morphee, an icu taking off ! service de santé des armées jean-pierre tourtier, thomas leclerc,...

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MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier , Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

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Page 1: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEE

an ICU taking off

Servicede Santeacutedes Armeacutees

Jean-Pierre Tourtier Thomas Leclerc Marc Borne

Military hospital Val-de-Gracircce Paris

France

Medical combat support in the French armed forces

Forward medical management

Providing immediate care for the survival of injured soldiers

Forward surgical management

A forward deployed operating theater aimed at stabilization

Early aeromedical evacuation

In order to provide definitive treatment as early as possible in a rear hospital

Aeromedical evacuation

A modern concept with military and civilian implementations

N Engl J Med 2007 356 262-70

When the motto isFast and far away

Servicede Santeacutedes Armeacutees

French deployments year 2007

GMC BouffardDjibouti

Aeromedical evacuations

A dimensioning component for the

foreign deployment

of French armed forces

Role 1 Role 2 Role 3 Role 4

BattalionAid station

Theaterhospital

Emergent surgical stabilizationMEDEVAC

Definitive treatment

Forwardsurgical

team Tertiarycare

hospitalTRIAGE

TACTEVAC

STRATEVAC

Forward medical management

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 2: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Medical combat support in the French armed forces

Forward medical management

Providing immediate care for the survival of injured soldiers

Forward surgical management

A forward deployed operating theater aimed at stabilization

Early aeromedical evacuation

In order to provide definitive treatment as early as possible in a rear hospital

Aeromedical evacuation

A modern concept with military and civilian implementations

N Engl J Med 2007 356 262-70

When the motto isFast and far away

Servicede Santeacutedes Armeacutees

French deployments year 2007

GMC BouffardDjibouti

Aeromedical evacuations

A dimensioning component for the

foreign deployment

of French armed forces

Role 1 Role 2 Role 3 Role 4

BattalionAid station

Theaterhospital

Emergent surgical stabilizationMEDEVAC

Definitive treatment

Forwardsurgical

team Tertiarycare

hospitalTRIAGE

TACTEVAC

STRATEVAC

Forward medical management

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 3: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Aeromedical evacuation

A modern concept with military and civilian implementations

N Engl J Med 2007 356 262-70

When the motto isFast and far away

Servicede Santeacutedes Armeacutees

French deployments year 2007

GMC BouffardDjibouti

Aeromedical evacuations

A dimensioning component for the

foreign deployment

of French armed forces

Role 1 Role 2 Role 3 Role 4

BattalionAid station

Theaterhospital

Emergent surgical stabilizationMEDEVAC

Definitive treatment

Forwardsurgical

team Tertiarycare

hospitalTRIAGE

TACTEVAC

STRATEVAC

Forward medical management

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 4: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

French deployments year 2007

GMC BouffardDjibouti

Aeromedical evacuations

A dimensioning component for the

foreign deployment

of French armed forces

Role 1 Role 2 Role 3 Role 4

BattalionAid station

Theaterhospital

Emergent surgical stabilizationMEDEVAC

Definitive treatment

Forwardsurgical

team Tertiarycare

hospitalTRIAGE

TACTEVAC

STRATEVAC

Forward medical management

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 5: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Aeromedical evacuations

A dimensioning component for the

foreign deployment

of French armed forces

Role 1 Role 2 Role 3 Role 4

BattalionAid station

Theaterhospital

Emergent surgical stabilizationMEDEVAC

Definitive treatment

Forwardsurgical

team Tertiarycare

hospitalTRIAGE

TACTEVAC

STRATEVAC

Forward medical management

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 6: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Role 1 Role 2 Role 3 Role 4

BattalionAid station

Theaterhospital

Emergent surgical stabilizationMEDEVAC

Definitive treatment

Forwardsurgical

team Tertiarycare

hospitalTRIAGE

TACTEVAC

STRATEVAC

Forward medical management

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 7: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

One mission a week

48 47

6366

58

52

4041 41

54

47

36

52

61 59

45

36

0

20

40

60

80

1991 1993 1995 1997 1999 2001 2003 2005 2007

MEDEVAC of a singleCritically injured patient

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 8: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEE Answering a need

