Weinmann MEDUMAT Standard2 Step-by-step instructions

• Start ventilation by height

• NIV therapy

• Resuscitation (CPR)

• Anesthesia induction (RSI)

MEDUMAT Standard

2

Step-by-step instructions

Important:

This document

does not replace the

instructions for use.

Complete information

can be found in the
instructions for use.

Operating steps

21

Switch on ventilator Select "New patient"

3 4

Select patient height and gender Select "next"

5 6

Select the ventilation mode and check

the displayed ventilation parameters

Start ventilation

Use presets and work according to guidelines

By using the setting option of the Vt/kg body weight (BW) 4-10ml/kg BW to be

applied, you will be working according to guidelinesii and determining the calculated
tidal volume for volume-controlled ventilation.
The ideal body weight and thus the tidal volume to be applied are calculated
differently for male and female patients. The following formula is used for this:

For a 185-cm-tall male patient and a setting of 6ml/kg BW, the following tidal

volume results:

The Vt is obtained accordingly: Vt = 80kgx6ml/kg = 480ml

= 79.51kg ~ 80kgIBW (in kg) = 50 + 2.3 x

185

2.54

- 60

IBW female (in kg) = 45 + 2.3 x

Height in cm

2.54

iii

-60

IBW male (in kg) = 50 + 2.3 x

Height in cm

2.54

iii

-60

Start faster and ventilate more precisely

From now on, you will not need to spend a long time considering which tidal
volume (Vt) is the most appropriate for your patient. With MEDUMAT Standard

2

,
you can now initiate ventilation even more precisely and even faster. By entering the
patient’s height and gender, your ventilator automatically calculates all the ventilation
parameters for the ideal body weight (IBW). The IBW serves as an important indicator
when setting the ventilation parametersi. MEDUMAT Standard2 allows you to start

ventilation faster and far more precisely– giving you more time for all the other

important tasks.

Start ventilation by height

i

Gajic, O. et al. Ventilator-associated lung injury in patients without acute lung injury at the onset of

mechanical ventilation. Critical care medicine, 2004, No. 32, P. 1817-1824.

ii

Deakin, C. D. et al. Erweiterte Reanimationsmaßnahmen für Erwachsene („advanced life support“)
Sektion 4 der Leitlinien zur Reanimation 2010 des European Resuscitation Council. Notfall +
Rettungsmedizin, 2010, No. 7, P. 578.

iii

Devine, Ben J. Gentamicin therapy. The Annals of Pharmacotherapy. 1974, 8. Jg., No. 11, P. 650-655.

NIV therapy

Switch on ventilator

Select "New patient" in the start
menu.

Set the patient’s height and gender or
select the appropriate patient group:
Adult, Child, Infant

1

2

3

Select the desired CPAP therapy using
the navigation button: PEEP, pMax,

ΔpASB. After adjusting the values,

begin the ventilation via "start".

Select one of the following ventilation
modes: CPAP* or CPAP + ASB (if
available).
*pure CPAP is the ventilation form

CPAP+ ASB with a ΔpASB of 0mbar

Now connect the patient to MEDUMAT
Standard². It is possible to adjust the
values using the navigation button
while the ventilation is running. You

can nd other ventilation parameters in

the user menu on the right navigation
button. If it is necessary to change the
ventilation mode, this is done using the
"user menu" function button on the
right side.

5

6

4

Modied by Prof. Dr. med. Thoralf Kerner

Logistical requirements

Oxygen supply: at least a 2-l bottle, lled ....................................................... Check

Emergency medical team familiar with NIV ..................................................... Check

Clinical requirements

alert, cooperative (GCS >12) ......................................................................... Check

breathing spontaneously ................................................................................ Check

if applicable, light sedation of agitated patients e.g. morphine
(5-10 mg i.v. titrated) or a short-acting benzodiazepine.

Indications

Dyspnea ......................................................................................................... Check

Respiratory rate >25/min (count!) ................................................................. Check

SpO

2

<90% despite O2administration ........................................................... Check

Contraindications

Absolute contraindications: ............................................................................ Check

absence of spontaneous respiration, gasping, airway obstruction,
gastrointestinal bleeding or ileus

Relative contraindications: .............................................................................. Check

Coma, massive agitation, hemodynamic instability, severe hypoxemia
(SpO

2

<75% despite O2), problems with airway access, status post

gastrointestinal surgery

Pulmonary edema

Primary device settings

Ventilation mode: ............................................................................................CPAP

PEEP (according to comfort and oxygenation): ......................................5/7/10mbar

FiO

2

: ..............................................................................................Air Mix or 100%

Aim and success criteria

Target SpO

2

: >90% ....................................................................................... Check

Decrease in dyspnea ...................................................................................... Check

Falling respiratory and heart rate .................................................................... Check

If applicable, improved vigilance ..................................................................... Check

NIV sequence: Set the device, place the mask on the patient’s face (explain the

measure!), connect the mask to the hose system while the device is running. Aim:

Synchronization of patient and device

SOP

(Standard Operating Procedure)
Non-invasive ventilation (NIV) by the emergency medical
services