Kich hoat I di~u chinh trigger '1Nhin phim Settings 1>1> (A) dSn khi thong s6 nay hien thi.

. , 2 Chon hang Trigger tren man hinh va cai d~t thong s6 bangeach ehinh num xoay.

Mode tho VC-AC diroc hi~n thi tren man hinh.

T~t trigger ,it ,

1 Chinh eho thong sf>nay nho han 3 L/min hoac Ian han 15 LImin (off se la gia tri luc nay cua trigger).2 Nhan num xoay dS xac nhan,

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I 1,---~ 1f-- --I1!------'----.

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IJdeer ~. "", 'I 'u" 'till!

D 000--.,_o o. ~OL \o 0OOOO€)

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31

Operation / Settings

VC-SIMV - Volume Controlled - Synchronized Intermittent MandatoryMode tho nay dung cho cac benh nhan co kha nang nr tho dang k~, vadung cho cac benh nhan chu§n hi cai may tho.

Benh nhan eo th~ nr tho belt ky thai diem nao, Cac nhip nr tho se duoch6 tro boi PS.

Cai d~t thong s6 tho : Flow tR

:==~~~. _-------,---~-~~-t'(miniInuln possible.respiratory -fate:-2-peMITin).• Maximum airway pressure Pmax.• O2 setting FiOz.• Inspiration time TL• Plateau time Tplat %, in % of the inspiration time.• Positive end expiratory pressure PEEP• Sensitivity Trigger.

32

Paw

Pma.

Pressuresupport PS

,.--"---,slow

YC-5IMYMVe Paw" n [s]

5 ',,9 ' rnbar" ,60 Tplat 0/0, [%],'L!min ,...-,- ' 40 PEEP , '[mbarl"

1-'-----:----""1PEEP '" ' -, ", .. , ' ,.~'.,~~~E;'III..~~:, · ·.....

2,01o5

Gas consump, = 2.L IJmin '.. . : .

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Pressure support (optional) .The following can also be set on the display for VC-SIMV / PS:• Setting on page 1:

Pressure support ~Psupp above PEEP.• Setting on page 2:

Pressure rise time Slope

. . v..

'Paw Ti [,,}. 2.0rnbar ..

60 Tplat 0/0 [%] 0Umin - -- 40 PEEP [mbar] 5

II 20 APSUPP [rnbar] 310

rnbar

flat ramp = long pressure rise timeGa" consurnp. = 2, 1 Umin

/.:I

"medium ramp = medium pressure rise time

steep ramp = short pressure rise time.

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33

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_-." , ;~ Operation / Settings" _ -"'" -.;~," t ~ .,',

.,;,.):.r .~' -: _ _ '_;_"'" .' •'_ ... , ~- ~ _._ J • """ " -, 1"~

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" Operation / Settings

"))!~.fir .. i'd~;i:'ln';iT.JS··.·1)\ (op t'I.C.·).11a·,'j'.. NY·.I\!)» J 1". (<"'/i"'! \ ..,•.•.".1. r ~ \, L !

SpnCP AP - Continuous Positive Airway Pressure

Cai dat cac thong s6 .,•Maximum airway pressure Pmax.·02setting Fi02.

Pressure support (optional)Cac thong s6 sau co th€ cai d~t them trong mode SpnCPAP / PS: -• Mire h6 tro ap hrc ilPsupp tren mire PEEP.• 'f)Q nhay earn cua Trigger (nham dong h9 veri cac nhip h6 tro v6i nhip

tho' tv nhien cua benh nhan.)• Slope (trong mode h6 t Q'_apJvc-L\:e-SUP·P1'-. ----

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I j, " I, ,I

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,) : , • ; t I.1 ~'~,. I"i '~ -u: If",

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.....

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34

533J

" 40 •....Trigg~r....'. LLJr:nin]'. 20 Slope'

o

~-------

:~ I'

Apnea back-up la mode tho dir phong trong mode SpnCPAP. Trongtinh huong benh nhan ngung tho, may se 1\T dong chuyen v~ mode the(VC-CMV) voi cac thong s6 duoc cai d~t tnroc,

Cal d~t cac thong s6 dl}'phongTren man hinh:1 Nhfin phim Settings C>C> dSn trang III2 Cai Tapn voi num xoay giira 15 va 60 sec.3 Cai RRapn va VTapn.4 Cai Pmax.

