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7. Adjust Inspiratory Time and Frequency knobs together; adjusted for patient
comfort and eectiveness.
8. Start treatment with the Inspiratory Time and Frequency knobs set at the
9:00 position, which produces an approximate Pulse Frequency rate of 300-350.
The i:e ratio will be approximately 1:1 (may be used for recruiting alveoli).
9. After several minutes of therapy, change both knobs to the 12:00 position,
which produces an approximate Pulse Frequency rate of 150-200. The i:e ratio
will be approximately 1:2 (most frequently used for airway clearance –
increased secretions). End therapy on these settings.
10. Adjust Inspiratory Flow for a MAP of 6-7 cmH
2
O, this is approximately an
Amplitude pressure of 8-10 cmH
2
O
.
11. Nebulizer must ALWAYS be ON – will use ~ 0.75 ml/min of solution; ll
Nebulizer with 20 ml of solution. Normal Saline (NS) should be used unless
a medication is ordered.
12. Important/Remember:
Due to the eectiveness of the treatment, it is easy to lower the CO₂ and
remove the respiratory drive. The patient should be monitored closely for signs
of hyperventilation. If CO₂ levels drop below an acceptable level reduce the
Amplitude pressure and observe a reduction in chest wiggle.
13. TRUE-IPV® treatment should continue for 15 minutes total.
14. When treatment is complete, the IPV®-2C controller should be turned OFF.
The Phasitron®5 should be rinsed, cleaned and stored in the supplied bag,
as per hospital infection policy, until the next treatment.
NOTE: The Phasitron® 5 is a SINGLE PATIENT, MULTIPLE USE DEVICE.
NOTE: Percussionaire® recommends cleaning per your institution’s approved
practice between treatments.
NOTE: As the rate is lowered there may be a need to decrease the ow due to
increased CO
2
removal, always titrate to the patient.