OXYGEN & AEROSOL THERAPY
Contents
1. This is the amount of aerosolized drug available to the patient on inspiration Reconcentration in a SVN is greater at a diluent volume of 2ml than one of 4ml and for that reason it is suggested 4ml maybe l superior than 2ml as a diluent formula N X Nebulising Time is the time from starting nebulisation until continuous nebulisation has ceased and depends on the flow rate compressed air and the construction of the nebuliser These are a major influence on aerosol size distribution Optimal flow rates recommended are between 6 8 litres per minute with 8 I min providing a smaller particle size and shorter nebuliser time the time it takes for the volume to completely nebulise A SVN should deliver at least 80 of the solution within 15 minutes Aerosol Particle Deposition 0 5um gt 0 5 2um gt 2 5um gt 5uUM Exhaled Alveoli Deposition Deposition in Trachea Deposition in Mouth Bronchus Bronchiles Pharynx OXYGEN amp AEROSOL THERAPY Fixed Concentration Ventimask Clinically Proven only Ventimask is able to provide a fixed and predictable oxygen concentration with changing and variable breathing patterns Ventimask is the accepted standard for controlled oxygen therapy for exact oxygen concentration delivery optimum clinical performance with greater patient acceptability Ventimasix Large Capacity f Horizontal Gas Flow Air dilution is minimised due to i Eye irritation is avoided due to Horizontal large capac2. Enrichment HAFOE masks incorporate a Venturi Barrel and use the Bernoulli principle to deliver a predetermined and fixed concentration of oxygen This is provided to the patient regardless of their respiratory pattern y providing a higher gas flow than the peak inspiratory flow rate Adult Venturi Masks 032 10 040 Adult Venturi Mask 24 50 032 10 041 Adult Venturi Mask 28 50 032 10 048 Adult Venturi Mask 31 50 032 10 042 Adult Venturi Mask 35 amp 50 032 10 043 Adult Venturi Mask 40 50 032 10 044 Adult Venturi Mask 60 50 Adult Venturi Masks with Tubing 032 10 040T Adult Venturi Mask 24 with Tubing 50 032 10 041T Adult Venturi Mask 28 with Tubing 50 032 10 048T Adult Venturi Mask 31 with Tubing 50 032 10 042T Adult Venturi Mask 35 with Tubing 50 032 10 043T Adult Venturi Mask 40 with Tubing 50 032 10 044T Adult Venturi Mask 60 with Tubing 50 Paediatric Venturi Masks 032 10 050 Paediatric Venturi Mask 24 50 032 10 051 Paediatric Venturi Mask 28 50 032 10 058 Paediatric Venturi Mask 31 50 032 10 052 Paediatric Venturi Mask 35 50 032 10 053 Paediatric Venturi Mask 40 amp 50 032 10 054 Paediatric Venturi Mask 60 50 Paediatric Venturi Masks with Tubing 02210050T Paediatric Venturi Mask 24 with Tubing 50 032 10 051T Paediatric Venturi Mask 28 with Tubing 50 032 10 058T Paediatric Venturi Mask 31 with Tubing 50 032 10 052T Paediatric Venturi Mask 35 with Tubing 50 032 10 053T Paed
3. are able to speak eat or drink Local irritation and dermatitis may occur with high flow rates Use of humidified oxygen is recommended to reduce dryness of the mucosal wall in the nasal cavities particularly when using flows of greater than 4 min Adult Nasal Cannulas 032 10 020 Adult Nasal Cannula 100 032 10 O020FC Adult Flared Curved Nasal Cannula 100 032 10 022 Adult Nasal Cannula with 2 1m Tubing 100 032 10 022FC Adult Flared Nasal Cannula with 2 1m Tubing 100 032 10 107 Adult Flared Tip Nasal Cannula 100 Soft Tip Curved Nasal Cannulas 032 10 101 Adult Soft Tip Curved Nasal Cannula with Tubing 100 032 10 102 Adult Soft Tio Curved Nasal Cannula 100 032 10 103 Paediatric Soft Tip Curved Nasal Cannula with Tubing 100 032 10 104 Paediatric Soft Tip Curved Nasal Cannula 100 032 10 105 Neonatal Soft Tip Curved Nasal Cannula with Tubing 100 Nasal Cannulas with CO z Monitoring 032 10 108 Adult Nasal Cannula with COz Monitoring 25 032 10 109 Adult Nasal Cannula with O7 COz Combi Monitoring 25 Soft Tip Nasal Cannulas 032 10 114 Adult High Flow Soft Tip Nasal Cannula with Tubing 100 032 10 115 Infant Soft Tip Nasal Cannula with Tubing 100 032 10 116 Premature Soft Tip Nasal Cannula with Tubing 100 OXYGEN amp AEROSOL THERAPY Dual Nasal Cannula EtCO Monitoring Capnography and CO Monitoring Monitoring patient s breathing in emergency and critical situations is of paramount importance Delivering oxygen ensures the level of o
