Re: Vent ?

["Mac Fianna" <macfianna@hotmail.com>]

Dear Kyle,

Here are my two cents:

In my opinion, the Impact Uni-Vent 754 is suitable for pediatric patients 
WITH healthy lungs, and the adult patient population only.

To volume ventilate any pediatric patient with poor lung compliance or any 
other pulmonary disease state is quite risky and typically ineffective. This 
population and CERTAINLY the neonatal population, should be ventilated with 
a pressure regulated ventilator. There are many on the market and most are 
found built into transport isolettes, which I might add, in my opinion, are 
paramount to the safe and optimal transport of the neonate, simply from a 
thermal regulation standpoint.

If a transport isolette or pressure regulated ventilator is not feasible to 
your program, (say you do a small volume of neonates), then I personally 
feel an "anesthesia bag" with a manometer in the hands of a skilled user is 
optimal to any volume ventilator. As far as thermal regulation goes, porta 
warmers and "space blankets" can suffice if transport times are short.

Best regards,

P.R. Adams



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