Bubble CPAP System Set-up Guide
Contents
1. F amp P BUBBLE CPAP SET UP GUIDE 9 BC171 SET UP 8 Connect Pressure Line to Flow Driver Connect the pressure line filter end of the pressure line to the flow driver Connect the pressure line elbow connector end of the pressure line to the nasal tubing pressure port Set the Humidifier MR850 Ensure there is air flow present before turning on the humidifier Turn on the flow driver Turn on the humidifier If using the MR850 ensure it is on Invasive mode 37 O Refer to the MR850 User Instructions for further information 9A Set the Humidifier MR730 Ensure there is air flow present before turning on the humidifier Turn on the flow driver Turn on the humidifier If using the MR730 set the temperature to oe A 40 C 3 crostata gt e Refer to the MR730 User Instructions for further information m CHAMBER TEMP LOW m AIRWAY TEMP LOW RESPIRATORY HUMIDIFIER mm SEEMANUAL y HEALTHCARE o jk MR730 40 C 3 10 F amp P BUBBLE CPAP SET UP GUIDE 10 Attach Interface to Infant e Connect the interface to the infant using the instructions provided with the interface F amp P BUBBLE CPAP SET UP GUIDE 11 185034215 REVA EN 2011 Fisher amp Paykel Healthcare Limited For more information please contact your local Fisher amp Paykel Healthcare representative Manufacturer tall Fisher amp2. 8 9 6 10 4 11 3 14 5 5 6 4 7 3 8 2 9 0 9 8 10 6 11 4 KU 5 8 67 7 5 8 4 9 2 10 0 10 8 n j Note Other interfaces or circuits may produce varying pressures 7 Set CPAP Level e The number on the CPAP probe above the lid indicates the CPAP pressure in cmH O As an example the illustration shows CPAP setting of 6 cmH O e Set the CPAP probe at the prescribed level 3 to 10 cmH 0 4 F amp P BUBBLE CPAP SET UP GUIDE 8 Connect Bubble CPAP Circuit to Infant Interface Remove the flow test elbow and connect the circuits to the Infant Interface using the instructions provided with the interface BC161 connects to F amp P FlexiTrunk Interface BC151 connects to short binasal prongs T bar Set the Humidifier Ensure there is air flow present before turning on the humidifier Turn on the humidifier If using the MR850 ensure it is on Invasive mode 37 C If using the MR730 set the temperature to 40 C 3 Refer to the MR850 or MR730 User Instructions for further information Attach Interface to Infant Connect the interface to the infant using the instructions provided with the interface F amp P BUBBLE CPAP SET UP GUIDE 5 BC171 connects to Flow Driver CHECKS DURING OPERATION 6 Regularly observe that the water is feeding into the humidification chamber Should the water level exceed the maximum level marked on the humidificat
3. Try gently squeezing the bag to promote water flow Ensure that the height of the water bag is at least 50 cm higher than the humidification chamber If in doubt replace the chamber Discard the chamber if the water level exceeds the maximum water level line 3 Fill Bubble CPAP Generator Using the fill funnel provided fill the CPAP generator with sterile water until water flows into the overflow container Set the CPAP probe to 10 cmH 0 ready for the leak test Ensure that the fill funnel remains on the Bubble CPAP generator Ensure that the humidifier and Bubble CPAP generator are mounted below the patient F amp P BUBBLE CPAP SET UP GUIDE 7 BC171 SET UP Connect Pressure Manifold Dry Line and Circuit Connect the pressure manifold with dry line to the flow driver and chamber inlet port Connect the blue inspiratory limb to the remaining chamber port Remove the blue caps from the inspiratory tube and install the temperature probe ports and the heater wire adapter Ensure that the heater wire is evenly distributed along the circuit length and is not bunched or kinked Connect test elbow to expiratory and inspiratory limbs A E Leak Test Check all connections are tight before use Set the CPAP probe to 10 cmH O and the input flow rate to 1 L min Observe the CPAP generator Gentle audible bubbling is acceptable no bubbling means unacceptable leakage If no bub
