ResMed Astral 150, Information And User Manual For Qualified Professionals

Page 1: ...ildren s Long Term Ventilation Service Clinical Team Email HospitaltoHomesupport rbht nhs uk Telephone 0207 352 8121 x 84411 Astral 150 Ventilator Information and User Guide for Qualified Professional...

Page 2: ...age 23 Setting Alarms Page 23 Activated Alarms Page 24 Testing Alarms Page 25 Understanding Alarms Page 26 Troubleshooting Common Problems Page 27 Using Nebulisers Page 29 Consumables Page 31 Ventilat...

Page 3: ...Author LTV Team JT Description of Outside of Ventilator Inspiratory Port Air going to the patient Expiratory Port Expired air coming back to the ventilator Power Button USB Connector to download moni...

Page 4: ...V4 August 2018 Page 4 of 31 For Review August 2019 Author LTV Team JT 1 Touch screen 2 Power source indicator 3 Ventilation on off indicator 4 Alarm mute button 5 Alarm light...

Page 5: ...menu 2 Manual breath button only shown if enabled and in some settings 3 Information bar see page 6 for more information 4 Battery power indicator 5 Lock touch screen button 6 Menu bar see page 6 for...

Page 6: ...is displayed at the top of the touch screen The Information bar displays the operating status of the device including patient type current circuit configuration programs information messages ventilati...

Page 7: ...y power external battery power and car charger power source Removing the power lead The power cord is equipped with a push pull locking connector To remove grasp the power cord housing and gently pull...

Page 8: ...tor parameters and the child s respiratory pattern Please observe the internal battery indicator carefully Warning Please ensure to regularly check the internal battery The internal battery should be...

Page 9: ...y pattern Please observe the internal battery indicator carefully The external battery cannot be charged from your main power This can be used and recharged while connected to the Astral device Previo...

Page 10: ...Team JT Using a car Charger When using a car adapter start the car before connecting the adapter If the power source drops the ventilator will switch automatically to internal battery power Types of...

Page 11: ...e i e once every 7 days See local hospital guideline for antibacterial filter Order code 7073800 MR7LEAK15 from ResMed for circuit 24988 from Resmed for additional leak valves 15 mm circuit See equipm...

Page 12: ...from Intersurgical for HME See equipment list for other order code Other Circuit that may be seen Double Limb Circuit wet The whole circuit should be changed weekly at home including antibacterial fil...

Page 13: ...ode 5500 from Intersurgical Note Heat Moisture Exchanger should be changed daily i e once every 24hours Order code 1644 from Intersurgical for filter Turning On Off To turn the machine on and off pres...

Page 14: ...ach programme and the ventilator will then remember the test for the relevant circuit when the programme is selected From the Setup Menu select the Circuit sub menu Press start and follow the on scree...

Page 15: ...nutes or Unlimited then it will direct you to the main settings You will be able to change the settings on this interface depending on the tab you are in To exit clinical menu press The exit clinical...

Page 16: ...ll display then select Continue Select the type of patient adult or paediatric Select the circuit type you wish to use The ventilator will now prompt you to run a learn circuit see page 14 Following a...

Page 17: ...s highlight each parameter in turn As a parameter is highlighted up and down arrows will appear to the right hand side of the screen Use these to select the desired value Once you have finished press...

Page 18: ...lation Programmes Up to 4 ventilation programmes may be enabled To do this unlock the clinical menu press and hold the padlock symbol for 3 seconds Select 20 minutes or Unlimited then it will direct y...

Page 19: ...Ventilation Programmes It is possible to set up more than one ventilation programme For example some children may have a programme of ventilation set to use when they are well and another for when the...

Page 20: ...icon To stop the ventilation press and hold the stop ventilation icon for 3 seconds Release when prompted and then select confirm Entraining Oxygen Oxygen is entrained via the oxygen nozzle on the ba...

Page 21: ...ange the filter even if the filter is less than 4 weeks old NB The filter is not reusable and cannot be washed Before replacing the air filter turn off the device and remove mains power and or externa...

Page 22: ...low or the device is powered down Caution Only select unlimited if the ventilator will be under constant observation of a suitably qualified professional To lock press the padlock icon then press conf...

Page 23: ...ight hand side of the screen Select Settings then highlight the parameter you wish to alter As a parameter is highlighted up and down arrows will appear to the right hand side of the screen Use these...

Page 24: ...priority alarm or the last active alarm not yet reset 2 Active Alarms Screen Displays all the active alarms Alarms will disappear from this list as they are resolved 3 Information Menu To see a histo...

Page 25: ...ing Alarms Alarm Checks Must be carried out at the beginning of each shift A good time to do this would be when the patient requires suctioning It would be useful for two people to do this in order to...

Page 26: ...or upsize 2 Assess child Retained secretions increased pulmonary resistance etc Action suction consider need for nebulisers physiotherapy refer to advanced treatment plan discuss with community or me...

Page 27: ...being held with the front of the ventilator facing the floor Humidification Problems Humidifier will alarm if temperature is too high or too low a Heater wire life spam approximately 8 months b Temper...

Page 28: ...cuit Check circuit for splits check for disconnection at the tracheostomy of the humidifier wires and at the machine Ventilator Alarming High Low Respiratory Rate May be due to a Respiratory limits se...

Page 29: ...below The nebuliser is powered by an air compressor Using a Nebuliser in a Double Limb Circuit The Double limb circuit is a closed system therefore particles will remain within the system Using a Nebu...

Page 30: ...s in a single leaked circuit an antibacterial filter must be used in between the nebuliser chamber and expiratory leak to prevent particles escaping into the atmosphere Please note the correct filter...

Page 31: ...alarms prior to connecting the child to the ventilator Good practice to perform the Learn Circuit within the last month Ensure that you are in the correct programme as per individualize patient s pla...