24
Setting up the NIPPY
In IPPV mode
1.
Place the NIPPY 3+ on a clean, level surface.
2.
Connect a clean or new breathing circuit tube to the
outlet. It is recommended that a Bacterial filter be fitted
between the outlet and the 22mm diameter breathing
tube.
3.
Connect the small exhalation valve tube to the EVC
outlet.
4.
Connect the mask to the outlet tubing on the breathing
circuit.
Note: Do not fit the interface onto the patient at this point.
5.
Press the Start/Stop button and select IPPV mode.
6.
Set the High Alarm to 160 lpm and the Low Alarm to 20 lpm. This will help to
stop the alarm becoming a nuisance during setting up. Alarm settings will be
finalised later
7.
Ensure that the settings are adjusted as prescribed
8.
The patient or physician may now
hold
the interface to the face.
9.
Allow the patient to get used to the interface. Objective assessments should be
carried out to verify optimal ventilation is being achieved.
10. Adjust the Inspiratory time (Ti) to ensure adequate ventilation.
11. If the Inspiratory tri
gger needs to be adjusted, select “Adjust trigger level” from
the menu and adjust to ensure optimal patient synchrony.
12. Read the rate from the display (top of screen). This should match the value
observed when assessing the patient. If the rate has increased, make sure that
the trigger is not so sensitive that it is causing “self-triggering”.
13.
Set Up the alarms, as detailed in the “Setting Up the Alarms” section of this
manual
Test the alarms as detailed in “Alarm Conditions and Tests” section of this
manual.
14. Check the rate and alarms when the patient is asleep. The inspiratory trigger
indicator should “flash” at the beginning of each breath.
15. Lock the settings to prevent unauthorised adjustment. See back page.
Remove the patient interface or disconnect the patient circuit from the outlet
port, before switching off
