Help with Impact 754 Eagle Transport Ventilator

[spenac]

OK seems much more complex than the autovent 3000. But we have these at my full time job. Any help would be appreciated.

Here is what I am talking about.

http://www.progressivemed.com/estylez_item.aspx?item=11684

[tniuqs]

spenac:

Dood First off Impact is blowing smoke ... ok yes this is a good ventilator but by no means is it the best on the market .. the Pulmonetic LTV will run circles around it, theres no Pressure Support nor Pressure Control, NIPPV its just a volume ventilartor .... sorry not your query.

Just what advice are you looking for setting VT, MV, PEEP, RR rates, Flows, I;E ratios ??? like what specific questions do you have my friend ?

And the enlargement picture sucks to see what the controls are ... got a better picture ? We can go from there.

cheers

[spenac]

I have never used it and have been given no education in its use. So I need everything. Sorry to be so much trouble.

[chbare]

Spenac, you must get with an RT or provider who is well versed with this ventilator. Setting this ventilator up can be quite tricky and I urge you to find somebody who can spend a significant amount of time teaching you how to use this device. You will need understand and know what some of the settings do and implication of these settings. As you may know, you will be calculating an actual inspiratory time and flow rate. These settings along with the rate and tidal volume will effect the I:E ratio. This is a bit different from some of the other transport ventilators. This is quite different from the CV4 and Oxylog 2000 that I currently use.

Trust me, get with an expert on this one bro.

Take care,

chbare.

[VentMedic]

And the enlargement picture sucks to see what the controls are ... got a better picture ? We can go from there.

cheers

Here's a better view.

http://www.kumc.edu/SAH/resp_care/univent.ppt

First: This vent does not function well in SIMV since there is not a Pressure Support mode to augment the spontaneous breaths between the mandatory. Thus, use the Assist Control Mode.

Second: The Plateau Pressure button does not measure a true plateau pressure in relation to compliance. If it did, there is so much information you could obtain from it. But, NOT with this machine.

http://anesthesia.slu.edu/pdf/plateau.pdf

http://www.impactinstrumentation.com/PressurePlateau.htm

Sedation may also be important since the sensitivity and demand response with this machine for some patients may be crappy and they will fight the ventilator. Think of it as trying to take a large drink from a garden hose that is barely dripping. Also I like to compare ventilators in terms of cars since their characteristics can be described in the same manner. The two devices on the other threads you mentioned are somewhere between a Yugo and a Vega...maybe an Escort...somewhat sturdy and can be practical for some situations. They are great for ventilating the barely living dead that won't fight you or ask for much.

Some basic principles of ventilation:

http://www.aic.cuhk.edu.hk/web8/mechanical_ventilation.htm

Some basics with pictures:

http://www.ccmtutorials.com/rs/mv/

[spenac]

Wish my service would have talked to someone before wasting our money on these. Looks based on comments to be a complicarted piece of junk. Hopefully I can get an RT to sit down and help me learn so it will be used. I mean I guess it would still be better than bagging for a long transport if used correctly right?

[VentMedic]

Wish my service would have talked to someone before wasting our money on these. Looks based on comments to be a complicarted piece of junk. Hopefully I can get an RT to sit down and help me learn so it will be used. I mean I guess it would still be better than bagging for a long transport if used correctly right?

The 754 can be a good ventilator as long as one understands its little quirks. For most patients, AC control is all you'll need. Patients on ventilators should also have some sedation available for comfort.

These little ventilators are very different from the big ICU machines. I had to put up with a quadriplegic patient complaining when I switched him from the ICU vent to a portable for the transition to rehab. It wasn't until we got him into the wheelchair and mobile that he finally quit griping. It just took a little getting use to.

Patients that are air hungry on an ICU ventilator may have a hard time switching. Meds may make the transition easier but for heavy respiratory patients, not all transport ventilators will perform well enough to meet the demands of the patient.

[Arizonaffcep]

Hence why it's always important to have a BVM in addition too...

EDIT: The 754 is what we use here. I have some experience with the auto vent 3000, but I like the 754 better. Does a little more, it's fairly simple to set up, although the adjustor nobs for rate and volume are VERY touchy. I like how you can monitor the peak pressures and other things as well.

[VentMedic]

I don't advise anyone to use the Autovent, the Carevent or any ATV for CCT.

Some have and some have failed miserably. Although, I can't blame the machine totally for the failure. In some cases it was the providers who didn't recognize their patient and the ventilator weren't compatible during the transport.

[Arizonaffcep]

Of course with any vent transport...CO2, POx and cardiac monitor=MUSTS...and also why I NEVER transport a vented Pt without a BVM kept between his knees (ground transport) or just off their left hand (for flight).