4. 44CT Adult Venturi Mask 24 Blue with Reservoir Tube and Oxygen Tubing Adult Venturi Mask 28 White with Reservoir Tube and Oxygen Tubing Adult Venturi Mask 31 Orange with Reservoir Tube and Oxygen Tubing Adult Venturi Mask 35 Yellow with Reservoir Tube and Oxygen Tubing Adult Venturi Mask 40 Red with Reservoir Tube and Oxygen Tubing Adult Venturi Mask 60 Green with Reservoir Tube and Oxygen Tubing Paediatric Venturi Masks with Reservoir Tubing 32 10 0506 032 10 051C 32 1 00 0586 032 10 052C e7 0 05s6 032 10 054C Paediatric Venturi Mask 24 Blue with Reservoir Tube Paediatric Venturi Mask 28 White with Reservoir Tube Paediatric Venturi Mask 31 Orange with Reservoir Tube Paediatric Venturi Mask 35 Yellow with Reservoir Tube Paediatric Venturi Mask 40 Red with Reservoir Tube Paediatric Venturi Mask 60 Green with Reservoir Tube Paediatric Venturi Masks Reservoir and Oxygen Tubing 52 0 020G 032 10 051CT 32 0 0scG 032 10 052CT G577 0 055 ei 032 10 054CT Paediatric Venturi Mask 24 Blue with Reservoir Tube and Oxygen Tubing Paediatric Venturi Mask 28 White with Reservoir Tube and Oxygen Tubing Paediatric Venturi Mask 31 Orange with Reservoir Tube and Oxygen Tubing Paediatric Venturi Mask 35 Yellow with Reservoir Tube and Oxygen Tubing Paediatric Venturi Mask 40 Red with Reservoir Tube and Oxygen Tubing Paediatric Venturi Mask 60 Green with Reservoir Tube and Oxygen Tubing OXYGEN amp AEROSOL THERAPY E
5. MaxiNeb 90 Nebuliser 032 10 015 Maxineb 90 Nebuliser 50 032 10 016 Adult Aerosol Mask Maxineb 90 Nebuliser and Tubing 50 032 10 017 Paediatric Aerosol Mask Maxineb 90 Nebuliser and Tubing 50 MaxiNeb Accessories 032 10 064 22mm Mouthpiece 100 C gt 4 010 636 TPiece 100 032 10 065 22mm Mouth Piece and T Piece 100 032 10 120 In line valve for use with MaxiNeb Nebuliser 100 OXYGEN amp AEROSOL THERAPY Aerosol Therapy MaxiNeb and MaxiNeb Compact Compressors The Maxineb Compressors have been developed to provide a complete system in both hospital and home for the delivery of different medications Specifications Electrical Requirements Power Consumption Compressor Power Range Flow Range Particle Size 220v 50Hz 0 6A Under Normal Load 35 45 psi 5 7 LPM 0 5um to 5um Available for the following countries formats GB European MaxiNeb Compressor Sao India China 60022GB 60022EU 60022IN 60022CH 60001 60122GB 60122EU 60122IN 60122CH Clear Instructions In addition to the User Manual the operational information is visible through the clear case construction for quick reference Quiet Operation The modern design of the housing facilitates a low noise level output minimising the ambient noise and reducing irritation to the user Changeable Air Filter MaxiNeb has an interchangeable filter that is easily changed Integrated Compartment The Maxineb compressor has a dedicated compartme
6. OXYGEN amp AEROSOL THERAPY Fixed and Variable Concentration Post Operative and Aerosol Therapy Flexicare s Oxygen and Aerosol Therapy products include Variable Concentration Oxygen Masks Fixed Concentration Oxygen Masks Post Operative Oxygen Therapy Nebulisers and Nebuliser Kits Oxygen and Aerosol Therapy Principles of Oxygen and Aerosol Therapy 94 Fixed Concentration Ventimask 96 Single Venturi Masks 97 Aerosol Masks Multi Venturi Masks amp Venturi Barrels 98 Variable Concentration Medium Concentration Masks 100 Nasal Cannula amp Nasal Catheters 101 End Tidal CO Monitoring Dual Nasal Cannula 102 Dual Mask 103 Non Re Breathing Masks 104 Post Operative