Greetings
We are considering getting an Oxylog 3000+ to fit to a paediatric retrieval trolley. Does anyone have any thoughts or experience on using this ventilator (or the 3000) with Nitric Oxide?
Regards
Ian Braithwaite
Senior Retrieval Nurse
EMBRACE, Yorkshire
Have a word with the Clinical Engineering Clinical Technologist team at Royal Brompton (020 7351 8662) or vent techs in Clinical Engineering at Great Ormond Street (020 7405 7200) - where CATS is based.
They both do paediatric retieval and use Nitric and I think they both have Oxylogs.
RoJo
Hello, we have recently installed Oxylog 3000 plus models for the North West Transport Service Paediatric Service, and upon acceptance made the following observations.
The EtCO2 graphical user interface facility has presented a discrepancy when tested with a Drager Calibration Gas of concentration 5% CO2. The indicated EtCO2 reading was 3%, and the Service mode confirmed this.
The FiO2 settings can be user selected between 40% and 100%. Independent verification with our test equipment has indicated that low settings of less than 60% can produce readings in excess of the published ± 10% accuracy specified.
For example a 40% selected concentration will produce a measured concentration at the point of patient delivery slightly in excess of 50% (which exceeds the expected accuracy).
When a concentration in excess of 60% is selected, the measured concentration falls within the expected published accuracy. The clinical significance of being unable to deliver oxygen concentrations of less than 50% during patient transport is yet to be confirmed.
Drager Medical are currently looking into the issues raised, and indicated that the lower FiO2 concentrations occur at a point on the published response curve which requires greater clarification.
Hope this helps
Hi Ianbee
I cannot comment on using the Oxylog 3000 Plus with Nitric Oxide however you might run into problems servicing this machine if you try and do it in-house. The Oxylog 3000 has a built in service menu and is very straight forward to maintain. The Oxylog 3000 plus does not have this facility. Maintenance is done by plugging it into a laptop computer and you can only use one leased from Draeger complete with Software for the small fee of approx £2,500 per year. If you have your ventilators on contract then obviously this is not a problem, just writing this to make you aware in case you plan to look after it yourself.
From my expirience all the Draeger oxylog family ventilators are being used only with OXYGEN (O2) and not any other gas, and in case of failure they can work with 21% oxygen from air
http://www.draeger.com/US/en_US/products...BackButton=trueGo above and have a look at download files.
in case of failure they can work with 21% oxygen from air
Can they?
I did not think they had a compressor. I thought they needed the high pressure from the oxygen to create any pressure in the gas system, they use the oxygen to entrain air through a venturi. I thought that if the oxygen failed they would have no means of entraining air so the whole vent would stop.
RoJo
Hello, thanks for your comments.
RoJo - I'll chase up your leads. I think CATS use an Inovent in their vehicles which improves the dosing reliability.
Sean - that's very interesting. Thanks. I'll keep in touch with NWTS off forum - it would be good it we could learn from your exeriences with this vent.
Jeremy - I understand they will be on contract, but thanks for letting me know.
Cheers
Ian Braithwaite
Senior Retrieval Nurse
EMBRACE, Yorkshire