instructions for performing tests may also be displayed.
• The ventilator indicates a correct result with a checkmark ().
Faulty results are marked F.Two dashes (– –) appear if a test is not performed.
• In the event of deficient results (F): Eliminate the cause, touch the »Repeat« screen key.
Leak Test
Perform this test:
— after the tests of readiness for operation,
— after changing the patient circuit,
— after changing the humidifier.
In the checklist:
Touch »Airtight Check« screen key.
The result of the last leak test is following values:
— Leakage
— Compliance
— Insp. resistance
— Exp. resistance
Touch »Check« screen key.
• The actual leakage flow is displayed throughout the test.
• A leakage flow of 300 mL/min at pressure of 60 cmH2O is acceptable.
• After the leak test, the ventilator determines the compliance and the
inspiratory and expiratory resistance of the patient circuit.
To return to the start screen:
Touch »Start/Standby« screen key in
the »Start/Standby« menu.
For full manual see http://warney/ServiceManuals/D-H/DRAGER/
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