Philips BiPAP A30 Setup Manual

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Philips BiPAP A30 Setup manual - Page 1
1
Philips BiPAP A30 Setup manual - Page 2
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Set-up guide
1
2
3
4
6
5
Getting started
Main screen
Menus
Humidification
Guidelines for ventilation set-up
Connection to oximetry
Philips Healthcare is part of
Royal Philips Electronics
How to reach us
www.philips.com/healthcare
Asia
+49 7031 463 2254
Europe, Middle East, Africa
+49 7031 463 2254
Latin America
+55 11 2125 0744
North America
+1 425 487 7000
800 285 5585 (toll free, US only)
Philips Respironics
1010 Murry Ridge Lane
Murrysville, PA 15668
Customer Service
+1 724 387 4000
+1 800 345 6443 (toll free)
Philips Respironics International
Headquarters
+33 1 47 28 30 82
Philips Respironics Asia Pacific
+65 6882 5282
Philips Respironics Australia
+61 2 9666 4444
Philips Respironics China
+86 400 828 6665
+86 800 828 6665
Philips Respironics Deutschland
+49 8152 93 06 0
Philips Respironics France
+33 2 51 89 36 00
Philips Respironics Italy
+39 039 203 1
Philips Respironics Switzerland
+41 6 27 45 17 50
Philps Respironics United Kingdom
+44 800 1300 845
www.philips.com/respironics
BiPAP A30
Humidification
4
On the Standby screen, if a humidifier is connected, you can select
so humidifier preheats before therapy is delivered.
With device turned off, remove and f ill chamber
with water.
1. (a) Lift humidifier door until it locks in place. Do
not force door higher than the locked position.
(b) Grasp front of chamber and slide toward you.
2. (a) Gently push tab located inside round opening
on top of chamber. (b) Separate top and bottom
of chamber.
3. Fill bottom chamber with distilled water.
4. Observe maximum fill lines located on sides
of chamber.
5. Do not overfill.
Reassemble the chamber by placing the hinges
on lid over the two tabs on back of chamber.
Close lid until it locks in place with an audible
click. Inser t filled chamber into humidifier.
Release
latch
Humidication
With device turned o, remove and fill chamber with water.
1. (a) Lift humidifier door until it locks in place. Do not force
door higher than the locked position. (b) Grasp front of
chamber and slide toward you.
2. (a) Gently push tab located inside round opening on top
of chamber. (b) Separate top and bottom of chamber.
3. Fill bottom chamber with distilled water.
4. Observe maximum fill lines located on sides of chamber.
5. Do not overfill.
Reassemble the chamber by placing the hinges on lid over the
two tabs on back of chamber. Close lid until it locks in place
with an audible click. Insert filled chamber into humidifier.
(bottom
view)
Undocking the
humidifier
Connection to oximetry
5
Nurse call connector
Accessory slot
(cover shown)
SD card slot
DC power inlet
AC power inlet
Filter area
6
5
4
3
2
1
5
6
4
3
2
1
To plug the oximetry module:
A
Remove the cover from the accessory
slot at the back of the BiPAP A30.
B
Remove the cover from the oximetry
accessory.
C
Plug the oximetry accessory into the
accessory slot.
D
Plug the oximetry sensor of your choice
to the oximetry module.
When the oximetry module is connected,
the SpO
2
and heart rate values are
monitored on the main screen (see below).
