Chapter 13

Options and Accessories

Parameter

Description

 

 

Vital Capacity

Procedure: The clinician instructs the patient to inhale to maximum

(VC) maneuver

capacity at the next inspiration, then exhale completely, followed by a

 

normal inspiration. The maneuver automatically ends at the next inspiration

 

(following the maneuver breath) or if 20 seconds elapse without another

 

inspiration. Available in VCV and PCV. Not available in NPPV.

 

During the maneuver: Once the maneuver starts, settings for maneuver

 

breath are mode = CPAP, PEEP = 0 cmH2O (during the start of the next

 

inhalation or exhalation following pressing the start button), and PSV = 0

 

cmH2O. For the breath following the maneuver breath, PSV = 0 cmH2O and

 

PEEP is restored to its original setting. Pre-maneuver settings are restored

 

during exhalation of the breath following the maneuver breath. Any

 

scheduled breaths that were postponed by the VC maneuver are delivered

 

after the maneuver is complete.

 

Results display: Measured volumes from 0 to 9999 mL are displayed for the

 

VC maneuver: if measured volume exceeds these limits, only a message (no

 

data) is displayed. VC is displayed in mL, and is time-stamped based on

 

ventilator time and date.

 

Range: 0 to 9999 mL

 

Resolution: 1 mL

 

Accuracy: ± 10% of true value

 

 

Maximum

Procedure: To perform a MIP maneuver, the clinician asks the patient to

Inspiratory

inhale as forcefully as possible against a closed circuit that allows the

Pressure (MIP)

patient to exhale through a one-way valve. Available in VCV and PCV. Not

maneuver

available in NPPV.

 

During the maneuver: Once the maneuver starts, settings for maneuver

 

breath are mode = CPAP, PEEP = 0 cmH2O (during the start of the next

 

inhalation or exhalation following pressing the start button), and PSV = 0

 

cmH2O. For the breath following the maneuver breath, PSV = 0 cmH2O and

 

PEEP is restored to its original setting. Any gas exhaled during an MIP

 

maneuver is not applied to the tidal volume or minute volume calculations.

 

Results display: MIP is displayed in cmH2O, and is time-stamped based on

 

ventilator time and date. Measured pressures from –100 to +200 cmH2O

 

are displayed for the MIP maneuver: If measured pressure exceeds these

 

limits, only a message (no data) is displayed.

 

Range: -100 to +200 cmH2O

 

Resolution: 1 cmH2O

 

Accuracy: ± 10% of true value

 

 

Table 13-9: Respiratory Mechanics Maneuver Summary and Data Specifications

13-62

Respironics V200 Ventilator Operator’s Manual

REF 1057983 A

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Philips V200 manual Parameter Description, 13-62

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