Cai tY l~ I:E = 1:1.5 va plateau time Tplat % = 0

NSu muon t~t chS dQthe du phong OFF• Cai Tapn thanh OFF (xem each cai d~t phi a tren)D~ ngung qua trinh thong khi dt}'phong• Nhfin phim Alarm Reset.

-,it

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1RR

FlowStar)apnea ventilationwith apnea alarm

[5]_'[ml][!r~in]--

-, t

35

Operation! Settings ,-:', :~ .':

NIV (optional) thong khi khong xam l~n trong cac mode tho' SpnCP~Pva SpnCPAP / PS. May tv dong bu ho khi va bao dQng he khi se bi tat.trong mode tho nay. •

"1: ',"._' ' ..

'M\i~~8tjC;~~wt;~X~~IV. ..;. LJIrtI~ ·.·40 . .

20

G~s' consurnp, = 2.1. L./.:nin

36

on

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"ti:1t, :',It~«r; thi d'lCillg S/j

A Values 1>[> dung d~ thay d6i man hinh hien thi trong cira s6"Measured Values" , d~ hien thi MVe hoac VTe.

B Values [>[> dung d~ thay d6i man hinh hien thi trong cira s6"Measured Values" , d~ hien thi cac thong s6 do dac.

C Settings [>[> dung d~ thay d6i trang hieu thi trong cira s6"Setting" , d€ cai d~t cac thong s6 cai d~t.

D Alarms [>1> dung d~ thay doi man hinh trong cira s6 "Alarms" , d§cai d~t va hien thi cac thong s6 bao dong.

E Num xoay trung tarn dung d~ thay d6i va xac nhan cac thong s6.

.,. ',";""

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.: 9peratior I,Settings J"i~., I ' ,_ , -..- , - . ,..

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~_;_'_;__,",_;_' '-'..'_' ~~'" '. ,) ,,1

, I 1~---lf--I------li f--~

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37

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yj = gioi han duoif = gioi han tren

Alarm RangeMVMVRRsp

2 den 41 L/min0.5 d~n 40 L/min10 d~n 100 Imin

'I!o'

TV' dQng cai d~t gi6i han bao dQng (Autoset)Chirc nang nay se tv dong caid?t cac thong s6 bao dongnhu sau:

MV ___p : Gia tri do dtroc MV + 2 LImin MV ~ : Gia tri do diroc MV - 2 LImin Rlf : Gia tri do duoc RRsp + 5 Imin, t6i thieu 10lmin.D€ kich hoat tinh nang nay, chon va xac nhan voi num xoay.

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r . 1I Iu L

0tIrer x::E'~"'~ .D·00 D'"l'\'o 00 0o [J.oo.o€)

D .~0...

Alarms and Measured Values

39

"

.. Alarms and Measured Values

40

MVe / VTe windowA Ten thong sf>do dac.B Gia tri do.C Dm1 vi do.n S6 trang.

,,',;;, ", .c . '.' •.:

.. '., PEEP [rnbar] ,51mbar"', ..GO I:E 1:1.5

JW.\_"--.-_LJ~n_'"Ii-lh- - ~ 40 Tplat "/0. [%] 0-

Values window co thS hien thi 5 gia tri khac nhau: :520 TriqqerII 0 -,

rnbar

[Ifrnin] off

o.'It A B

Y[...,Cl"-:iY

/I'

.. Paw , b ,Tt'igger"m at" ...... .. 60 ~EEP..

IIS_" _' Limin 40 ~:E "PE P ... " , - ' T'. t-: 5 '.' ...'. 29 • ,plat

" ~. p .....G~\!iiCOn51J1T1~\ =,2. 1L/min ' ..

C 0

[Lt'min] off[rnbar] ,I 51

1:1.5[%] 0

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~9'O £~OOO'O £££~'O £'££~ 9 ~£~OO'O £££WO'O £££. ~

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lO~O'O S6l'0 S'L 6~0'v LO'lO~ L9600'0 ~O'O O'O~WOOO'O S6l000'0 SLOO'O lOvOO'O GO~'O ~OOOO'O W'O££O'~ zeez 0'09L l'LOV £V£O~ £~OL'O szc LOL L'v~zoi £S'6l ~'OSL 6'~OV O~lO~ L'0 OOL OOOOO~

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