Transcript No Slide Title

MACS CPAP System
Self Guided Tour
Program Objectives
This program is a self guided tour of the
MACS CPAP System.
At the end of this tour you will be able to:
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Describe the main operating features of MACS
Identify the controls and connections
Describe the patient breathing circuit
Set-up MACS for patient operation
Define various clinical environments for CPAP application
Clean and maintain the MACS
Features and Controls – Rear Panel
Driving Gas Input
 Connection for 55 psi (3.8
bar) oxygen source gas
 Always use a high flow
gas source (pressure
take-off) that can provide
55 + 15 psi pressure at a
minimum of 40 L/min
Features and Controls – Rear Panel
Air Entrainment
 Ambient air is entrained for
internal gas mixing
 External housing contains
air filter
 Air filter replacement is part
of the preventative
maintenance
Features and Controls – Front Panel
CPAP Control
 Adjusts the CPAP from 0
to 20 cm H2O
 Automatic sensitivity
 Flow adjusts automatically
to meet patient demand
up to 140 L/min
 Oxygen concentration is
maintained at set %
Oxygen control
Features and Controls – Front Panel
% Oxygen Control
 Delivered oxygen choice
 65%
 100%
 Sets the spontaneous
breath oxygen
concentration
Features and Controls – Front Panel
Pressure Gauge
 Shows pressure in patient
circuit at the output of
MACS
 Compare with control
setting to insure proper
operation
 Gives an indication of
patient effort
Features and Controls – Front Panel
Circuit Connection 1
 Connection for the large
bore hose of the patient
circuit
Features and Controls – Front Panel
Circuit Connection 2
 Patient circuit small hose
connection
 Connects to the
expiratory valve on the
patient circuit
Patient Breathing Circuit
Patient circuit is a single limb system
 Both hoses attach to the front of MACS
 Patient end connects for clinical intervention
 Directly to an endotracheal tube (invasive)
 Face mask (noninvasive)
Patient Breathing Circuit
Use only Airon Corporation patient circuits
 Calibration of the CPAP control is based upon the Airon
patient circuit
 Using other manufacturers circuits may cause
 errors in pressure delivery
 high expiratory flow resistance
 interference with CPAP sensitivity
 increased oxygen usage
Patient Breathing Circuit
Accessories to optimize patient care
 In-line medication nebulizer
 Fits between the mask and patient circuit
 Nebulizer can be removed to add medication while maintaining pressure
 CO2 monitoring
 For In-line sampling place the Tee between the mask and circuit
 Or use the nasal prongs under the mask
 Expiratory bacteria / viral filter can be added using the 90 degree expiratory port
elbow
Program Objectives
MACS CPAP System self guided tour, objectives
completed so far:
 Describe the main operating features of MACS
 Identify the controls and connections
 Describe the patient breathing circuit
With an understanding of MACS’s capabilities, let’s look at
patient application.
Patient Application
Initial Set-up
 Attach Airon patient circuit
to MACS
 Attach a high pressure
oxygen hose to the rear of
MACS
 Attach the other end of the
high pressure hose to the
oxygen source
Patient Application
Set % Oxygen Control
 Set % Oxygen control to the desired
oxygen level
 All breaths receive set oxygen level
+ 10%
 Oxygen tank time almost doubles
with 65% setting
 Caution - with rapid, large tidal
volumes on 100% oxygen, the
actual delivered percentage may be
less than 100%
Patient Application
Start CPAP
 Turn on oxygen source
 Attach patient breathing
circuit to the patient using
either a mask or endotracheal
tube
 Adjust the CPAP control to
the level desired
 If the patient is not attached
to the circuit, or there is a
large leak, a high flow of gas
will occur
Patient Application
Monitor patient
 Assess per your protocol
 patient breathing rate
 comfort
 oxygenation
 CO2
Clinical Issues
Let’s look at various clinical
environments for CPAP application
 Using CPAP
 Pediatric support
 Medication nebulization
 CO2 monitoring
 Altitude operation
Clinical Issues
Using CPAP
 Used on spontaneous breathing
patients in respiratory failure including
 Congestive Heart Failure (CHF)
 COPD and Asthma
 Near Drowning
 CO poisoning
 Set CPAP level as needed
 Can be used with mask or ET-Tube
Clinical Issues
Pediatric Support
 MACS is safe for pediatric - adult
patients
 Use the lowest possible settings
 Monitor closely for patient synchrony
Clinical Issues
Providing nebulized medications
 A medication nebulizer may be placed
between the patient connection and the
patient
 Patient will inhale medication during every
breath and exhale back out through patient
circuit
 Expiratory filter may be added for
personnel safety
Clinical Issues
CO2 Monitoring
 Any type of CO2 analyzer may be
used
 With in-line style analyzers place
the sensor Tee between the
patient circuit connection and the
patient
 With sidestream analyzers place
the nasal prong sampling tube
under the face mask
Clinical Issues
Altitude Operation
 MACS can be used for air
transports in unpressurized
cabins up to 15,000 feet
 Pressure settings will not change
as altitude changes
Patient Safety
Patient Safety Features
 Internal Safety Pressure Release –
limits circuit pressure to 40 cm H2O
 Anti-Suffocation System – in the event
of device malfunction, an internal
valve will allow ambient air to enter the
patient circuit
Cleaning and Maintenance
 Clean MACS between patients using a
soft cloth and a mild detergent /
disinfectant
 Do not immerse MACS in water
 Disposable patient circuit is for single use
application and should not be cleaned,
disinfected or reused
 MACS should receive preventative
maintenance every 2 years
Program Objectives
MACS CPAP System self guided tour
completed; you should now be able to:






Describe the main operating features of MACS
Identify the controls and connections
Describe the patient breathing circuit
Set-up MACS for patient operation
Define various clinical environments for CPAP application
Clean and maintain MACS
Next Step – consider reviewing the MACS Case Study and
completing the competency evaluation
Contact Information
Thank you for you interest in the
MACS CPAP System
For more information visit www.AironUSA.com
or call Airon Corporation at:
1-321-821-9433
1-888-448-1238 (toll free North America)