F-~"~"'l"~!f'.f ~ ~~-~ ;:.',.;_:,::. L"" Bieu nrong pin co 4 nfte, tn6i nfte wong duong 25%. pin. BiSu nrong nay nam 6 goc diroi ben phai cua man hinh. Paw " PEEP.. [rnbar] -rnbar ' so I:E ~ Un_'li-ln _ 40 Tpl,a'~% [%],20 Trigger 110 mbar aas consurnp, = 2, 1 'Umin Vi du : pin con 75%. [Urnin],;, '.1. I 51 1:1.5 0 off '.:~: "... '...: 17
- ~... '. ~.,~' ~.',. Chu~nhi may,,'.- ".. e,...~; 18 Til' ngudn di~n chinh (qua AC/DC adapter) 1 G~n day dien (A) VaG nguon dien, 2 G~n d~u dien DC (B) VaG cong n6i nguon DC tren may Oxylog 2000 plus. 3 Khi may Oxylog 2000 plus, duoc g&nnguon thanh cong, den hi~n thi =8- (C) se sang. o xylog 2000 plu& = o..._.: '. ';.. ~ c;: 0
Ngu6n tir bq chuyen DC/DC converter BO chuyen DC/DC converter duoc dung khi c~n n6i may Oxylog 2000 plus voi nguon di~n mot chien tich hop co dien ap khac nhau (12 V, 24 V, 28 V DC). 1 G~n d~u n6i 16n (A) cua bq chuyen DC/DC converter vao nguon dien tieh hop. 2 Gan d~un6i nho (B) van d~u n6i DC cua may Oxylog 2000 plus. 3 Khi may Oxylog 2000 plus ducc g~n voi nguon dien, den hi~n thi =8- (C) se sang. '., Ql(ylog 2000 plus = 00 o 0 I'. 12V DC 24V DC 28VDC 'I, I'.., -,\",;,', " I <~;- :,i ;:,,4 r,." ~ : ii', 1,11d: ~ :r'~1\ - - - Chuanbi may.r- ",.,....:. -..~, -.,:'.... " ",, --. ( " 19
Chuan bj may.. -~. -" 20 K~t nbi vrri blnh O2 1 Dung binh O2 d<1y 2 G~n van giarn ap (ap hrc van 270 dsn 600 kpa, 500 kpa) van binh O2. 3 G~n day O2,CA) vao may Oxylog 2000 plus. 4 g~n d&uday O2 con lai van van giam ap (B). 5 V~n num (C) d~ rna binh. ' " ".
~....' '~UQn~U~p~1:0 ~u9~ O~A(g) ~BIuQJ ngp u~oz -snjd OOOl ~olaxo A~ui OVA (V) AXO AlJP nwp u ~ 1
Chuan bi may :' ' -".:".r...;.,..., '.. 22 Thai gian hoat dong ella may Oxylog 2000 plus voi binh khi d~y se tang len neu dung eh6 dq O2 AirMix, cling nhu khi dung khi phong..,? LUQ'ngkhi tieu hao / toe dqtieu hao duoc the hien tren may Oxylog 2000 plus 6 goc diroi ben trai cua man hinh, dan vi L'min. Thong tin nay eo th bi che khuat khi eo mdt bao dong quan trong han. ~. Vi du: O2 tieu hao == 2.1 L'min ------
.'..., ;:;.;..~..~ J..~~; Vi du tinh ths tich khi trong binh khi nen : Ap lire trong hinh khi th~ hien tren dong h6 ap hrc cua hinh : 20,000 kpa (200 har) Th~ tieh binh O2 : 2.1 L Th~ tich khi trong binh 1;\ : 2.1 L x 20,000 kpa = g~n bang 420 L Vi du tinh thai gian hoat dong voi hinh khi nen tren : VC-CMV mode, t~n 86 10 nhip tho/phut, VT = 1 L, O2 = 100% MV = 10 nhip tho /phut x 1 L = l Ol.zphut.;r. Thai gian van hanh may = LUQ'ng khi trong binh [L] -- (MV +0.5*) [Lilnin] Thoi "h' 1 420 ;, b~ 40. 0'1glan V9-n an 1= gan ang. mmutes 10.5 * Tinh voi hrong khi tieu hao cua may Iii : 0.5 Lrnin.',. :.' ~ ',' L ' 23...'. "..,".. '
'_ Van hanh / di d~t.: '..... :, " " " ".,".... :,". 24 ",,:.. B~ may ON. Gift nut nguon : 6 key (A). The Oxylog 2000 plus Qua tinh self - test ke Sau self - test may khoi d sau: Mode tho VC-CMV. I:_E~LJ--.-S-. _-- PEEP = 5 mbar. Tplat % = 0%. Trigger = 0 FF. tv dong check thiet bi (self - test). I I LJ o dai khoang 6 giay, D Ildc- \..~,U:'!..J:pIW.... o 00 00 0'" 0 1"\. 9ng thong khi voi thong s6 mac dinh, Nhu o 0.. Of' OOOO ) r ---O:().' J o~~_,_ --:-.' ~.; ;' J
