Tip Sheet
1 Page
![Tip Sheet NKV-550 Ventilator PEEP Titration NKUniversity.org Starting a PEEP Titration (PEEP-T) Procedure 1. Click the PEEP-T app icon and set the Control settings for the PEEP-T procedure (see table). Setting Default Setting Range Mode: VC VC or PC 2. The graph will show the preview of the procedure based on the Control settings. VT mL/kg: 5 mL/kg 4.0 to 8.0 mL/kg I:E ratio: 1:2 4:1 to 1:299 3. Press the “Start” button. During the procedure, the ventilator will ventilate the patient using the identified Control settings (in table), temporarily overriding the currently set ventilation settings. RR: 20 bpm 10 - 25 bpm FiO2: 21 to 100% 21 to 100% Duration each PEEP step: 30 sec 20 - 180 sec PEEP decrement each PEEP step: 2 cmH2O 1 - 5 cmH2O Starting PEEP: 25 cmH2O 15 - 30 cmH2O Minimum PEEP: current PEEP setting cmH2O 0 - 25 cmH2O - If patient effort is detected, a “Patient Effort Detected” alarm message will be displayed. - A “Hold Step” button allows the clinician to extend the time for the current PEEP Step. Pressing “Resume Step” will continue the procedure. - If the procedure needs to be stopped prior to being completed, press the “End” button. - Follow the warnings and precautions in the device operator manual to ensure the safety of the procedure operation. Conclusion of the PEEP Titration 1. When completed, the ventilator will display the PEEP at the highest compliance level and will continue to use the PEEP titration settings to ventilate the patient. 2. In order not to revert to the original ventilation settings, within 5 minutes, the clinician must either: a) Press the “End” button to cancel this app and resume normal ventilation. b) Press the “Go to Recruitment Maneuver” button to perform a Recruitment Maneuver. 3. The clinician can study the relationship between PEEP and various other parameters (e.g., compliance, SpO2, EtCO2). NOTE: Do not perform a PEEP Titration if: - Patient is alert and not sedated - Patient is not on invasive ventilation - Patient’s hemodynamic or respiratory conditions are unstable or become unstable us.nihonkohden.com Nihon Kohden University is a registered trademark of Nihon Kohden. Exceptional Solutions, Simply Delivered is a trademark of Nihon Kohden. VTSI 004 [B] - CO-2456 For 24/7 ventilator support, please call 1-855-550-VENT or email ventilator@nihonkohden.com](https://public.bioclinicalservices.com.au/library/representations/proxy/eyJfcmFpbHMiOnsiZGF0YSI6MzUzMzcsInB1ciI6ImJsb2JfaWQifX0=--12dcb142a7f3170f85934cb8c1baa97f7dc241eb/eyJfcmFpbHMiOnsiZGF0YSI6eyJyZXNpemUiOiIzMjB4In0sInB1ciI6InZhcmlhdGlvbiJ9fQ==--4214356078d1f110e449cda512a9432562da3e70/NKV-550%20Series%20PEEP%20Titration%20Tip%20Sheet%20Rev%20B.pdf.png)
Preview
Page 1
Tip Sheet
NKV-550 Ventilator PEEP Titration
NKUniversity.org
Starting a PEEP Titration (PEEP-T) Procedure 1.
Click the PEEP-T app icon and set the Control settings for the PEEP-T procedure (see table).
Setting Default
Setting Range
Mode: VC
VC or PC
2.
The graph will show the preview of the procedure based on the Control settings.
VT mL/kg: 5 mL/kg
4.0 to 8.0 mL/kg
I:E ratio: 1:2
4:1 to 1:299
3.
Press the “Start” button. During the procedure, the ventilator will ventilate the patient using the identified Control settings (in table), temporarily overriding the currently set ventilation settings.
RR: 20 bpm
10 - 25 bpm
FiO2: 21 to 100%
21 to 100%
Duration each PEEP step: 30 sec
20 - 180 sec
PEEP decrement each PEEP step: 2 cmH2O
1 - 5 cmH2O
Starting PEEP: 25 cmH2O
15 - 30 cmH2O
Minimum PEEP: current PEEP setting cmH2O
0 - 25 cmH2O
- If patient effort is detected, a “Patient Effort Detected” alarm message will be displayed. - A “Hold Step” button allows the clinician to extend the time for the current PEEP Step. Pressing “Resume Step” will continue the procedure. - If the procedure needs to be stopped prior to being completed, press the “End” button. - Follow the warnings and precautions in the device operator manual to ensure the safety of the procedure operation.
Conclusion of the PEEP Titration 1.
When completed, the ventilator will display the PEEP at the highest compliance level and will continue to use the PEEP titration settings to ventilate the patient.
2.
In order not to revert to the original ventilation settings, within 5 minutes, the clinician must either:
a)
Press the “End” button to cancel this app and resume normal ventilation.
b)
Press the “Go to Recruitment Maneuver” button to perform a Recruitment Maneuver.
3.
The clinician can study the relationship between PEEP and various other parameters (e.g., compliance, SpO2, EtCO2).
NOTE:
Do not perform a PEEP Titration if:
- Patient is alert and not sedated
- Patient is not on invasive ventilation
- Patient’s hemodynamic or respiratory conditions are unstable or become unstable
us.nihonkohden.com
Nihon Kohden University is a registered trademark of Nihon Kohden. Exceptional Solutions, Simply Delivered is a trademark of Nihon Kohden. VTSI 004 [B] - CO-2456
For 24/7 ventilator support, please call 1-855-550-VENT or email [email protected]