The Science Journal of the American Association for Respiratory Care

1998 OPEN FORUM Abstracts

OPTIMIZING TRANSITION TO HOME VENTILATION

Anita Sherrill. C.R.T.T., Scott Pettinichi, B.A., R.R.T., Raouf Amin, M.D., Children's Hospital Medical Center, Cincinnati, Ohio

BACKGROUND: Transitioning mechanically ventilated patients to home ventilation in a timely manner is a priority in the transitional care center. We examined a method to optimize ventilation through the LP6 ventilator utilizing a Pulmonary Mechanics Monitor.

METHOD: We utilized the Bicore Neonatal CP 100 Pulmonary Mechanics Monitor (Bear Medical Systems, Inc., 2085 Rustin Avenue, Riverside, CA) on a 26 month old patient ventilated with the Servo 300 ventilator (Siemens Medical Systems, Inc., 14 Electronics Avenue, Danvers, MA) to determine Peak Inspiratory Flow Rate (PIFR). A pulmonary report was printed out for reference. This patient was then transferred to an LP6 ventilator (Nellcor Puritan Bennett, Inc., 420 Hacienda Drive, Pleasanton, CA) at which point a second pulmonary report was generated. The Remstar CPAP unit (Respironics, Inc., 1001 Murry Ridge Drive, Murrysville, PA) was added to the inspiratory limb of the LP6 to provide continuous flow. We then utilized the Bicore Neonatal CP 100 to again measure PIFR on the LP6/Remstar unit.

Results:

SV 300 LP6

mode: PC/PS Mode: SIMV

rate: 15 bpm rate: 15 bpm

pip: 32 cmH20 pip: 50 cmH20

peep: 7 cmH20 peep: 7.5 cmH20

PIFR: .39 l/s PIFR: .29 l/s

Etc02: 52 Etc02: 46

Cap. Blood Gas: Ph 7.42 -

time 09:15: Pc02 37 -

P02 64 -

Hc02 23 -

B.E. -.7 -

Sa02 93 -

LP6/Remstar

Mode: SIMV

rate: 15 bpm

pip: 40 cmH20

peep: 7.5 cmH20

PIFR: .39 l/s

Etc02: 40

Cap. Blood Gas: Ph 7.39

time 13:20: Pc02 39

P02 98

Hc02 23

B.E. -1.7

Sa02 97

Conclusion:

This paper demonstrates that by utilizing PIFR measurements on the Bicore Pulmonary Mechanics Monitor, you can effectively transition patients from Critical Care to home ventilators.

The 44th International Respiratory Congress Abstracts-On-DiskĀ®, November 7 - 10, 1998, Atlanta, Georgia.

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