ResMed Astral Series - Clinical Guide Manual

ResMed Astral Series

189 pages

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Clinical guide

Clinical guide

English

Table of Contents

Default Chapter2
- Table of Contents2
Introduction8
- Indications for Use8
- Contraindications8
- Adverse Effects8
- General Warnings and Cautions9
The Astral System11
- The Astral Device12
- The Astral Device Interface13
- Touch Screen14
- Information Bar15
- Menu Bar16
- Bottom Bar16
- Main Screen16
- Pressure Bar17
- Settings Bar17
Circuits and Patient Interfaces18
Patient Circuit Accessories18
Power Accessories18
- Power Supplies19
- Astral External Battery19
- Resmed Power Station II (RPSII)19
- Remote Alarm II19
- Pulse Oximeter19
Optional Accessories20
- Astral Mobility Bag20
- Astral Slimfit Mobility Bag20
- Resmed Homecare Stand20
- Astral Table Stand20
- Aerogen ® Nebuliser20
- Resmed Connectivity Module (RCM)20
- Resmed Connectivity Module Hospital (RCMH)20
Using the Astral Device21
- Connecting to Mains Power21
- Powering on the Device21
- Powering off the Device22
- Accessing Clinical Mode22
- Using the Setup Assistant23
- Enhanced Access Feature26
- Starting and Stopping Ventilation27
- Locking and Unlocking the Touch Screen28
- Navigating the Menus28
- Programs31
- Monitoring Ventilation36
- Device Settings38
Circuit Options43
- Assembling Patient Circuits43
Accessories55
- Attaching Patient Circuit Accessories55
- Attaching a Humidifier55
- Attaching a Heat Moisture Exchange (HME)57
- Attaching an Antibacterial Filter57
- Adding Supplemental Oxygen58
- Monitoring Delivered Oxygen60
- Attaching a Nebuliser60
- Attaching Other Accessories61
  - Attaching a Pulse Oximeter61
  - Attaching a Remote Alarm63
- Astral Carry Bag64
- Travelling with the Astral Device65
Power Management66
- Connecting to Mains Power67
- Connecting the Astral External Battery68
  - Using the External Battery68
- Connecting to a Resmed Power Station (RPSII)69
- Connecting to an External DC Power Source69
- Using the Internal Battery70
  - Battery Run Time70
  - Storing and Recharging71
- Device Power Source Indicators71
Using the Astral Device for the First Time73
Ventilation Modes74
- (A)CV Mode - Assisted Volume-Controlled Ventilation75
- P(A)CV Mode - Assisted Pressure-Controlled Ventilation76
- P-SIMV - Pressure Synchronised Intermittent Mandatory Ventilation78
- V-SIMV - Volume Synchronised Intermittent Mandatory Ventilation79
- PS Mode - Pressure Support81
- (S)T Mode - Spontaneous Ventilation with Backup Rate83
- P(A)C Mode84
- CPAP Mode85
- Ivaps (Intelligent Volume Assured Pressure Support) Mode86
- Target Alveolar Ventilation87
- Intelligent Backup Rate (Ibr)88
- Configuring Ivaps88
- Autoepap93
- Flow Shape Settings94
- Interdependence of Controls95
  - Dynamic Settings Limits95
  - Making Use of Astral's High Pressure Limit95
- Triggering and Cycling96
Supplementary Features101
- Manual Breath Settings101
- Sigh Settings103
- Apnoea Settings104
- Safety Volume Settings107
Non-Invasive Ventilation (NIV)108
- Mask NIV108
- Mouthpiece NIV108
- Mouthpiece Ventilation108
- Safety Considerations for Mouthpiece Ventilation109
Alarms110
- Alarm Priority111
- Viewing the Active Alarms113
- Muting Alarms113
- Resetting Alarms114
- Adjusting Alarm Settings115
- Setting the Alarm Volume116
- Testing the Alarm Sounders and Indicators116
- Testing the Remote Alarm117
Testing the Alarms118
- Testing the Power Alarms118
- Testing the Pressure Alarms118
- Testing the Ventilation Monitoring Alarms119
- Testing the Oximetry Alarms119
- Testing the Oxygen Alarms120
- Testing the Breathing Circuit Alarms120
- Testing the Disconnection Alarm120
Alarm Settings and Conditions121
- Tidal Volume Alarms121
- Minute Volume Alarms121
- Respiratory Rate Alarms122
- Pressure Alarms/Limits122
- Breathing Circuit Alarms124
- Oxygen Alarms125
- Oximetry Alarms126
  - Spo2126
  - Pulse Rate126
- Apnoea Alarm126
- Ventilation Stopped Alarm126
- Power Alarms127
- System Alarms127
Detecting Circuit Disconnection and De-Cannulation128
Astral Disconnection Alarm129
- Adjusting the Disconnection Alarm129
- Setting and Testing Disconnection Tolerance129
  - Setting Activation Time131
- Disabling (or Enabling) the Disconnection Alarm132
Data Management Process134
- Data Management Summary135
Deleting Patient Data136
Cleaning and Maintenance137
- Single Patient Use137
  - Weekly137
  - Monthly137
- Multi-Patient Use138
- Replacing Components139
- Servicing143
- Additional Considerations for Hospital or Healthcare Facilities144
Technical Specifications145
Monitoring150
- Time Parameters150
- Volume and Flow Parameters150
- Pressure Parameters151
- Other Parameters151
Accuracy of Controls152
Measurement System and Accuracy155
Functional Variants155
Guidance and Manufacturer's Declaration Electromagnetic Emissions & Immunity156
- Guidance and Manufacturer's Declaration-Electromagnetic Emissions156
- Guidance and Manufacturer's Declaration - Electromagnetic Immunity157
- Recommended Separation Distances between Portable and Mobile RF Communications Equipment and the Life Support Device159
- Potential Impact of Electromagnetic Disturbances159
Symbols160
Standards Compliance161
Training and Support161
Troubleshooting162
- Alarm Troubleshooting162
- Learn Circuit Troubleshooting167
- General Troubleshooting170
Recommendations for Suctioning171
Limited Warranty172
Appendix A: Definitions173
- Ventilation Settings Definitions173
- Measured and Calculated Parameter Definitions175
Appendix B: Ventilation Parameters177
- Ventilation Parameters Summary Table177
- Ventilation Displayed Parameters181
- Supplementary Features181
- Supplementary Features Displayed Parameters184
Appendix C: Alarm Parameters186

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