Percussionaire IPV-2C - 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 will increase slightly with the administration of TRUE-IPV®
in-line therapy with the ventilator. The respiratory care practitioner must be aware
of this eect and monitor the patient closely for any adverse side eects.
When using the IPV®-2C 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.
WARNING: NEVER run device without liquid in nebulizer during treatment.
This is required for airway hydration.
WARNING: Note 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.
1. Ensure the IPV®-2C is “OFF” and connected to a 50 psi/3.2 bar gas source.
2. Connect the IPV®-2C to 50-80 psig (345-551 kPa) gas power source.
Master Switch is “OFF”.
3. Put prescribed medications into nebulizer and add diluent as directed by
physician to a maximum of 20 ml. If no medications are prescribed, use
normal saline or sterile water, as directed by physician. Nebulizer should
always be on.
4. With IPV®-2C Master switch “ON”, rotate Operational Pressure control knob
for an operating pressure of 35 to 40 psig (206-275 kPa).
5. Rotate Inspiratory Time and Frequency knobs to the 9:00 position
which produces an approximate Pulse Frequency rate between 300-350.
The i:e ratio will be approximately 1:1 (may be used for recruiting alveoli).
6. Turn on Inspiratory Flow control knob slowly adjust for desired
chest wiggle and amplitude.
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