EvitaXL

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Bibliography [23] Blanc Q, Sab JM, Philit F, Langevin B, Thouret JM, Noel P, Robert D, Guerin C: Inspiratory pressure-volume curves obtained using automated low constant flow inflation and automated occlusion methods in ARDS patients with a new device. Intensive Care Med. 2002 Jul; 28(7): 990-4. Epub 2002 Jun 12. [24] Albaiceta GM, Piacentini E, Villagra A, Lopez-Aguilar J, Taboada F, Blanch L: Application of continuous positive airway pressure to trace static pressure-volume curves of the respiratory system. Crit Care Med. 2003 Oct; 31(10): 2514-9 [25] Bensenor FE, Vieira JE, Auler JO Jr: Guidelines for inspiratory flow setting when measuring the pressure-volume relationship. Anesth Analg. 2003 Jul; 97(1): 145-50, table of contents. [26] Rouby J-J.; Vieira S: Pressure/volume curves and lung computed tomography in acute respiratory distress syndrome European Respiratory Journal, 1 August 2003, vol. 22, no. Supplement 42, pp. 27-36(10) [27] Mehta S, Stewart TE, MacDonald R, Hallett D, Banayan D, Lapinsky S, Slutsky A: Temporal change, reproducibility, and interobserver variability in pressure-volume curves in adults with acute lung injury and acute respiratory distress syndrome. Crit Care Med. 2003 Aug; 31(8): 2118-25. [28] Servillo G, De Robertis E, Maggiore S, Lemaire F, Brochard L, Tufano R: The upper inflection point of the pressure-volume curve. Influence of methodology and of different modes of ventilation Intensive Care Med. 2002 Jul; 28(7): 842-9. Epub 2002 May 31. [29] Servillo G, Svantesson C, Beydon L, Roupie E, Brochard L, Lemaire F, Jonson B: Pressure-volume curves in acute respiratory failure: automated low flow inflation versus occlusion. Am J Respir Crit Care Med. 1997 May;155(5):1629-36. [30] Takeuchi M, Goddon S, Dolhnikoff M, Shimaoka M, Hess D, Amato MB, Kacmarek RM: Set positive end-expiratory pressure during protective ventilation affects lung injury. Anesthesiology. 2002 Sep; 97(3): 682-92. [31] Matamis D, Lemaire F, Harf A, Brun-Buisson C, Ansquer JC, Atlan G: Total respiratory pressure-volume curves in the adult respiratory distress syndrome. Chest. 1984 Jul; 86(1): 58-66. [32] Suter PM, Fairley B, Isenberg MD: Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med. 1975 Feb 6; 292(6): 284-9. [33] Amato MB, Barbas CS, Medeiros DM, Schettino Gde P, Lorenzi Filho G, Kairalla RA, Deheinzelin D, Morais C, Fernandes Ede O, Takagaki TY, et al: Beneficial effects of the "open lung approach" with low distending pressures in acute respiratory distress syndrome. A prospective randomized study on mechanical ventilation. Am J Respir Crit Care Med. 1995 Dec; 152(6 Pt 1): 1835-46. [34] Arnold JH: To recruit or not derecruit: that is the question. Crit Care Med. 2002 Aug; 30(8): 1925-7. [35] Harris RS, Hess DR, Venegas JG: An objective analysis of the pressure-volume curve in the acute respiratory distress syndrome. Am J Respir Crit Care Med. 2000 Feb; 161(2 Pt 1): 432-9. [36] Hickling KG: The pressure-volume curve is greatly modified by recruitment. A mathematical model of ARDS lungs. Am J Respir Crit Care Med. 1998 Jul; 158(1):194-202. [37] Kallet RH: Pressure-volume curves in the management of acute respiratory distress syndrome. Respir Care Clin N Am. 2003 Sep; 9(3): 321-41. [38] Pelosi P, Gattinoni L: Respiratory mechanics in ARDS: a siren for physicians? Intensive Care Med. 2000 Jun; 26(6): 653-6. [39] Rimensberger PC, Cox PN, Frndova H, Bryan AC: The open lung during small tidal volume ventilation: concepts of recruitment and "optimal" positive end-expiratory pressure. Crit Care Med. 1999 Sep; 27(9): 1946-52 [40] Rimensberger PC, Pristine G, Mullen BM, Cox PN, Slutsky AS: Lung recruitment during small tidal volume ventilation allows minimal positive end-expiratory pressure without augmenting lung injury. Crit Care Med. 1999 Sep; 27(9): 1940-5. [41] Dall'ava-Santucci J, Armaganidis A, Brunet F, Dhainaut JF, Chelucci GL, Monsallier JF, Lockhart A: Causes of error of respiratory pressure-volume curves in paralyzed subjects. J Appl Physiol. 1988 Jan; 64(1): 42-9. [42] Gattinoni L, Mascheroni D, Basilico E, Foti G, Pesenti A, Avalli L: Volume/pressure curve of total respiratory system in paralysed patients: artefacts and correction factors. Intensive Care Med. 1987; 13(1):19-25. 236 Instructions for Use <strong>EvitaXL</strong>
Special ASCII characters used Characters Explanation Hexadecimal code Control characters NUL Null 00 ^@ SOH Start of Heading 01 Â STX Start of Text 02 ^B ETX End of Text 03 ^C EOT End of Transmission 04 ^D ENQ Enquiry 05 Ê ACK Acknowledge 06 ^F BEL Bell 07 ^G BS Backspace 08 ^H HT Horizontal Tabulation 09 Î LF Line Feed 0A ^J VT Vertical Tabulation 0B ^K FF Form Feed 0C ^L CR Carriage Return 0D ^M SO Shift Out 0E ^N SI Shift In 0F Ô DLE Data Link Escape 10 ^P DC1 Device Control 1 11 ^Q DC2 Device Control 2 12 ^R DC3 Device Control 3 13 ^S DC4 Device Control 4 14 ^T NAK Negative Acknowledge 15 Û SYN Synchronous Idle 16 ^V ETB End of Transmission Block 17 ^W Special ASCII characters used Instructions for Use <strong>EvitaXL</strong> 237
Page 1 and 2:
EvitaXL Intensive Care Ventilator S
Page 3 and 4:
Contents Contents For Your Safety a
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For Your Safety and that of Your Pa
