Servo-I Ventilator

Servo-I Ventilator
Servo-I
• Can be used on all sized patients
• Does not require a flow sensor
• Has some additional features that we can use,
such as NAVA (coming in fall/winter)
Front of
Machine
Main Screen
-Basic settings
Rotor Dial
-turn to adjust
Standby Button
-places ventilator in standby
-Resumes ventilation
Knobs
-instantly changes settings
-used to adjust FiO2
Buttons
-Manual breath
-O2 breath
STANDBY
Button
Places ventilator in Standby
-Black screen and Red writing
Also, will resume ventilation
4 Knobs, directly relate to the setting directly above it on
screen - INSTANTLY changes settings
Farthest left is always FiO2 *When adjusting +/- 60%, it will
automatically stop as a safety pause, continue turning knob to
continue going above or below 60% O2
Start Breath
-“Manual Breath” it initiates
an additional breath
O2 Breaths
-instantly changes fiO2 to
100%
-Does not allow you to set a
10-20% increase as the AVEA
does via this button
Main Screen Button
Will always bring you back to this “Main Screen” from whatever previous
screen that was displayed
Alarm Silence/Reset
-Will silence any alarms
-Clears screen of old alarms
ALARMS
• Alarm silence is for 2 minutes, can not turn off alarm silence
once activated
• While silenced, any “new” alarms will still alarm
• Silence ALL alarms by pressing and holding for 2 seconds the
“Alarm Profile Key” which is next to the flashing alarm
message
• Alarm silence button is also used to “clear” old alarm
messages
• High Priority – RED ALARM
• Low/Medium Priority-YELLOW ALARM
Top right corner of screen, alarm will flash, stating what
the alarm is.
High Priority Alarms
• Apnea
• Check tubing- water in tubing, plugged tubing,
excess leakage
• Paw High- patients Peak pressures are high
Medium/Low Priority Alarms
•
•
•
•
•
CO2 sensor error
Air supply pressure: high/low
Respiratory Rate: high/low
Leakage out of range- NIV circuit disconnect
Leakage over range- pt spontaneously taking a breath faster
than ventilator can give
Where do I find what Mode I am in??
-Top left corner
-*Pressing the mode section, this will bring you to your “current
settings screen
MODES
AVEA
SERVO-I
SIMV PRVC
SIMV PRVC
Pressure SIMV + volume guarantee
*SIMV PRVC** this is mode that will be
used
SIMV Pressure Control
SIMV Pressure Control
Pressure Control A/C
Pressure Control
CPAP/PS
CPAP/PS
APRV
**Bi-Vent
Nasal CPAP/IMV
**Nasal CPAP (just cpap)
Nasal CPAP/IMV
**NIV PS (cpap plus PS)
Nasal CPAP/IMV
**NIV PC (CPAP plus rate pressure (as
used in RAM cannula patients)
How To Read My Settings
What my ventilator settings are set at, this is what gets charted
Lets go back to the Main Screen
What is My Patient Doing?
-All the values on the right
side of the screen are values
of what the patient is actually
doing
-Patients actual pressures,
total respiratory rate, minute
ventilation, inspiratory and
expiratory tidal volumes
-If you need to chart what the
patient is actually doing vs.
what is set, these are your
parameters
Bottom of the Main Screen
-Displays the 4 most common
“want to know” settings.
-Always shows FiO2 and PEEP
-Depending on your mode, it
will also show Set RR,
Pressure settings, Tidal
Volume, etc…
Where is my Fio2 again? PEEP?
Where do I find my Respiratory Rate?
Tidal volume readout?
-Vti (inspiratory tidal volume) and Vte (expiratory tidal volume) can
be utilized to assess for leakage
*-remember, Vti is of “current breath, while Vte is of the “previous
breath”
Where do I see what my Peak
Pressures are?
What if I want to see
additional values?
Press the “Additional Values”
icon. There are 3 pages of
information
-lung compliance
-airway resistance
-end expiratory flow
-etc….
Are there waveforms?
Of course, the same traditional waveforms are present and
visible.
You can even look at waveforms and loops on the same screen.
Simple?
• Right now, the Servo is being used the same
way as the AVEA
• We just need to get used to the new
nomenclature, buttons, sounds, etc….
• NAVA- coming soon……..(Fall/Winter)
Still need help?
• You will still always call your RT for any needs
• View servo-I learning video
• Attend an in-person servo-I training session
(see your educator)
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