Elisee 150 Application Training Guide

Field of application

• Homecare / Hospital ventilator • Pressure and volume ventilation • Invasive & Non Invasive Ventilation • Single & Double circuit system • Adult & Paediatric ventilation

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Suitable for paediatric use

• From 6 kg

• Circuit Ø 15 mm

• Minimum tidal volume : from 50 ml

• Maximum frequency : up to 80 cycles / min

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CONTENTS

Description of the ventilator

Ventilation monitoring

Circuit assembly

Treatment control

« Patient » mode

Technical menu

« Clinician » mode

Why choose the Elisée 150 ?

Ventilation modes Ventilation parameters Alarm management

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Description of the ventilator Touch screen Connection of expiratory supports (double or single circuit)

Insufflation outlet Indicator for mains / external supply Indicator for internal / external battery « Silence Alarm » button

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Luminosity sensors

Description of the ventilator

Remote alarm socket

Air outlet

« On / Off » button

Access to the O2 sensor External DC supply : from 12V to 28V

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Serial connection socket

Air inlet O2 low pressure connector

Circuit assembly • Connection of a single or double patient circuit • Simplification of assembly / disassembly : system of clips No tools !

Clips Center points

• Automatic detection of the circuit characteristics during the manual test

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Circuit assembly

• 2 interchangeable supports : – « Single circuit » support allows to connect the exhalation valve control connector and the proximal pressure line

Proximal pressure line

Exhalation valve control © ResMed

Inspiratory limb of patient circuit (Ø 22 mm)

Circuit assembly

• 2 interchangeable supports : – The « double circuit » support is composed of a support valve and a built-up spirometry. It allows to connect the exhalation limb.

Air outlet

Expiratory limb patient circuit (Ø 22 mm standard)

Inspiratory limb of patient circuit (Ø 22 mm standard) © ResMed

« Patient » mode • Start the ventilator by pressing the button on the right side of the device

• Then the following “Patient” welcome screen appears : Access to the “Practitioner” screens

Selected ventilation mode

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Power supply status

To start the ventilation

« Patient » mode

The ventilation starts  The button “VENTIL. STOP” is then available 



The screen indicates : Ventilation parameters  The 4 measures selected in “Practitioner” mode (only of the ventilation has begun) 

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« Patient » mode • Switch off the device by pressing the button on the right side of the device

• Depending on the ventilation status, current or not, one of the two following screens appear :

No ventilation

• Confirm you want to stop the ventilator © ResMed

While ventilating

« Practitioner » mode : new patient • To access to new ventilation programming, press the button “New patient” • The following screens allows to choose the patient configuration :

Each element of the configuration is reminded on the screen thanks to an icon © ResMed

« Practitioner » mode : new patient •

Once the patient configuration has been chosen, the following screen displays in order to choose the ventilation mode : Pressure modes

Volumetric modes

Controlled modes

Intermittent modes Dual mode Spontaneous modes

•

Once the mode has been selected, the screen of parameters setting appears

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« Practitioner » mode : new patient •

From the “Practitioner” welcome screen, you can access directly to the screen of parameters setting is available by pressing on the “Current programming” button, if no configuration change have to be made

To modify the current programming

•

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From the screen of parameters setting, you can modify the “Patient” characteristics by pressing the button on the right side of the device

Ventilation modes : P(A)CV

• P(A)CV = Assisted Pressure-Controlled Ventilation The ventilator delivers cycles characterized by a fixed insufflation's time and pressure parameter –

PCV = cycles are released by the ventilator, insufflation does not depend on patient’s effort. A frequency should be adjusted.

–

PACV = inspiration can be released by the patient (trigger)

–

The change from PCV to PACV mode depends on inspiratory triggers adjustment

• In P(A)CV mode, the user can set recruitment cycles

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(A)PCV: (Assisted) Pressure Controlled Ventilation Single limb circuit with valve or double limb circuit The parameters : - The pressure rise time - Inspiratory pressure (PS) - Expiratory pressure (PEEP) - The frequency (fmin in APCV, f in PCV) - The inspiratory time (Ti) - The pressure trigger (Tg.P) Trigger = YES  APC, Trigger = NO  PC - The flow trigger (Tg.D)* (Only with Double circuit) - The tidal volume security (Vts) Others: YES Minimum delivered tidal volume alarm Maximum - delivered tidal volume alarm High frequency alarm (in APCV mode)

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Circuit with Valve Mode Waveforms Ti Max Exp. Trig.

Exp. Trig.

PS ZEEP PEEP

Insp. Trig.

Ti min

F min

PS Mode

PS Mode released on Back up frequency

Fixed Ti

Fixed Ti

Fixed Te

PS

ZEEP PEEP

F min

Insp. Trig. Assist Controlled respiratory cycle

APCV Mode © ResMed

Controlled respiratory cycle

PCV Mode (Trig. NO)

EPAP

The pure volumetric Mode (A)CV Double limb circuit

• • • • • • • •

The parameters to set are : The slope The tidal volume (Tv) Expiratory pressure (PEEP) The frequency (fmin in ACV, f in CV) The inspiratory time (Ti) The pressure trigger (Tg.P) = AUTO / 1 – 6  ACV mode, Trig = NO  CV. The flow trigger (Tg.D)*

• Low pressure alarm

• High pressure alarm • Others YES • - High frequency alarm (in ACV mode)

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Assist Control Ventilation in Volume P Pressures is the result of

compliance and resistance

0 Descending flow 1

V' 0

iT1

iT1

Vt

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Vt: 500 ml

Vt: 500 ml