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Intended Medical Application Intend
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Lung Protection Package (optional)
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Operating concept Operating concept
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The screen... displays all the most
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To set the ventilation mode and ven
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To set ventilation parameters direc
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PressureLink* Linked adjustment of
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Preparing for use Preparing for use
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1 lock it in position = pull tab un
Page 25 and 26:
Using HME, bacterial filters and ho
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1 Hang the hinged arm from the rail
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Fitting CO2 cuvette and CO2 sensor
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Gas supply ● Screw the connecting
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Connecting the nurse call (optional
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Preparing the child test lung 84 09
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● Touch the screen key »Check«.
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Leak test This test must be perform
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Ventilation while transferring a pa
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Operation Starting up . . . . . . .
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Starting up Switching on ● Switch
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Setting new ventilation parameters
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IPPV Intermittent Positive Pressure
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To view additional text information
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ILV ILV = Independent Lung Ventilat
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Setting the Master and Slave device
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ILV: Master and Slave Synchronisati
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BIPAP, BIPAP/ASB Biphasic Positive
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BIPAPAssist Biphasic Positive Airwa
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CPAP-ASB Continuous Positive Airway
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No initial values for PPS To protec
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To review, activate or set: In the
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Apnoea Ventilation For automatic sw
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AutoFlow for automatic regulation o
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-----------------------------------
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PLV* Pressure Limited Ventilation S
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Selecting application mode »Mask«
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Setting alarm limits ● Press key
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Remedy the fault ● Refer to the l
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Displaying graphics The following r
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Freeze To freeze the current real-t
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Display 1 hr trend ● Touch the fu
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Display logbook Changes, events and
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Additional functions Medicament neb
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Switch on the medicament nebuliser:
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EvitaXL ventilates the patient in t
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Expiration Hold This function may b
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Set the interval ● Touch the scre
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Negative Inspiratory Force NIF The
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Measuring procedure ● Touch the s
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Measurement analysis After the meas
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● Press the key » Sensor Paramet
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O2 sensor calibration — After rep
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CO2 zero calibration Only possible
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● Place the test filter in the CO
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Calibrating the CO2 sensor — If t
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Resetting CO2 calibration — If ca
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Selecting Standby Mode — To perfo
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O2 Therapy (optional) During the O2
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Switching on O2 Therapy ● Touch t
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Configuration Configuration . . . .