4. Bubble CPAP Bubble CPAP System Set up Guide Fisher Pavkel HEALTHCARE For full User Instructions please refer to Bubble CPAP System User Instructions BC151 BC161 PN 185042847 and BC171 PN 185042848 BC151 BC161 BC161 connects to F amp P FlexiTrunk Interface e Regularly observe that the water is feeding into the humidification chamber e Should the water level exceed the maximum level marked on the humidification chamber the chamber should be replaced e Check that all connections are tight before use and after any adjustment e Ensure air flow is present at all times If air flow is interrupted turn off the humidifier e Regularly observe the circuit for condensate Drain as required e Regularly observe the CPAP generator for bubbling If bubbling is not observed check for and minimize air leaks in the system and at the patient If air leaks have been minimized air flow may be increased to achieve continuous bubbling e Regularly observe the water level in the CPAP generator and overflow container Refill the CPAP generator if the water level drops below the minimum water level line Check and empty the overflow container once every 8 hours or as needed e Monitor patient oxygen levels e Always use pressure monitoring to verify that the patient is receiving the prescribed CPAP level k B F amp P BUBBLE CPAP SET UP GUIDE 1 BC151 BC161 SET UP Insert Humidification C
5. Paykel Healthcare Ltd 15 Maurice Paykel Place East Tamaki Auckland 2013 PO Box 14 348 Panmure Auckland 1741 New Zealand Tel 6495740100 Fax 6495740158 Email info fphcare com Web www fphcare com www fphcare com Australia Fisher amp Paykel Healthcare Pty Limited 36 40 New Street PO Box 167 Ringwood Melbourne Victoria 3134 Australia Tel 61 3 9879 5022 Fax 61 3 9879 5232 Austria Tel 0800 29 31 23 Fax 0800 29 31 22 Benelux Tel 31 40 216 3555 Fax 31 40 216 3554 China Tel 86 20 3205 3486 Fax 86 20 3205 2132 France Tel 33 1 6446 5201 Fax 33 1 6446 5221 Germany Tel 49 7181 985990 Fax 49 7181 98599 66 India Tel 91 80 4284 4000 Fax 91 80 4123 6044 Irish Republic Tel 1800 409 011 Italy Tel 39 06 7839 2939 Fax 39 06 7814 7709 Spain Tel 34 902 013 346 Fax 34 902 013 379 Sweden Tel 46 8 564 76 680 Fax 46 8 36 63 10 Switzerland Tel 0800 83 47 63 Fax 0800 83 47 54 Taiwan Tel 886 2 8751 1739 Fax 886 2 8751 5625 Turkey Tel 90 312 354 34 12 Fax 90 312 3543101 UK EE Fisher amp Paykel Healthcare Ltd Unit 16 Cordwallis Park Clivemont Road Maidenhead Berkshire SL6 7BU UK Tel 44 1628 626 136 Fax 44 1628 626 146 USA Canada Tel 1 800 446 3908 or 1949 453 4000 Fax 1 949 453 4001 Fisher Paykel HEALTHCARE
6. bling is observed check the entire system Set Flow Rate Adjust the flow rate to the prescribed input flow rate Recommended flow rate 6 to 8 L min Allowable flow range 4 to 15 L min 6 8 L min A 15 L min Set CPAP Level e The number on the CPAP probe above the lid indicates the CPAP pressure in cmH O As an example the illustration shows CPAP setting of 6 cmH O e Set the CPAP probe at the prescribed level 3 to 10 cmH 0 8 F amp P BUBBLE CPAP SET UP GUIDE PRESSURE FLOW TABLE F amp P Bubble CPAP Generator used with F amp P Infant Interface typical mean pressure values cmH 0 WITH NO LEAK PROBE SETTING cmH 0 faa 3 4 5 6 7 8 9 10 4 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 0 5 3 2 4 2 53 68 7 3 8 3 9 2 10 1 6 3 4 4 4 5 4 6 4 7 4 8 4 9 3 10 2 7 3 6 4 6 5 6 6 6 7 6 8 5 9 5 10 4 8 3 8 48 5 8 6 8 7 8 8 7 9 6 10 5 9 4 0 5 0 6 0 7 0 7 9 8 9 9 8 10 6 10 4 3 5 3 6 2 7 2 8 1 9 0 9 9 10 8 11 4 6 5 6 6 5 7 4 8 4 9 2 10 1 10 9 12 49 5 8 6 8 7 7 8 5 9 4 10 2 11 1 13 5 2 6 1 7 0 7 9 8 8 9 6 10 4 11 3 14 5 5 6 4 7 3 8 2 9 0 9 8 10 6 11 4 5 5 8 67 7 5 8 4 9 2 10 0 10 8 me Note Other interfaces or circuits may produce varying pressures 7 Connect Bubble CPAP Circuit to Infant Interface e Remove the flow test elbow and connect the circuits to the Infant Interface using the instructions provided with the interface T