Back of device
A
B
C
D
Humidifier
cm
H
2
O
cm
H
2
O
ml l/min
l/min
BPM
S/T AVAPS: 0.5
0 5 10 15 20 25 30
Menu
Pressure
12.1
Vte
0
Leak
0.0
MinVent
0.0
Heart Rate
79
SpO
2
85
RR
12
I:E Ratio
1:1.0
A
2
Guidelines for ventilation set-up
6
Conversion table to set the inspiratory time for controlled breaths
Set back up breath rate
(BPM)
I/E 1/ 3,
Ti/Ttot 25%
I/E 1/2,
Ti/Ttot 33%
I/E 1/1,
Ti/Ttot 50%
10 1.5 s 2.0 s 3.0 s
11 1.4 s 1. 8 s 2.7 s
12 1.3 s 1.7 s 2 .5 s
13 1.2 s 1.5 s 2.3 s
14 1.1 s 1.4 s 2.1 s
15 1.0 s 1.3 s 2.0 s
16 0.9 s 1.3 s 1.8 s
17 0.9 s 1.2 s 1.7 s
18 0.8 s 1.1 s 1.6 s
19 0.8 s 1.1 s 1.5 s
20 0.8 s 1.0 s 1.5 s
21 0.7 s 1.0 s 1.4 s
22 0.7 s 0.9 s 1.3 s
23 0.7 s 0.9 s 1.3 s
24 0.6 s 0.8 s 1.2 s
25 0.6 s 0.8 s 1.2 s
Set the inspir ator y time in seconds: Ti (Second) = 60/Respiratory rate x % Ti
Conversion table to set the target tidal volume in relation to the ideal weight
Height Calculated ideal
weight (if BMI = 23)
Tar ge t Vt e
if 8 ml/k g
Tar ge t Vt e
if 10 ml/k g
1.50 m 52.0 k g 410 ml 520 ml
1.55 m 55.0 kg 440 ml 550 ml
1.60 m 59.0 k g 470 ml 590 ml
1.65 m 62.5 k g 500 ml 620 ml
1.70 m 66.5 kg 530 ml 660 ml
1.75 m 70.5 kg 560 ml 700 ml
1.80 m 74. 5 k g 60 0 ml 740 m l
1.85 m 78.5 k g 630 ml 780 ml
1.90 m 83.0 kg 660 ml 830 ml
Calculated with an ideal Body Mass Index of 23 kg/m
2
(BMI = weight/height
2
)
Important: Guidelines are intended to serve only as a reference. They sh all be
used only in conjunction with the instructions and/or protocol set forth by the
physician and institution in which t he assist device is being used. The guideline s are
not intended to supersede established medical protocols.
Initial
settings
IPAP = 8 to 10 cmH
2
O, EPAP = 4 cmH
2
O and RR = 10 to 12 BPM
IPAP Increase IPAP if the patient wants more air, targeting patient tidal
volume at 8 ml/Kg of ideal weight
EPAP • without SAS: 4 – 5 cm H
2
O
• with SAS: increase EPAP to remove obstructive apnea events
• with intrinsic PEP (stable chronic COPD): 5 – 6 cmH
2
O
BPM Set to 2 – 3 BPM under patient’s spontaneous frequency
Rise
time
Obstructive patie nts prefer short rise time:
from 1 to 4 (100 ms to 40 0 ms)
Restrictive patients prefer long rise time: from 3 to 6
(300 ms to 600 ms)
Ti Set Ti be tween 25% and 33% for obstr uctive patients
Set Ti be tween 33% and 50% for restrictive patients
(refer to t able opposite)
AVAP S
OHS COPD Other restrictive
diseases (NMD, etc.)
Vt target 8 to 10 ml/k g of ide al body weight (refer to table opposite)
IPAP
window
(IPAPmin
and
IPAPmax)
Allow a wide range
of pressure variation
to ensure the right
pressure at the right
time.
• I PAP min = EPAP
• I PAP ma x =
25 – 30 cmH
2
O
Allow a more
restrictive pressure
window to combine
comfor t and ef fic acy.
• IPAPmin =
comfortable IPAP
• I PAPma x =
IPAPmin + 5
Allow a more restrictive
pressure window to
combine comfor t and
saf et y.
• IPAPmin =
efficient IPAP
• I PAPma x =
IPAPmin + 5
AVAP S
rate
AVAPS rate setting depends on patient needs and clinical condition:
0.5 cmH
2
O/min to 3 cm H
2
O/min so target tidal volume is reached smoothly
3 cmH
2
O/min to 5 cm H
2
O/min so target tidal volume is reached
more rapidly
Check patient arterial blood gases (PaCO
2
and PaO
2
) and oxygen saturation (SpO
2
)
© 2011 Konink lijke Philips El ectronics N.V. All ri ghts are reser ved.
Philip s Healthcare r eserve s the right to mak e changes in spec ifications a nd/or to
discon tinue any produc t at any time witho ut notice or oblig ation and will no t be
liable f or any consequen ces resulting f rom the use of this p ublication.
Broudy N A 9/26/11 12NC 452296276561 MC I 4104424 PN 1093370
Please visit ww w.philips.com/respironics to find out more
BiPAP A3 0 is registered t rademark of Ph ilips.