RE: Peds Transport Vents

["Thom & Nancy Kane" <nanmub@cybertrails.com>]

Sharon,
	While I've heard of people having problems with the Crossvents (BioMed
Devices - same guys that make your MVP-10), I personally have never run into
any (knock on wood!) and I've used both new & refurbed units. The CV4 has
the flexibility to be used in all patient populations, the CV3 is a little
less complex but you lose the BABY mode (Time-Cycled, Pressure Limited), so
depending on your protocols for the smaller peds patients (Volume vs
Pressure) the CV3 may work for you. You can get it with either the air
entrainment feature (gives you 50% or 100% O2), or with an attached blender
(but that requires Air & O2 sources). The CV's are certainly not perfect
(that xport vent hasn't been invented yet) and have their own idiosyncrasies
but they can be easily dealt with. I would agree maintaining proficiency is
always a concern but if you are using one vent for all patients instead of
several different ones that becomes less of a concern. Good Luck in your
quest...........

T. Kane, RRT


-----Original Message-----
From: flightmed-admin@flightweb.com
[mailto:flightmed-admin@flightweb.com]On Behalf Of sharon
Sent: Tuesday, January 29, 2002 8:08 PM
To: flightmed@flightweb.com
Subject: Peds Transport Vents


I was wondering if anyone can tell me what you are using for peds
vents, especially the 5-10 kg range.  We often ust use our isolette
that has an MVP 10 vent up to about 6-6.5 kg, but the vent our adult
team uses in the helicopter only goes down to 100 cc tidal volume.  I
read on the list in a past discussion of this subject about the
Pulmonetics LTV 1000.  I asked about looking at it but have heard from
the RT department that it has had several recalls for problems. Is
anyone using this vent?  It sure sounds nice by the web info at their
site, in size and function-- tidal volumes or pressure, SIMV, CPAP,
with built in mixer for O2.  I am trying to verify any problems that
anyone is seeing.  We had discussed the cross-vent as well, but if you
don't use it often, I am concerned about proficiency and trouble
shooting.  I have seen our RTs have trouble getting it to caprture on
some kids, esp. if not paralyzed.  Can anyone give me pros and cons to
what you use?  Thanks much.   Sharon Olson, RN,CCRN,    University of
Iowa Health Care, Neo/Peds Team

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