Before MORPHEE conversion of an Airbus A 310into a collective MEDEVAC vectorIvory Coast November 7th 2004

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 9: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MEDEVAC of multipleCritically injured patients

MORPHEE

MOdule de Reacuteanimation Pour Haute Elongation drsquoEvacuationICU module for high elongation MEDEVAC

Servicede Santeacutedes Armeacutees

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 10: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEE A vector C 135 FR

Maximal range

bull 11 aircrafts strategic tankers modified to accomodate MORPHEE medical solution = permanent availability

bull Maximal range able to reach all theaters where French forces are currently deployed

Servicede Santeacutedes Armeacutees

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 11: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEE A technical platform

meeting medical and aeronautical standards

Used on board a non dedicated aircraft

Ready to take off at H24 or earlier

Autonomous for 10 hours of uninterrupted flight

Servicede Santeacutedes Armeacutees

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 12: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

bull Patient transportation modulesbull Intensive care modules (ICM)

bull Light care modules (LCM)

bull Logistical modulebull 2 racks bull 1 preparation tablebull 1 centralized monitoring area

MORPHEE technical platformServicede Santeacutedes Armeacutees

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 13: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Intensive Care Module

Accomodating one mechanically ventilated patient

Servicede Santeacutedes Armeacutees

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 14: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Chosen ventilator Pulmonetics LTV 1000trade

Weight 6 Kg

Volume 6 dm3

Electrical autonomy 60 min

Power supply 220 V AC or 12 V DC

Cycles delivered volume or pressure assist or control

All corresponding modes including spontaneous ventilation

Mechanical PEEP machine-independent pneumatical expiratory valve

Automated altitude compensation

0

100

200

300

400

500

600

700

800

900

90 m 1500 m 2500 m 3000 m

700 ml normal700 ml asthme400 ml normal400 ml asthme400 ml SDRA250 ml SDRA

PulmoneticsPulmoneticsTMTM LTV 1000 tidal volume LTV 1000 tidal volume during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

(FiO2 = 50 )(FiO2 = 50 )

0102030405060708090

100

90 m 1500 m 2500 m 3000 m

FiO2 = 21FiO2 = 50 FiO2 = 90

PulmoneticsPulmoneticsTMTM LTV 1000 delivered FiO2 LTV 1000 delivered FiO2 during a simulated flight from 0 to 3000 m during a simulated flight from 0 to 3000 m

Servicede Santeacutedes Armeacutees

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 15: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

ECPAD

Two patients with IV therapeutics and oxygen

Light care module

A modifiable module

Servicede Santeacutedes Armeacutees

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 16: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Logistical moduleTechnical furniture

(racks lab and preparation table)

Transforming an aircraft cabin into a functional care oriented space

Servicede Santeacutedes Armeacutees

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 17: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

2 anesthesiologists3 anesthesiology nurses2 emergency physicians2 nurses2 MEDEVAC nurses1 medical specialist or liaison officer

MORPHEEmedical team

12 PAX trained to working with MORPHEEincluding in flight training

Servicede Santeacutedes Armeacutees

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 18: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Medical teamgathering

MORPHEE organization

Mounting Medical corps

Mounting Air force

Briefing Cabinsafety

6 h + 2h

H18H14 H23

Flight

Tanking

M M

1h 3h 4 h 4h 2h 1h2h1h

H0 H6

C135Rest

Paris

Marseille

MetzBrest

Lyon

Toulon

Bordeaux

Servicede Santeacutedes Armeacutees

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 19: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEEServicede Santeacutedes Armeacutees

4 heavily injured amp 8 less heavily injured patients

Configuration 14 Intensive Care modules

4 Light Care Modules

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 20: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Configuration 2 6 Intensive Care

modules

Servicede Santeacutedes Armeacutees MORPHEE

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 21: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEE=

Combined operational function

(Air force amp Medical corps)

Available since September 1st 2006

Servicede Santeacutedes Armeacutees

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 22: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Kosovo March 18th 2008Servicede Santeacutedes Armeacutees

