Percussionaire IPV-1C - Administering TRUE-IPV Therapy with In-Line Valve

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Administering TRUE-IPV® Therapy with In-Line Valve
When administering TRUE-IPV® Therapy with an In-Line Valve, a pressure control (PC)
mode is recommended or follow your institutional protocol.
Mean Airway Pressures (MAP) will increase slightly with the administration of TRUE-IPV®
In-line therapy with the ventilator. The clinician must be aware of this eect and monitor
the patient closely for any adverse side eects.
When using the IPV®-1C in pressure-control mode, the in-line valve may remain closed.
When using the ventilator in volume-control, the in-line valve may be opened to create
a leak.
NOTE: If chest percussion is inadequate, raise drive pressure (psi gauge) and scan
PERCUSSION rate to mobilize secretions.
NOTE: Operational pressure and percussive rate can be adjusted to increase and
decrease the amount of chest movement (wiggle).
NOTE: Suctioning should be performed as needed.
NOTE: It may take multiple treatments to identify optimal therapeutic eect for each
patient.
WARNING: NEVER run device without sterile liquid in nebulizer during
treatment. This is required for airway hydration.
WARNING: Notate the current ventilator alarm and mode settings.
WARNING: Reset occasional CMV high-pressure alarms as they occur. When
applying TRUE-IPV® in-line, adjust the pressure relief valve to achieve desired Amplitude
Pressure per your institutional/hospital protocol. High-pressure alarms should not occur
on a regular basis if the Pressure Relief Adjustment valve is set correctly.
NOTE: Patients who are performing T-tube trials or CPAP sprinting may be taken o the
ventilator for the IPV® treatment utilizing a ex adapter. Decreasing cu pressure still
applies to this patient population.
NOTE: Lowering of the cu pressure facilitates secretion removal into the oral cavity
where they may be suctioned. This also helps in the prevention of tube obstruction in the
event copious secretions are mobilized.
NOTE: Following your institutional protocols for cued endotracheal tubed patient, the
cu pressure may be lowered.