Respironics
BiPAP-Vision
1
Classification
Electrically powered – internal battery powers
Vent Inoperative & audible alarms if AC power lost. Error code
205 if internal low battery condition.
2 modes
CPAP
S/T
Set Rate
IT in seconds
IPAP
EPAP
2
Circuit
BiPAP circuit (with
exhalation port or
Whisper Swivel)
Humidifier or HME
With heated humidifier
need circuit with water
traps. Cannot cut into regular
BiPAP circuit to add traps.
3
Start Up
Plug into AC mains & Connect to 50 psi gas
source
Connect
BiPAP circuit Dispos-
able
- don’t cap O2 inlet
Power switch module filter
RU corner
on back
panel – Fuses
ON
4
5
Power-on-self-test (POST)
initiates
6
After POST, Start “Test
Exhalation Port”
7
Follow steps on screen, block
circuit, “Start Test”.
Exhalation (castle) port
8
Exhalation port test in
progress
9
Exhalation Port Test
Analyzes leak rate of exhalation port
If successful – the value of “Pt. Leak” will
be displayed
If unsuccessful – “Tot. Leak” will be
displayed
EPT must be performed when using the
Plateau Exhalation Valve because the leak
is significantly different than the port or
swivel.
10
Test Complete, press
Monitoring to exit.
Monitoring
11
Trigger Criteria in S/T
Time Trigger (Rate)
Flow Trigger
6 ml inspired volume detected
Patient flow exceeds the shape signal (a
shadow of the flow signal delayed by 300 ms)
Pressure
Flow
12
In S/T mode
Only patient (flow) triggered breaths are
flow cycled (PS).
Time triggered breaths are time cycled
according to the set Inspiratory Time.
13
Cycle Criteria in S/T
Time cycled
Set Inspiratory Time
A 3 sec maximum IPAP time has occurred
Flow cycled
Flow reversal detected
Patient flow is less than signal flow
Spontaneous Expiratory Threshold achieved –
another way to flow cycle
Pressure
SET
Flow
14
Alarm
Silence
IPAP
8
EPAP
3 Alarm
Rate Reset
12
Pt Data
Display
Area
Monitoring
Parameters Alarms
Mode
15
To change settings, press Parameters –
then soft key next to parameter and
adjust with knob.
Soft keys
Knob 16
Can set Parameters while in
Stand-by
17
Stand-by Mode
Can set parameters and alarms while in
SB
Bumping the circuit may simulate pt
inspiration, in which case Vision exits SB
automatically and goes into ventilation
mode.
18
To change Mode, press Mode, then
parameter soft key to adjust, and then
“Activate New Mode” soft key
2
3
1 19
Alarms displayed in
Mode/Message Area
20
Lo Min
Hi Press Alarms Vent
Lo Press Hi Rate
Lo Press Lo Rate
Delay
Apnea
Learn
Base
Flow
21
Cannot adjust Parameters
when Monitoring displayed
22
IPAP Rise Time
Timed
Inspiration
23
Can Change Bar Graphs to Waveforms
with “Options” soft key
24
Mini-heart Nebulizer Tx
25