Tracheostomy Mask amp Humidifier 105 Gilston T Pieces 105 Post Operative Oxygen Therapy T Pieces 105 Fixed Concentration Oxygen Therapy FCOT 106 Aerosol Therapy MaxiNeb Nebuliser 108 MaxiNeb Compressor 109 MaxiNeb Compact 110 Tubing Connectors amp Water Traps 111 Humidity Adaptor 112 Bubble Humidifier 112 OXYGEN amp AEROSOL THERAPY Principles of Oxygen Therapy Oxygen is the most important single substance in animal biology It constitutes nearly 50 of the mass of our planet 21 of the air we breathe 50 of rock and 89 of water Yet it took man a surprisingly long time to discover the significance of oxygen in terms of combustion respiration and animal metabolism Oxygen is essential for normal respiration in aerobic organisms Upo
7. a venturi and humidifier adaptor ThermoTrach is a heat and Moisture Exchanger HME for spontaneous breathing patients for use with a tracheostomy tube For further details on this product please see the Breathing Filters section 032 10 091 Adult Tracheostomy Mask 032 10 092 Paediatric Tracheostomy Mask 038 41 250 Thermotrach Heat and Moisture Exchanger Gilston T Piece The Gilston T Piece is designed to provide oxygen to patients with tracheostomy tubes The sliding cover allows easy access for suction and a venturi can be fitted to one end of the tube to provide oxygen at the required concentration or combined with a humidity adaptor for humidification 5060 Adult Gilston T Piece 5061 Paediatric Gilston T Piece Post Operative Post Operative Oxygen Therapy T Pieces 50 50 50 wa a SS T ea O 5 5 Oxygen T Pieces are used for delivering oxygen in the recovery room to patients with a laryngeal mask in situ The 40 T Piece is clinically tested for oxygen concentration accuracy giving confidence in providing the precise level of oxygen prescribed The T Piece is crystal clear and available with a clear bag allowing for visual observation confirming breathing function The 40 T Piece complies to British Standard BS EN 13544 3 assuring compatibility with standard connectors 032 10 540 40 Oxygen T Piece with Corrugated Tube 50 OXYGEN amp AEROSOL THERAPY Post Operative FCOT The Complete Solutio
8. all volume or jet nebulisers SVN are devices used to turn medication into an aerosolized mist to deliver directly into the patient s lungs Inhaled aerosols have considerable advantages in the treatment of many lung diseases including bronchitis and cystic fibrosis The required dose is much smaller compared to that taken systemically and the side effects are therefore negligible The onset of the action is quicker and the drug itself is more selective Nebuliser Performance Important characteristics of nebuliser performance include the aerosol particle size generated drug output nebulising time and the amount of drug delivered to the patient Device construction fill volume flow temperature humidity of the driving gas are factors affecting the performance of a nebuliser Particle Size is an important characteristic of nebuliser performance Large particles do not reach the lower respiratory tract depositing themselves in the mouth upper airways and gastrict tract Particles too small will not be taken up by the alveoli and are exhaled Respirable particles taking part in lung deposition has been accepted to range from 0 5 microns to 5 0 microns in diameter size Dead Volume is the volume of medication not delivered to the patient during nebulisation and exists as the volume left in the nebuliser at the end of nebulisation Respirable Mass is the combination of aerosolized drug output and the percentage of particles in the respirable range
