Elisee 350 Application Training Guide

Field of application

• ICU / CCU ventilator • Pressure and volumetric ventilator • Invasive & Non Invasive ventilation • Single & Double circuit system • Adult & Pediatric 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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Specifications of the ventilator

• Size : 290 x 250 x 130 mm • Weight : – – –

4,5 kg, ventilator only with internal battery 0,4 kg, mains supply pack 1,1 kg, external battery pack

• Autonomy : – – –

NimH batteries Internal autonomy : 2H30 External autonomy : 3H (removable pack)

Ventilation performances are preserved during the whole time of discharge © ResMed

In the forefront of technology • 2 patents : – Geometry of proportional valve – Flow-by structure : Combination of a high performance micro blower and a proportional 3 ways valve

• Thanks to this technology : – – – – –

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Better control of flows Reduction of valve response time Maximum safety in case of HP no barautroma Maximum precision of flow-by Easy ventilation with high frequencies and little volumes

CONTENTS

Description of the ventilator

FiO2

Circuit assembly

Observation of ventilation

Turning the ventilator on / off

Respiratory mechanics option

Ventilation selection

Nebulization

Ventilation modes

Technical menu

Ventilation parameters Alarms 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

Nebulizer O2 outlet connector

« On / Off » button

Air outlet

External DC supply 12-28V

O2 low pressure connector Serial connection socket

Mains supply socket © ResMed

Access to the O2 sensor

Air inlet

O2 high 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 © ResMed

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

Turning the ventilator on • Start the ventilator by pressing the button on the right side of the device

• Then the following welcome screen appears : To display the results of the last manual test

To choose a preset ventilation mode To choose the previous ventilation mode

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To set a new ventilation mode

Turning the ventilator off • 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

Manual test • Doing a manual test allows : – –

To detect what type of patient circuit is used To determine the resistance / compliance of the circuit

• When doing a manual test ? – – – –

Each new patient Each time the ventilation program is changed When changing the circuit After adding / removing an accessory (humidifier …)

• Precautionary measures : – –

Connect all the accessories used for the ventilation Disconnect the ventilator from the patient

If the test fails, call your technical services © ResMed

Manual test • 3 measure stages : – – –

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Sensors offset (O2, pressure …) Circuit inspiratory resistance Expiratory resistance (if double patient circuit), compliance and O2 sensor gain

Ventilation selection 

5 preset programs  Memorization of the whole ventilation configuration : - Mode - Type of patient - Ventilation parameters - Alarms settings

Reduction in training time for hospital staff ! Ideal to differentiate day / night ventilation !

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Ventilation selection

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New setting • 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

New setting •

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

Volumetric modes

Dual mode

•

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

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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 More about recruitment :

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