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Day/night function for screen brigh
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Define the trends to be recorded
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Define customised values and settin
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Lock the screen configuration again
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Select units Specific national unit
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Specific initial therapy values ●
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Set initial values for VT and f…
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Define start-up values for special
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Fault — Cause — Remedy Fault -
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Message Cause Remedy Apnoea !!! Pat
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Message Cause Remedy Exp. hold inte
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Message Cause Remedy Leakage Not di
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Message Cause Remedy Fault - Cause
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Message Cause Remedy Tidal volume h
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Preparing Preparing . . . . . . . .
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Medicament nebuliser (optional) 1 R
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The expiration valve is only disman
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As for ventilation hoses, water tra
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Assembling Mounting the expiration
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Maintenance/Disposal Maintenance/Di
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Replace cooling air filter — Clea
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Mains power/DC power operation Main
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Use of the power supplies Operation
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Connecting an external battery Note
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Operation with mains power The vent
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Evita 4 Link (optional) Evita 4 Lin
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Preparation The interface board may
Page 181 and 182:
Select printer protocol ● See "Se
Page 183 and 184:
What's what What's what . . . . . .
Page 185 and 186: Front connections 1 » « Gas outle
Page 187 and 188: Technical Data Technical Data . . .
Page 189 and 190: APRV Airway Pressure Release Ventil
Page 191 and 192: Performance characteristics Control
Page 193 and 194: Frequency Measurement Breathing fre
Page 195 and 196: Monitoring Expiratory minute volume
Page 197 and 198: Materials used Part Appearance Mate
Page 199 and 200: Technical Data Equipment outputs An
Page 201 and 202: LUST protocol LUST: List-controlled
Page 203 and 204: End of telegram "EOT" Status telegr
Page 205 and 206: 23 FiO2 high 24 FiO2 low 25 MV low
Page 207 and 208: Description Ventilation Modes . . .
Page 209 and 210: AutoFlow ® The AutoFlow function c
Page 211 and 212: SIMV Synchronised Intermittent Mand
Page 213 and 214: Response times longer than 15 secon
Page 215 and 216: BIPAPAssist Biphasic Positive Airwa
Page 217 and 218: PPS (optional) In ventilation mode
Page 219 and 220: The difference between measured val
Page 221 and 222: Unlimited volume compensation is in
Page 223 and 224: Tube type Inside diameter of tube (
Page 225 and 226: Rapid-Shallow-Breathing RSB The Rap
Page 227 and 228: Low Flow PV-Loop The Low Flow PV-Lo
Page 229 and 230: Screen configurations Screen config
Page 231 and 232: Screen configurations Screen config
Page 233 and 234: Abreviation Explanation P 0.1 100 m
Page 235: Bibliography [1] Baum, M., Benzer,
Page 239 and 240: Instructions for Use EvitaXL 239
Page 241 and 242: For paediatric ventilation Item No.
Page 243 and 244: Name/Description Order No. For CO2
Page 245 and 246: New features in EvitaXL SW 6.n Indi
Page 247 and 248: Index A Abbreviations . . . . . . .
Page 249 and 250: Performance characteristics . . . .
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