Re: what kind of transport-ventilator do u use?

["PAUL FRAWLEY" <PFRAWLEY@umm.edu>]

Hello Tia:

For our more complex transports we use the Servo 300. Prior to introducing that vent we used the Servo 900c. These vents are neither small, nor light. The Servo 300 is 70lbs and the external battery weighs about as much. The "heli-boys" may be less than enthused about the size and weight it consumes. The O2 demand should not be much different to the demands of our conventional portable vents (Impact).

The selection of the most appropriate device for the transport of intubated patients is multi-factorial. A bag valve device should not be used as research has consistently shown that staff, although they believe they are doing it properly, ventilate too fast with too small a volume, causing a respiratory alkalosis. In the event that a patient must be manually bagged, the minimum monitoring equipment must include End Tidal CO2; SpO2; respiratory rate; and, tidal volume. This is rarely done.

If patients with low compliant lung states, e.g. ARDS, are to be transported, it must be with a mechanical ventilator. Portable vents may not be able to deliver the gas in a timely manner nor maintain the required pressures (both PEEP and peak). Utilizing more complex concepts, such as PC-IRV, are best reserved for larger, conventional ventilators. 

Shame about the heli-boys not liking the equipment, but that is the business we are in. 

Hope that helps.

Cheers,

Paul.

Paul Milo Frawley
Adult Transport Nurse
Maryland ExpressCare
UMMC.

>>> yvan.somers@uza.uia.ac.be 04/10/01 02:17PM >>> 
hello, 

sorry if this question was recently posted 

but what kind of ventilator do you use for transporting severely ill 
patiënts 
patients with high needs, low reserve. 

today we did a transport with a siemens servo 900 C with a battery-pack, 
oxygen en air-bonbons (= a big tool) 
so the "heli-boys" asked for a smaller ventilator. 

so what do you use for this kind of transports? 


tia 
yvan 


yvan somers, RN, CCRN 
university hospital antwerp 
belgium, europe