Prma 465 Anaesthetc Machne 50 User Manual
6.1.8 Spontaneous / pressure support ventilation (SPONT/PSV)
6.1.8.1 Description
Spontaneous/pressure support ventlaton mode (SPONT/PSV) s an
auxlary breathng mode
When the patent’s spontaneous nspraton reaches the preset trgger
level, the ventlator begns to delver gas and Paw rses to the preset
Psupp rapdly The ventlator then reduces the flow to keep Paw constant
When the nspraton flow drops to the preset level, the ventlator stops
delverng gas and the patent s allowed to expre, and the ventlator
wats for the next nspraton trgger
If nspraton s not trggered wthn the set tme (Backup Mode Actve),
the system automatcally swtches to the backup ventlaton mode
(Volume or Pressure) The backup mode should be selected n advance
In SPONT/PSV mode, VT does not need to be set VT depends on the
patent’s nspratory force and pressure support level, and complance
and resstance of the patent and breathng system
PSV mode s used only when the patent s breathng spontaneously
When PSV mode s appled alone, PV and VV backup modes are
avalable If wthn the preset tme (Backup Mode Actve), no spontaneous
breathng occurs or spontaneous breathng s not strong enough to reach
the Trgger Level, backup mode ventlaton s trggered automatcally
when the tme perod for Backup Mode Actve ends
If an apnea situation occurs, and there is no spontaneous breathing,
or spontaneous breathing and an inspiratory trigger condition is
not reached, the system in accordance with the set ‘Apnea time’,
automatically enters a backup ventilation mode.
6.1.8.2 SPONT/PSV mode waveforms
Airway pressure (Paw) and flow waveforms in SPONT/PSV mode.
Key
A Arway pressure (Paw) Flow trgger
B Pressure trgger H Backup mode - actve perod
Pressure support level J PV (f trggered) - backup tme
D Pressure control level K Tme (seconds)
E Flow
F Expratory trgger
6.1.8.3 Parameter range and default values in SPONT/PSV mode
SPONT/PSV mode can be used ontly wth SIMV-V or SIMV-P
Parameter Range Step Default
PEEP OFF, 3 to 30 cmHO 1 cmHO OFF
Psupp 0 to 70 cmHO 1 cmHO 15 cmHO
Tslope 0 to 2 s 01 s 02 s
Fsens 10 to 200 L/mn 01 L/mn 3 L/mn
Psens 10 to 20 cmHO 1 cmHO 2 cmHO
Esens 5% to 80% 5% 25%
Operating the Anaesthesia System
A
E
B
C
F
H
J
K
K
G
D