MACS CPAP System

MACS CPAP System

Self Guided Tour

Program Objectives

This program is a self guided tour of the

MACS CPAP System.

At the end of this tour you will be able to:

Describe the main operating features of MACS Identify the controls and connections Describe the patient breathing circuit Set-up MACS for patient operation Define various clinical environments for CPAP application Clean and maintain the MACS

Features and Controls – Rear Panel

Driving Gas Input

Connection for 55 psi (3.8 bar) oxygen source gas

Always use a high flow gas source (pressure take-off) that can provide 55 + 15 psi pressure at a minimum of 40 L/min

Features and Controls – Rear Panel

Air Entrainment

Ambient air is entrained for internal gas mixing

External housing contains air filter

Air filter replacement is part of the preventative maintenance

Features and Controls – Front Panel

CPAP Control

Adjusts the CPAP from 0 to 20 cm H2O

Automatic sensitivity Flow adjusts automatically

to meet patient demand up to 140 L/min

Oxygen concentration is maintained at set % Oxygen control

Features and Controls – Front Panel

% Oxygen Control

Delivered oxygen choice 65% 100%

Sets the spontaneous breath oxygen concentration

Features and Controls – Front Panel

Pressure Gauge

Shows pressure in patient circuit at the output of MACS

Compare with control setting to insure proper operation

Gives an indication of patient effort

Features and Controls – Front Panel

Circuit Connection 1

Connection for the large bore hose of the patient circuit

Features and Controls – Front Panel

Circuit Connection 2

Patient circuit small hose connection

Connects to the expiratory valve on the patient circuit

Patient Breathing Circuit

Patient circuit is a single limb system Both hoses attach to the front of MACS Patient end connects for clinical intervention

Directly to an endotracheal tube (invasive) Face mask (noninvasive)

Patient Breathing Circuit

Use only Airon Corporation patient circuits Calibration of the CPAP control is based upon the Airon

patient circuit Using other manufacturers circuits may cause

errors in pressure delivery high expiratory flow resistance interference with CPAP sensitivity increased oxygen usage

Patient Breathing Circuit

Accessories to optimize patient care In-line medication nebulizer

Fits between the mask and patient circuit Nebulizer can be removed to add medication while maintaining pressure

CO2 monitoring For In-line sampling place the Tee between the mask and circuit Or use the nasal prongs under the mask

Expiratory bacteria / viral filter can be added using the 90 degree expiratory port elbow

Program Objectives

MACS CPAP System self guided tour, objectives completed so far:

Describe the main operating features of MACS Identify the controls and connections Describe the patient breathing circuit

With an understanding of MACS’s capabilities, let’s look at patient application.

Patient Application

Initial Set-up Attach Airon patient circuit

to MACS Attach a high pressure

oxygen hose to the rear of MACS

Attach the other end of the high pressure hose to the oxygen source

Patient Application

Set % Oxygen Control Set % Oxygen control to the desired

oxygen level All breaths receive set oxygen level

+ 10% Oxygen tank time almost doubles

with 65% setting Caution - with rapid, large tidal

volumes on 100% oxygen, the actual delivered percentage may be less than 100%

Patient Application

Start CPAP Turn on oxygen source Attach patient breathing

circuit to the patient using either a mask or endotracheal tube

Adjust the CPAP control to the level desired

If the patient is not attached to the circuit, or there is a large leak, a high flow of gas will occur

Patient Application

Monitor patient Assess per your protocol

patient breathing rate comfort oxygenation CO2

Clinical Issues

Let’s look at various clinical environments for CPAP application

Using CPAP Pediatric support Medication nebulization CO2 monitoring

Altitude operation

Clinical Issues

Using CPAP

Used on spontaneous breathing patients in respiratory failure including Congestive Heart Failure (CHF) COPD and Asthma Near Drowning CO poisoning

Set CPAP level as needed Can be used with mask or ET-Tube

Clinical Issues

Pediatric Support

MACS is safe for pediatric - adult patients

Use the lowest possible settings Monitor closely for patient synchrony

Clinical Issues

Providing nebulized medications

A medication nebulizer may be placed between the patient connection and the patient

Patient will inhale medication during every breath and exhale back out through patient circuit

Expiratory filter may be added for personnel safety

Clinical Issues

CO2 Monitoring

Any type of CO2 analyzer may be used

With in-line style analyzers place the sensor Tee between the patient circuit connection and the patient

With sidestream analyzers place the nasal prong sampling tube under the face mask

Clinical Issues

Altitude Operation

MACS can be used for air transports in unpressurized cabins up to 15,000 feet

Pressure settings will not change as altitude changes

Patient Safety

Patient Safety Features

Internal Safety Pressure Release – limits circuit pressure to 40 cm H2O

Anti-Suffocation System – in the event of device malfunction, an internal valve will allow ambient air to enter the patient circuit

Cleaning and Maintenance

Clean MACS between patients using a soft cloth and a mild detergent / disinfectant

Do not immerse MACS in water Disposable patient circuit is for single use

application and should not be cleaned, disinfected or reused

MACS should receive preventative maintenance every 2 years

Program Objectives

MACS CPAP System self guided tourcompleted; you should now be able to:

Describe the main operating features of MACS Identify the controls and connections Describe the patient breathing circuit Set-up MACS for patient operation Define various clinical environments for CPAP application Clean and maintain MACS

Next Step – consider reviewing the MACS Case Study and completing the competency evaluation

Contact Information

Thank you for you interest in the

MACS CPAP System

For more information visit www.AironUSA.com

or call Airon Corporation at:

1-321-821-9433

1-888-448-1238 (toll free North America)