1998 OPEN FORUM Abstracts
THE USE OF THE SECHRIST BREATH TRACKER AS AN AUXILIARY AUDIBLE VENTILATOR MONITOR FOR NEONATAL TRANSPORT.
Rvan Grueber, BHS, RRT University Hospital and Clinics, Columbia, Missouri
The transport of premature and sick neonates frequently requires mechanical ventilation. One of the mainstay neonatal transport ventilators is the MVP - 10 ventilator from the BIO - MED DEVICES Corporation. This has been a workhorse ventilator for the last twenty years in the neonatal and pediatric populations. One of this ventilators main attributes is its continuous flow feature. This is especially useful for newborns and small pediatric patients. The main drawback of this ventilator is its lack of built in alarms. Neonatal transport is many times carried out in very cramped quarters and air transport by helicopter can be an especially constraining environment. Many times Neonatal transport isolettes have the MVP - 10 transport ventilator built into the isolette housing. This is a common setup as with the Airborne Neonatal Transport Isolette, making for a complete package. This is also good for safety; in the case of a crash all equipment is firmly secured to the isolette. One major drawback to this setup is that many times the pressure manometer of the transport ventilator is obscured by the presence of the caregivers legs. It is common to have caregivers sitting right next to the transport isolette. This is especially true when transporting in a helicopter. Another problem is that even with the optional low pressure alarm in line, caregivers cannot hear this alarm over the noise of the helicopter. The BIO - MED DEVICES Corporation now offers an auxiliary low pressure alarm for this ventilator. Unfortunately this unit does not solve the problem of visual interference and the inability to hear ventilator disconnect. One solution this facility came up with, was to mount a Sechrist Breath Tracker Ventilator Monitor on to the top of the neonatal transport isolette. A line from the pressure port of the Breath Tracker is put in line with the proximal pressure line of the MVP - 10. The Breath Tracker is a small hand held electronic pressure manometer powered by two 9 volt batteries. This monitor also has audible indicators of achieving set peak inspiratory pressure, loss of PEEP, respiratory rate or inspiratory time. Additionally this monitor features a radio type ear jack that allows for an earplug to be attached to it. By mounting it high on the isolette it gives the caregivers a readily visible indicator of ventilation or disconnection. It also gives the transport crew a way of hearing the audible indications of ventilation and presence of PEEP, while wearing helicopter headphones. This set up has given the neonatal transport team additional capabilities of ventilation monitoring for the last six years without any adverse incidents.
The 44th International Respiratory Congress Abstracts-On-Disk®, November 7 - 10, 1998, Atlanta, Georgia.