Dräger Medical
Carina Non Invasive Ventilation Guide
Guide
2 Pages
Preview
Page 1
Carina Non Invasive Ventilation Guide This is a guide to initial setting which can be considered for use with the Carina Non Invasive ventilator. The attending clinician must validate the appropriateness of using these setting and adapt to the patients requirements as deemed necessary. Any operation of the device requires thorough knowledge of the instructions for use
Required Equipment:
Carina with correct patient Hose Set and filter. Carina connected to Oxygen gas supply Fully charged battery and or connected mains power. Carina set for “Mask” Ventilation Non Vented NIV mask Recently performed device check
Ventilation start up Press the power button ion the rear of the Carina The self test screen will appear , the LED’s will light and an alarm will sound. The Carina will go into Stand By mode
Changing Modes (Fig. 1) 1. 2.
3.
Press the grey button B Use the Rotary knob to select the desired mode; Spn-CPAP/PS PC-AC PC-SIMV/PS VC-SIMV/PS Confirm your selection with the rotary knob.
Fig 1
Changing Parameters (Fig. 2) 1. 2. 3.
Press button A that corresponds to the parameter you would like to alter Use the Rotary knob to adjust to the required value Confirm your selection with the rotary Knob.
Adjust clinical setting as per patient requirements (suggestion PTO)
Warning! This “Quick Guide” is not a replacement for the Instructions for Use. For full information concerning the performance characteristics of the Dräger devices described in the Quick Guide, each user must carefully read and fully comprehend the Instructions For Use before operating the respective device. Page 1 of 1
Fig 2
Carina Non Invasive CPAP/PS Ventilation Guide This is a guide to initial setting which can be considered for use with the Carina Non Invasive ventilator. The attending clinician must validate the appropriateness of using these setting and adapt to the patients requirements as deemed necessary. Any operation of the device requires thorough knowledge of the instructions for use
Spn-CPAP 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Choose the most appropriate sized mask (Carina uses an unvented mask) Use the rotary knob to highlight ∆Psupp, Adjust to zero and confirm Adjust PEEP to clinical desired level Place the mask on the patients Observe the ventilator Paw graph for a rise in pressure Monitor the patient for appropriateness of ventilation. Only tighten to achieve comfortable fit and a minimal leak. Avoid over tightening Monitor the patient Remove mask for pressure care and hydration and reassessment frequently If CPAP is still required reapply mask
Adding Inspiratory Support Once CPAP level is set to provide required Oxygenation, If the work of breathing remains excessive Pressure Support can be applied 1. Highlight ∆Psupp using the corresponding grey button 2. Adjust ∆Psupp to the required level. (∆Psupp is the pressure above PEEP) 3. Monitor the tidal volume and adjust mask tightness if required 4. Adjust ∆Psupp in increments to achieve the require reduction in work of breathing 5. Monitor the patient
AutoAdapt function Carina has an auto adapt function which increases the set pressure/s over time so that the patient can gradually get used to the applied pressures. The resultant pressure is set in the main screen. The start pressures and time to rise is set in the AutoAdapt controls. 1. Use the 1234 control to access menu #4 (AutoAdapt controls) 2. Adjust PEEP start point 3. Adjust PS start point 4. Adjust the time desired to achieve the final pressures 5. Turn Aut.Adapt “ON” N.B. Maximum pressure change is 8 cmH2O per minute. Any changes to the settings restarts the timing. Check that the final pressures are appropriate for the patient. War ning ! Page 2 of 1