zdravka pironova Posted November 4, 2020 Share Posted November 4, 2020 Hello colleagues, I need your help! We just received a new type of ventilator - Maquet Servo I Ventilator. However, so far we have used Babylog 800 Plus. I read in the manual but still don't fully understand the different ventilation modes. So far in our NICU, we have been working with SIPPV and SIMV. Could you please suggest some reading/articles that could help us? We are also taking care of ELBW. We recently had a newborn weighing 650 grams and 2 pairs of twins born in 28 weeks gestation. We are situated far from any university hospitals and need to fend for ourselves. Thank you in advance for any help or advice you can provide us. 2 Link to comment Share on other sites More sharing options...
piatkat Posted November 5, 2020 Share Posted November 5, 2020 Do you have NAVA module there? If you do (most likely!) and you have Edi catheters to monitor signal of the diaphragm, then you're good to start with Neurally Adjusted Ventilatory Assist (invasive and non-invasive). You can find useful resources on Getinge pages: https://www.getinge.com/za/product-catalog/nava/#block-708975 https://www.getinge.com/dam/hospital/documents/marketing-sales/case-studies-and-abstracts/english/clinical_literature_for_nava_and_edi__neonatal_and_pediatric-en-non_us.pdf We do most of our invasive ventilation for premature infants in NAVA mode in our unit, also for the smallest ones 2 Link to comment Share on other sites More sharing options...
tjuren Posted November 5, 2020 Share Posted November 5, 2020 If you need something what is most simmilar to SIPPV on Babylog than chose PRVC together with volume guarantie. If something simmilar to PSV than you go for PRVS= VS. Anyway you should have some representative in your country from Getinge. Get in contact with him/her. I know manual is very unfriendly written. Yes, NAVA is also of choice, but if you are without any lecture how to do that , it might be very difficult. Hope this help Regards Tom 1 1 Link to comment Share on other sites More sharing options...
rehman_naveed Posted November 5, 2020 Share Posted November 5, 2020 Hi only difference is PEEP is added to PIP while in others PEEP is separate. Meaning the PIP which baby get includes PEEP. Rest of concepts are same. Link to comment Share on other sites More sharing options...
Sutirtha Roy Posted November 5, 2020 Share Posted November 5, 2020 @tjurenDon't you think instead of SIPPV; SIMV with VG in Drager Babylog 8000 plus could be more analogues to Maquet PRVC? 1 Link to comment Share on other sites More sharing options...
rehman_naveed Posted November 5, 2020 Share Posted November 5, 2020 Yes there is no VG, instead use PRVC for volume control ventilation Link to comment Share on other sites More sharing options...
tjuren Posted November 5, 2020 Share Posted November 5, 2020 To Sutirtha. Yes you'r right PRVC is more like SIMV than SIPPV. Fixed support. Link to comment Share on other sites More sharing options...
zdravka pironova Posted November 5, 2020 Author Share Posted November 5, 2020 Thank you all for your help and support ! Your input has been incredibly useful ! Link to comment Share on other sites More sharing options...
Francesco Cardona Posted November 10, 2020 Share Posted November 10, 2020 The list we received from the company is as follows: SIPPV -> PC SIPPVVG -> PRVC SIMV -> SIMV(PC)+PS SIMVVG -> SIMV(PRVC)+PS PSV -> PS/CPAP, it additionally uses backup with PC in contrast to the babylog From our experience: we mainly use PRVC or PC mode with preterms. You will need an external flow-sensor if you want to use it reliably in preterms esp. below 1,5kg. The internal flow sensor is not sensitive enough. Our impression is also that registered Tidalvolumes (VT) are not necessarily comparable to other machines we have used in this population. The Servo often measures higher VTs. If you dont have external flow sensors it might be wise to use PC and watch TV closely (i.e. have close alarm ranges), so you are alarmed if compliance changes. Hope this helps. 1 Link to comment Share on other sites More sharing options...
piatkat Posted November 10, 2020 Share Posted November 10, 2020 26 minutes ago, Francesco Cardona said: The list we received from the company is as follows: SIPPV -> PC SIPPVVG -> PRVC SIMV -> SIMV(PC)+PS SIMVVG -> SIMV(PRVC)+PS PSV -> PS/CPAP, it additionally uses backup with PC in contrast to the babylog From our experience: we mainly use PRVC or PC mode with preterms. You will need an external flow-sensor if you want to use it reliably in preterms esp. below 1,5kg. The internal flow sensor is not sensitive enough. Our impression is also that registered Tidalvolumes (VT) are not necessarily comparable to other machines we have used in this population. The Servo often measures higher VTs. If you dont have external flow sensors it might be wise to use PC and watch TV closely (i.e. have close alarm ranges), so you are alarmed if compliance changes. Hope this helps. That's Servo N, right? The question is about Servo I, do they have the same modes available? For sure the interface is much much different 😕 Link to comment Share on other sites More sharing options...
Francesco Cardona Posted November 10, 2020 Share Posted November 10, 2020 7 hours ago, cathfriday said: That's Servo N, right? The question is about Servo I, do they have the same modes available? For sure the interface is much much different 😕 The servo-i has the same modes as far as I know. At least with the new servo-i the modes are the same (we use this machine in our PICU). Older machines have slight aberrations of the names, but its possible to figure out. https://highlandcriticalcare.files.wordpress.com/2020/03/servoi-pocket-guide.pdf Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now