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Dräger PulmoVista 500 User Manual

Dräger PulmoVista 500
56 pages
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Mini-Manual
Electrical Impedance Tomography (EIT)
Device handling, application tips and examples
D-30766-2017
Christian Bozsak
Eckhard Teschner
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Dräger PulmoVista 500 Specifications

General IconGeneral
TechnologyElectrical impedance tomography
EIT frequency50 kHz
Operating Temperature10 to 40 °C
Atmospheric Pressure700 to 1060 hPa
Protection ClassClass I
Degree of ProtectionIP20
TypeElectrical Impedance Tomography (EIT) Monitor
ApplicationMonitoring lung function
DisplayColor display
Display Size15 inches
Trend resolution1 minute
Electrodes16 electrodes
Power Supply100-240 V AC
Storage Temperature-20 °C to +60 °C
Safety StandardsIEC 60601-1, IEC 60601-1-2

Summary

Introduction

PREPARE THE DEVICE FOR THE CLINICAL USE

START AND DEVICE CHECK

Instructions for powering on the device and performing an automatic component check.

SELECTION AND APPLICATION OF THE ELECTRODE BELT

Guidance on choosing and applying the EIT electrode belt to the patient.

Choosing the right belt size

Details on how to select the correct size of the electrode belt based on patient circumference.

Attach patient cable to electrode belt

Step-by-step guide on connecting the patient cable to the electrode belt correctly.

Prepare the patient

Prepares the patient for EIT by checking and addressing potential issues affecting electrode placement.

Prepare the electrode belt

Advises on moistening electrodes for better contact, especially on dry skin.

Positioning of the electrode belt on the thorax

Details on using the mid position marker for correct placement on the patient's thorax.

General procedure when attaching the belt

Describes methods for attaching the belt, including lifting the patient or rolling them to the side.

SIGNAL CHECK

Explains how to check skin electrode resistance and interpret the results for proper contact.

SETTINGS BEFORE STARTING AN EIT MEASUREMENT

Lists essential settings to configure before initiating an EIT measurement session.

START THE EIT SESSION

Describes the process to start an EIT measurement, including the calibration phase.

CHECK THE CORRECT ELECTRODE BELT POSITION

Provides guidance to verify the electrode belt's position for accurate EIT imaging.

SPECIAL CASE: 15-ELECTRODE MODE

Details how the device handles measurements when one electrode has insufficient skin contact.

DIFFERENT VIEWS AND THEIR SPECIAL PROPERTIES

MAIN AND FULLSCREEN VIEW

Explains the primary views for monitoring tidal volume distribution in real-time and breath-by-breath.

REFERENCING

Describes how to use the reference function to capture and compare EIT data at different points in time.

REGIONS OF INTEREST (ROI)

Explains how to define and use ROIs for quantitative analysis of ventilation distribution.

TREND VIEWS – END-INSPIRATORY AND END-EXPIRATORY

Details on using trend views to compare EIT data over time, identifying lung changes.

DIAGNOSTIC VIEW

Introduces the diagnostic view for analyzing regional compliance and ventilation delays.

CONDUCT ANALYSIS DIALOGUE WINDOW

Guide to the initial window for preparing PEEP trial or customized EIT data analysis.

RESULTS OF THE ANALYSIS

Explains how to interpret results from PEEP trial or customized analysis for patient management.

USEFUL TOOLS AND TIPS

CONTOUR OF VENTILATED AREA

How to track and delimit ventilated lung regions using a virtual footprint for analysis.

NEGATIVE IMPEDANCE CHANGES

Explains what negative impedance changes signify and their common causes.

FILTRATION

Discusses filter options like low-pass and band-pass to improve EIT image quality and interpretation.

SAVE SCREENSHOT AND RECORD EIT DATA

Instructions for taking screenshots and recording EIT measurement data.

COUPLING OF A DRÄGER VENTILATOR WITH PULMOVISTA® 500

Details on connecting and configuring the Dräger ventilator with the PulmoVista® 500 system.

FRAME RATE

Information on adjusting the frame rate for EIT image generation per second.

CLINICAL APPLICATION

IDENTIFY RESPONDER OR NON-RESPONDER TO A RECRUITMENT-MANEUVER (RM)

How to assess patient response to recruitment maneuvers using EIT data.

IDENTIFY POSSIBLE DE-RECRUITMENT AND OVERDISTENSION

Using PEEP trials to identify and manage lung derecruitment and overdistension.

INFLUENCE OF POSITIONING ON THE DISTRIBUTION OF VENTILATION

How patient positioning affects ventilation distribution and how EIT visualizes this.

PATIENT PRONING

Using EIT to visualize and track ventilation changes after patient proning.

INTUBATION CHECK

How EIT helps detect faulty endotracheal tube placement.

PATIENT WITH PLEURAL EFFUSION

Example of visualizing pleural effusion and its impact on ventilation.

ΔΕELI-TREND AFTER SUCTION

Evaluating end-expiratory events and changes in lung impedance after suction.

EIT-TERMINOLOGY

CONTRAINDICATIONS

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