Emergency Ventilation Equipment

Back up Ambu Bag + Suctioning

Higher Pa System

O2 Cylinder Open - 1000 psi? Close

Pipeline Supplies - connected? 50 psi?

Low Pa System

Flow Control Valves: OFF

Vaporizers: OFF, check ll level, tighten ller caps

Leak Check: everything o ? Sux CGO, 10 secs? Repeat w/ open vaporizer,10 secs?

TURN ON MACHINE (and all other electricity)

Flowmeters: check full range smooth, undamaged ow tubes. Hypoxic mix? (N2O↑O2↑/O2↓N2O↓)

Scavenging System

Check Connections - scavenging system w/ APL valve + Vent relief valve

APL valve: OPEN, Y piece occluded, O2 Flow MIN

Scavenger reservoir bag collapsed/not in ating? Pa ~ 0cmH2O

O2 Flush —> Reservoir Bag Full Pa < 10 cm H2O?

Calibrate O2 Monitor

Calibrate O2 Monitor —> 21% in RA?

Low O2 Alarm Enabled

O2 Flush —> > 90%?

Initial Status of Breathing System

Switch to BAG MODE

Check circuit is complete, undamaged, unobstructed

Check CO2 absorbent good

Leak Check of Breathing System

O2 Flow 0, APL valve: CLOSE, Y piece Occlude

O2 Flush to 30 cm H2O —> 10 secs?

APL valve: OPEN —> Pa dec?

Automatic Ventilation Systems

Y piece + 2nd Breathing Bag

Set Vent Parameters for Pt (Vt 6-8ml/kg, RR 14,

Switch to VENT MODE

O2 Flush —> Fill Bellows + Breathing Bag

O2 Flow Min, Other gas 0 —> Inspiration TV good? Expiration bellows ll complete? (Bellows UP exp)

O2 Flow 5 L/min —> TV good, Bellows ll, No Sustained Pa @ End Expiration?

Unidirectional Valves working? (Ins valve UP on Inspiration! Exp valve UP on Expiration)

Manual Ventilation System

Switch to BAG MODE

Vent Manually —> feel good system resistance + compliance?

Remove 2nd Breathing Bag

Alarm Limits of All Monitors

Cap, Pulse Ox, O2 Analyzer Resp Volume Monitor

Airway Pa Alarms: High () Low()

Final Status of Machine

Vaporizers OFF APL valve OPEN BAG MODE FLOWMETERS OFF Sux Good

Breathing System READY!

fi
ff
fi
fi
fl
fl
fi
Emergency Ventilation Equipment: Ambu bag + Sux

High Pa System

Cylinders: Open - ~1000 psi - Close

Pipeline: Connections, ~50 psi

Low Pa System

Flow Control Valves: OFF

Vaporizers: OFF, Fill line? Tight Cap

Leak Check: CGO, 10 secs? open Vaporizers, 10 secs?

MACHINE ON

Flowmeters: adjust range smooth, ow tubes undamaged? Hypoxic Mix? N2O↑O2↑/O2↓N2O↓

Scavenging System

Connections scavenging system + APL valve + Ventilator Relief Valve

APL Valve OPEN, Y Piece OCCLUDE, O2 Flow MIN

Scavenger System Reservoir Bag collapse/not in ate - Pa ~ 0cmH2O?

O2 FLUSH —> Reservoir Bag Full - Pa < 10 cmH2O?

Calibrate O2 Monitor

Calibrate - O2 > 21% in RA?

Low O2 Alarm Set? (21%)

O2 FLUSH —> > 90%?

Initial Status of Breathing System

BAG MODE

Check Circuit Kinks?

CO2 Absorbent?

Leak Check of Breathing System

APL Valve CLOSE, Y Piece OCCLUDE, O2 Flow 0

O2 FLUSH to 30 cmH2O —> Holds for 10 secs?

APL Valve OPEN —> Pa dec?

Automatic Ventilation Systems

Y Piece 2nd BAG

Vent Parameters

VENT MODE

O2 FLUSH - Fill Bellows + Breathing Bag. O2 Flows Min Vt good? Expiration lls bellows complete?

O2 Flow 5 L/min —> Vt good? Bellows ll? NO SUSTAINED PA @ End Expiration

Unidirectional Valves

Manual Ventilation Systems

BAG MODE

Bag Manually —> compliance? Resistance?

Remove 2nd Bag

Alarm Limits: Airway Pa Alarms: High + Low

Final Status

Flowmeters OFF

Vaporizers OFF

APL Valve OPEN

BAG MODE

SUX Good

Breathing System Ready!

fl
fi
fl
fi