7. hamber Discard the chamber if the seals are not intact when received Slide the chamber on to the humidifier base Remove the blue caps Connect Water Bag Hang the water bag unwind the water feed set and spike the water bag Open the vent on the vented spike Check the humidification chamber for water flow from the bag If no water is visible in the chamber or water consumption is low check that the bag is spiked properly and that the feed tube is not kinked or blocked Try gently squeezing the bag to promote water flow Ensure that the height of the water bag is at least higher than the humidification chamber If in doubt replace the chamber Discard the chamber if the water level exceeds the maximum water level line 3 Fill Bubble CPAP Generator Using the fill funnel provided fill the CPAP generator with sterile water until water flows into the overflow container Set the CPAP probe to 10 cmH 0 ready for the leak test Ensure that the fill funnel remains on the Bubble CPAP generator Ensure that the humidifier and Bubble CPAP generator are mounted below the patient 2 F amp P BUBBLE CPAP SET UP GUIDE EB 6 8 L min 15 L min Connect Bubble CPAP Pressure Manifold and Breathing Circuit Connect the oxygen tubing between the pressure manifold and the flow source Connect the pressure manifold to the chamber inlet port Connect the blue insp
8. ion chamber the chamber should be replaced Check all connections are tight before use and after any adjustment Ensure air flow is present at all times If air flow is interrupted turn off the humidifier Regularly observe the circuit for condensate Drain as required Regularly observe the CPAP generator for bubbling If bubbling is not observed check for and minimize air leaks in the system and at the patient If air leaks have been minimized air flow may be increased to achieve continuous bubbling Regularly observe the water level in the CPAP generator and overflow container Refill the CPAP generator if the water level drops below the minimum water level line Check and empty the overflow container once every 8 hours or as needed Monitor patient oxygen levels Always use pressure monitoring to verify that the patient is receiving the prescribed CPAP level F amp P BUBBLE CPAP SET UP GUIDE BC171 SET UP Insert Humidification Chamber Discard the chamber if the seals are not intact when received Slide the chamber on to the humidifier base Remove the blue caps 2 Connect Water Bag Hang the water bag unwind the water feed set and spike the water bag Open the vent on the vented spike Check the humidification chamber for water flow from the bag If no water is visible in the chamber or water consumption is low check that the bag is spiked properly and that the feed tube is not kinked or blocked
9. iratory tube to the remaining chamber port Remove the blue caps from the inspiratory tube and install the temperature probe ports and heater wire adapter Ensure that the heater wire inside tube is evenly distributed along the circuit length and is not bunched or kinked Connect test elbow to expiratory and inspiratory limbs Leak Test Check all connections are tight before use Set the CPAP probe to 10 cmH O and the input flow rate to 1 L min Observe the CPAP generator Gentle audible bubbling is acceptable no bubbling means unacceptable leakage If no bubbling is observed check the entire system Remove the correct port cap from the pressure manifold before connecting any monitoring device Set Flow Rate Adjust the flow rate to the prescribed input flow rate Recommended flow rate 6 to 8 L min Allowable flow range 4 to 15 L min F amp P BUBBLE CPAP SET UP GUIDE 3 BC151 BC161 SET UP PRESSURE FLOW TABLE F amp P Bubble CPAP Generator used with F amp P Infant Interface typical mean pressure values cmH 0 WITH NO LEAK PROBE SETTING cmH 0 mi 3 4 5 6 7 8 9 10 4 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 0 5 3 2 4 2 53 68 7 3 8 3 9 2 10 1 6 3 4 4 4 5 4 6 4 7 4 8 4 9 3 10 2 7 3 6 4 6 5 6 6 6 7 6 8 5 9 5 10 4 8 3 8 48 5 8 6 8 7 8 8 7 9 6 10 5 9 4 0 5 0 6 0 7 0 7 9 8 9 9 8 10 6 10 4 3 5 3 6 2 7 2 8 1 9 0 9 9 10 8 11 4 6 5 6 6 5 7 4 8 4 9 2 10 1 10 9 12 49 5 8 6 8 7 7 8 5 9 4 10 2 11 1 13 5 2 6 1 7 0 7 9 8
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