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 23: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Afghanistan August 19th-20th 2008

Servicede Santeacutedes Armeacutees

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 24: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

MORPHEE Light Care Module on board an AIRBUS A 310

Expected MRTT

Airbus A 400 M

The future of MORPHEEServicede Santeacutedes Armeacutees

Thank you for your attention

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
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Page 25: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Thank you for your attention

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 17
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  • Slide 21
  • Slide 22
  • Slide 23
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Page 26: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Transall C-160 MedEvac

PTE 2

PTE 1

Carg

o d

oor

PTE 3

Loading plan

3 PTEs

8 stretchers German Airforce Tacevac

Servicede Santeacutedes Armeacutees

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
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  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 27: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

RESERVOIR

PATIENT

AIR AMBIANTFILTRE

Cd valve proportionnelle (INS EXP)Commande FIO2

MonitoragePression Spiro

a11

a22

3a34a4

b1b2

b3b4

56

78

Vcc1

0

Masse

0

BATTERIE

90 240v

TURBINE

MOTEUR

SILENCIEUX

02

Cd EV

cd PEP

Piston cdboucle

Valve exppneumatique

Branche inspiratoire Pulmonetics LTV 1000trade

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 28: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Volume minute de consignereacutegleacute au sol

Volume minute obtenuen altitude Influence de lrsquoaltitude sur

le volume courant de consigne des ventilateurs volumeacutetriques

Effet de lrsquoaltitude(application de la loi de Boyle et Mariotte)

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
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  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
Page 29: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Vt deacutelivreacutes par le T BirdTM

avec et sans correction altimeacutetrique(FiO2 = 50 )

0

100

200

300

400

500

600

700

800

90 m 1500 m 2500 m 3000 m

Altitude

Vt

deacutelivreacute 700 ml

400 ml700 ml400 ml

___ avec correction altimeacutetrique

___ sans correction altimeacutetrique

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
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Page 30: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

FiO2 deacutelivreacutees par le T BirdFiO2 deacutelivreacutees par le T BirdTMTM

avec et sans correction altimeacutetriqueavec et sans correction altimeacutetrique

0

20

40

60

80

100

120

90 m 1500 m 2500 m 3000 m

sans correctionavec correctionsans correctionavec correctionsans correctionavec correction

FiO2 reacutegleacute 90

FiO2 reacutegleacute 50

FiO2 reacutegleacute 21

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

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Page 31: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

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Page 32: MORPHEE, an ICU taking off ! Service de Santé des Armées Jean-Pierre Tourtier, Thomas Leclerc, Marc Borne Military hospital Val-de-Grâce, Paris, France

Ventilation at altitudeBench testing of Pulmonetics LTV 1000trade and T Bird trade ventilators

in a hypobaric chamber (SSA research project)

Cabin pressure in hypobaric chamber laquo Cabin altitude raquo working pressure90 m (sol) 1008 mbar1500 m ( vol civil) 845 mbar2500 m 747 mbar3000 m 701 mbar

Volume control ventilation

Vt(ml) N(cmin) IE FiO2 ()400 700 12 12 21 50 90 250 400 20 11 21 50 90

Simulating pathological conditions

Vt (ml) Condition Flow resistance Compliance400700 Normal lung 56 cmH20lmin 50 mlcmH2O

Asthma 39 cmH20lmin 50 mlcmH2O250400 ARDS 39 cmH2Olmin 20 mlcmH2O

Manomegravetre

VENTILATEUR

Meacutelangeur Turbine

MONITEURO2

21

ANALYSEUR de GAZParamagnetique

PNEUMOTACHOGRAPHE

SPIRO

SIMULATEUR de POUMONS ADULTE

Oscilloscope

Ordinateur

Imprimante

C

R

POMPEA

VIDE

O2

ALTITUDE cabinede 90 m agrave 3000m

PRESSION de1008 agrave 700 mbarsMicro Micro

Moteur

CAISSON HYPOBARE

MATERIEL du LAMAS MATERIEL de lECMSSA

Servicede Santeacutedes Armeacutees

  • Slide 1
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  • Slide 3
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