100 Instructions for use | Atlan A300, A300 XL, A350, A350 XL SW 1.0n
Operation
WARNING
Risk of insufficient ventilation
The spontaneous minute volume MVspon indicates the volume which results from
spontaneous breathing and from pressure-supported spontaneous breathing. If the
patient frequently triggers pressure-supported breaths as a result of small tidal
volumes, a large part of MVspon will be achieved by mechanical ventilation and not
by spontaneous breathing of the patient. In this case, MVspon shows a high value
although the actual spontaneous minute volume is very low.
► Do not base therapy decisions solely on the value displayed for MVspon.
7.3.7 Low-flow anesthesia and minimal-flow anesthesia
This device is suitable for and optimized for carrying out low-flow anesthesia and
minimal-flow anesthesia. Functions and special characteristics are explained in the
following.
Due to the patient’s rebreathing, moisture condenses in the breathing circuit and
the breathing system, particularly during low-flow anesthesia (flow ≤1.0 L/min). The
breathing system warmer reduces this condensation.
In particular cases, e.g., during minimal-flow anesthesia lasting several hours,
condensed water may accumulate in the piston ventilator.
The device can detect condensed water in the piston ventilator and in the
breathing hoses. A message is displayed when condensed water is detected.
Dräger recommends using water traps in the breathing circuit.
7.3.8 Ventilating pediatric patients and neonates
For tidal volumes below 300 mL:
► Use suitable ventilation accessories, see chapter "Selecting and connecting
patient-specific accessories" starting on page 67.
7.4 Special forms of therapy
The device has the following additional operation modes:
– External fresh-gas outlet
– Pause
–CBM mode
7.4.1 External fresh-gas outlet
Prerequisites:
– The device has the "External fresh-gas outlet" option.
– A non-rebreathing system is connected, see page 73.
Redirecting the fresh gas to the external outlet
The FiO
2 measurement with the O2 sensor is not possible when the external fresh-
gas outlet is in use, as the fresh gas is not passed through the internal breathing
system.