Sau khi go may khoi benh nhan, t~t may: 1 Nh~n nut 6 (A) trong khoang 3 giay. Dim bao dong yang nhap nhay va may ngung thong khi.. 2 Nh~n num xoay (B) de xac nhan bao dong ll! Xac nh~nt~t may b~dg Dum xoay. I 1 '.'... ',.:I~.' ;.~,:,... Maw D ". : r : 'p1vs 00 O~~ 00 0 1\ o 0 0000. IJ :~.O 1...,; " -...,,'. " US inil.,.:.. '" 25
- J ~ ~, V:}11 hanh / Cai (1~t ' " :( i : :_,.~"::l {,T<"l ~"'(~~~\. t".' " 26.. 0..., D ooo~ :II::::C:m::puLl" 0 0 Dim" o 0 o 0 0 0 a[l ::. ""_""... '.' '50ftW'a~e,oT;:do:/. ': '. '....:','.' OxYlog2000 plus, ' option NIV.. option PS I] ';:". P~55 rot~ry k~ob for de'vicecheck' and configuration' G~n test lung B~t may 1 Noi co (A) vao van~t~h~a~. _-----_.A...-hAI1-g-i-fr-nu-t-ngtl-6n------~2-NIian num xoay (A) de xae, ------'2~eJtucdliu chuysn tiep (9 (B). nhan truce khi thanh test day. (B), duong kinh 7 rnm, vao co 3 Chon Device Check trong (A). BQ phan nay gia l~p khang May thuc hien self-test sau do thong menu. tro cua dirong tho. khi theo cac thong s6 mac dinh neu, '~-.---- -------.-- -~ - 3 Gin test lung (C). khong thirc hien cac thao tac sau : NOTE: qua trinh checkmay co the ngung b~t ky luc naa bang cach.nhan.nut,..".»alarm.reset«. :.,' -. -.. ~,:. ;.-
~,-.r > '..'. ",". Ll I!:',.' " -:--".. " :'l--..,...".~..~. --'-'-"--'-'--., I,. '.'.: :',..,'" U~lIU J~X ~p (a) hlwx umu ut!qn Z (V) -9.Ql opom '3u 9 '3U.onll'}U uvqn 1 10 Ag~1J 1JU01l (V) -9ql ~poui ~-9A1JUl)13uonlll}U.n~13uyqN '1 J.QQl apour uoq~ ~ <1,.::;?.~"-.~~ '~.,. v,~~
,~"".,." :;t. :.... Operation / Settings ;... 28 Ciidittb6ngs6thfr 1 Cai d~t bang cac num di u khien phia duoi man hinh. Or 2 L\Ia chon, chinh va xac nhan cac thong s6 bang num xoay.. " Trong vong 15 giay neu thong s6 khong duoc xac nhan, may se bao dong! Settings not confirmed.., <II' Khi thong s6 PEEP duoc chinh qua 10 mbar, may se bao Confirm PEEP above 10 mbar? va nguai dung c.n phai xac nh~n truac khi muon tang~p~e=e~p,--,-._~_ ------ 20,mbar... Gas consurnp. = 2. r Umin.' lplat % [%] 0 Trigger [LJrnin] " off
Cac mode tho' eo tren may VC-CMV / VC-AC volume controlled - Controlled Mandatory Ventilation voi PEEP. Volume Controlled - Assist Control with PEEP.. VC-SIMV (Optionally with Pressure Support) Volume Controlled ', Synchronized Intermittent Mandatory Ventilation with PEEP.. SpnCpap Continuous Positive Airway Pressure (Optionally with Pressure Support) ThO'nr nhien voi ap hrc duong lien tuc. Trong truong hq'p hili sue tim phbi Trong qua trinh h6i sire tim phoi, ap luc duong tho Paw duoc gioi han a luuc Pmax cua may Oxylog lit mode tho kiem soat ap lire, do do neu rmrc Pmax cao se cung cap Vt cao va ngiroc lai. 2000 plus. Day 29 ',:,.:.'., ;,,. I /,~".",_,',.. :;"".::-,: ','.,< ::'~,Op:i~t.ion/Settil~gs,j ".'.'-;. "... -" - ~:
,. Operation / Settings.,.:'; : ". 30 VC-CMV - Volume Controlled - Controlled Mandatory Ventilation. Ki m scat th tich Paw Plateau time Tplat Cai d~t cac thong s6: Tidal volume VT. Ventilation respiratory rate RR. (minimum possible respiratory rate: 5 per min). Maximum airway pressure Pmax. O2 setting, O2 AirMix or 100% O2 Fi02. The following can be set on the display: Pos itiv~ end expiratocy-pres ur:e--l!-eep':-. ----------------------:------~ Ventilation time ratio I:E. Plateau time Tplat %, in % of the inspiration time..,...i. RR -------------~---- YC-CMV" ~IIVe " 4.6 ' PaW "b PEEP m ar 60 I:E. t [mbar] 51,, 1: 1.5 40 Tplat 0/0' [%], 0, [Llmin] off vi' 'i::500)nl,' " Ti =2.0s, Flow = 15 tjmin