Machanical Ventilation

mady · Apr 29, 2003

New forum about ventilation... as technology improve, so does ventilation..... and this is what this new thread is for!

So what is E sense in the new Bennett 820?

What is its clinical use?

In what situation, do u change it?

How much do u change it?

How to evaluate the changes?

gwenith, BSN, RN · Apr 29, 2003

Read the

Flammin'

Manual

Sorry to be so "upfront" but the problem is that EVERY ventilator on the market at perent has it's own terminology with regards to how it delivers/senses breaths and each one claims to be superior.

Some places and vetilators refer to a patient on 5 of PEEP and 10 of Pressure Support as being on PSV (Pressure Support Ventilation) while another will say the patient is on CPAP (Continuous Positve Airways Pressure) ventilation and still other units/ventilators will refer to it as SMV (spontaneous mode ventilation). ALL describe essentially the same ventilation.

Some of the reason for discrepancy is copyrighting of the terminolgy by companies. Some of the reason is because the mechanics and or softare driving the breath parameter is different even though the breath delivery is essentially the same.

It becames hideously difficult to distinguish between features on ventilators and confusing - especially to newbies - as to what means which. The only recourse is to read the manual and/or ring up the company and watch how YOUR patients react to the parameter.

Having "vented" (Ooops no pun intended) - I am interested in this thread and will be watching for all replies.

gwenith, BSN, RN · Apr 29, 2003

Read the

Flammin'

Manual

Sorry to be so "upfront" but the problem is that EVERY ventilator on the market at perent has it's own terminology with regards to how it delivers/senses breaths and each one claims to be superior.

Some places and vetilators refer to a patient on 5 of PEEP and 10 of Pressure Support as being on PSV (Pressure Support Ventilation) while another will say the patient is on CPAP (Continuous Positve Airways Pressure) ventilation and still other units/ventilators will refer to it as SMV (spontaneous mode ventilation). ALL describe essentially the same ventilation.

Some of the reason for discrepancy is copyrighting of the terminolgy by companies. Some of the reason is because the mechanics and or softare driving the breath parameter is different even though the breath delivery is essentially the same.

It becames hideously difficult to distinguish between features on ventilators and confusing - especially to newbies - as to what means which. The only recourse is to read the manual and/or ring up the company and watch how YOUR patients react to the parameter.

Having "vented" (Ooops no pun intended) - I am interested in this thread and will be watching for all replies.

altomga, ADN, BSN, MSN, DNP, RN, APRN · Apr 29, 2003

At my facility we only use certain brand of vents...@ 5 different types or so....look up the info on the company website...ask R.T., suggest to management that if a new vent is being instituted to send out a info sheet on the mechanics of it....

Basically, they all walk the same walk with different lingo...ventilation modes as you know depend on what your patient needs....My best resource at work for me is the respiratory supervisor....always a wealth of information!!

altomga, ADN, BSN, MSN, DNP, RN, APRN · Apr 29, 2003

At my facility we only use certain brand of vents...@ 5 different types or so....look up the info on the company website...ask R.T., suggest to management that if a new vent is being instituted to send out a info sheet on the mechanics of it....

Basically, they all walk the same walk with different lingo...ventilation modes as you know depend on what your patient needs....My best resource at work for me is the respiratory supervisor....always a wealth of information!!

mady · Apr 29, 2003

Manual only tell what E sense means, but doesn't tell you the clinical use of it...

anyone has some idea of how E sense can be used

mady · Apr 29, 2003

Manual only tell what E sense means, but doesn't tell you the clinical use of it...

anyone has some idea of how E sense can be used

nimbex, RN · May 29, 2003

gimme a servo any day, and quit waiting for the last minute until initiating the oscillator.

Follow the above directions and I am one happy, yet seemingly frustrated RN, because we must have the "latest and greatest", which I fail to see much of a difference in patient outcomes.

Can anyone change this poor attitude with experiences that newer models equal better patient outcomes? Trying to keep an open mind .... help a small opening out here.....

Sorry, but have not experienced this new vent, in therapy form the last change, which equaled such poor alarms that the high pressure and disconnect sounded the same..... if you could hear it!

Can anyone provide more info?

TinyNurse, RN · Jun 16, 2003

My mom is RRT, and she does local travel assignments as of recently.

She says all vents are a vent, and they work differently and have different mfgs, but a vent is a vent. So she has handled it.

I'm a new grad RN and don't know much about vents, but she does, so I sorta trust her. Her biggie....."Watch the patient."

xoxo

Jen

new RN grad June 13th 2003

nowplayingEDRN · Jun 17, 2003

Originally posted by gwenith
Read the

Flammin'

Manual

HAHAhahahahaha! :rotfl: sorry gwennie, but that was profoundly funny and sooooooo true!

mady, I would suggest that you contact the rep your hospital uses from Bennett (BTW, I like our Bennett better than the Servo ) or have the hospital education dept. set up an inservice on the new vent for the nursing staff. Also check the web site for the company. They most always have a way to contact them so that you can ask questions.