target volume precise volume delivery periop advanced...
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Apollo Volume AF | 07/20101 | 4
Volume AF ModePresentation:
• Target Volume
• Precise Volume Delivery
• Periop Advanced Ventilation
Apollo Volume AF | 07/20102 | 4
Apollo: Volume AF ModeOutline
Traditional Modes of Ventilation Characteristics- Volume Control- Pressure Control
Curves- Pressure- Flow
Mechanical Ventilation Challenges in the Operating Room- Surgical Intervention- Patient Positioning- Gravity
Advanced Ventilation Mode- Volume Autoflow (Vol AF)- Vol AF Sync PS
Tailor Parameters- Trigger- Slope
Apollo Volume AF | 07/20103 | 4
Apollo: Volume AF ModeTraditional Mechanical Ventilation Characteristics
Volume Control (VCV)
Pre-set Tidal Volume
Pre-set Minute Ventilation
Variable Peak Inspiratory Pressures
Time Cycle
Constant Flow
I:E Ratio Controlled
Pressure Control (PCV)
Pre-set Peak Pressure
Variable Inspiratory Tidal Volume
Time Cycle
Decelerating Flow
I:E Ratio Controlled
Continuous Distending Pressure
Apollo Volume AF | 07/20104 | 4
Apollo: Volume AFGraphical Curves
Volume Control Ventilation
• Constant Inspiratory Flow
• Variable Peak Inspiratory Pressure
Pressure Control Ventilation
• Decelerating Inspiratory Flow
• Variable Tidal Volume
Apollo Volume AF | 07/20105 | 4
Apollo: Volume AFDisadvantages of VCV and PCV
VCV
Peak Pressures affected byPulmonary C and R
Potential Lung Overdistension- High Pressure Limit
Barotrauma
Volutrauma
PCV
Tidal Volume is not guaranteed
Potential Lung Overdistension- Transition post Laparoscopy
Volutrauma
Low exhaled Tidal Volume
Apollo Volume AF | 07/20106 | 4
Apollo: Volume AFMechanical Ventilation Challenges in Operating Room
Laparoscopy Prone
Robot
Apollo Volume AF | 07/20107 | 4
Apollo: Volume AFAdvanced Ventilation Mode
Dual Control Mode
Volume Control
+
Pressure Control = Vol AF
Apollo Volume AF | 07/20108 | 4
Apollo: Volume AFAdvanced Ventilation Mode
Volume Autoflow
Vol AF
Targets the set Tidal Volume
Pressure Control Strategy
Using the Lowest Working Pressure
Minimal Peak Pressure Changes
Automatic Changes in Peak Pressure
+/- 3 cmH2O maximum PIP change
Illustration:
Transition from VCV to Vol. AF
Apollo Volume AF | 07/20109 | 4
Apollo: Volume AFAdvanced Ventilation Mode
Vt
Peak Pressure changes
&
Apollo Volume AF | 07/201010 | 4
Apollo: Volume AFAdvanced Ventilation Mode
Begin by setting Tidal Volume
Adjust frequency to achieve MV
Determine appropriate Pmax
Set desired PEEP
Observe Peak Pressure
Auto Set Limits (alarms)
Apollo Volume AF | 07/201011 | 4
Apollo: Volume AFVol AF Sync PS
Vol AF with Sync PS
Pps
Trigger
Slope
I:E Ratio
Apollo Volume AF | 07/201012 | 4
Apollo: Volume AFExtra Settings
Extra Settings
Age years
Weight
Trigger
Tslope
Apollo Volume AF | 07/201013 | 4
Apollo: Volume AFCompare Vol AF to Vol AF Sync PS
Vol AF Sync PSVol AF
Apollo Volume AF | 07/201014 | 4
Apollo: Volume AFVideo