9. ask EtCO Monitoring Capnography Mask The Dual Oxygen Mask provides continual monitoring of carbon dioxide being exhaled from the mouth and nose whilst administering oxygen to the patient The integrated oxygen and sampling line provides quick and simple operation Easy Fit with Good Seal The soft pliable mask moulds easily to the patient s face whilst the feather rim provides maximum comfort to the patient Star Lumen Tubing Secured Oxygen Delivery Star Lumen Tubing supplied with international standard conforming connectors ensures that the flow of oxygen is maintained even if the tube is kinked Clear Observation of Face Colour The mask is made of transparent soft PVC to allow visual inspection Nose Clip Adult Dual masks are also available with a nose clip Independently Tested The Dual Mask from Flexicare has been proven to be the most efficient in sampling end tidal CO An independent study measured end tidal CO in a simulated patient with EtCO measured at the trachea and by the sampling mask 032 10 130 Adult Dual Mask with CO Monitoring Female Connector 50 032 10 131 Adult Dual Mask with CO Monitoring Male Connector 50 032 10 132 Adult Dual Mask with CO Monitoring and Filter Female Connector 50 032 10 133 Adult Dual Mask with CO Monitoring and Filter Male Connector 50 032 10 134 Adult Dual Mask with CO Monitoring and Nose Clip Female Connector 50 032 10 135 Adult Dual Mask with CO Monitoring an
10. ausea when administered post operatively 40 High Air Flow Oxygen Enrichment HAFOE fixed concentration oxygen establishes SaO and provides a constant oxygen saturation Exposure to higher levels of oxygen above 60 for prolonged periods can cause hypoxemia and lead to acidosis due to hypoventilation which occurs in most patients just after general anaesthesia Hypoxemia has been shown to be deleterious in terms of resistance to infection wound healing and anastomotic integrity 40 Oxygen Is clinically proven to be the most effective in providing effective oxygen tension within haemoglobin FCOT provides a complete solution for post operative controlled oxygen therapy at 40 which can be used with all Laryngeal Masks tor spontaneous breathing adult and paediatric patients Oxygen is delivered to the patient at a predetermined 40 through the venturi barrel using a flow rate of 10 Lom from the supply source and creating an overall flow rate at the patient end of 40 Lom ensuring that there is no dilution of the prescribed concentration on inspiration During the inspiratory phase the indicator bag deflates preventing dilution as well as providing clearly visible signs of breathing Upon expiration the gases are flushed through the indicator bag quickly and filled again with 40 oxygen for the next breath FCOT is designed to continue with the patient after removal of the supraglottic airway and deliver fixed concentration via an oxygen mask du
11. ction Ease and Speed of Fitting the Mask The swivel connector allows the mask to be fitted swiftly with the connector being rotated to suit the patient s position Reduced Risk of Bag Occlusion The castelation on the swivel connector ensures the flow of oxygen from the bag to the patient is uninterrupted Star Lumen Tubing Secured Oxygen Delivery Star Lumen Tubing supplied with international standard conforming connectors ensures that the flow of oxygen is maintained even if the tube is kinked Adult Non Rebreathing Mask with Earloops 032 10 070 Adult Non Rebreathing Mask with Earloops and Tubing 50 032 10 071 Adult Non Rebreathing Mask with Earloops 50 Adult Non Rebreathing Mask with Head Strap 032 10 072 Adult Non Rebreathing Mask with Head Strap and Tubing 50 032 10 072NC Adult Non Rebreathing Mask with Head Strap Tubing and Nose Clip 50 032 10 073 Adult Non Rebreathing Mask with Head Strap 50 Paediatric Non Rebreathing Mask 032 10 072SM Small Adult Non Rebreathing Mask with Head Strap and Tubing 50 032 10 080 Paediatric Non Rebreathing Mask and Tubing 50 032 10 081 Paediatric Non Rebreathing Mask 50 Tracheostomy Masks amp T Pieces Tracheostomy Mask amp Humidifier Tracheostomy masks are provided with a stud button non latex strap with a 360 swivel connector for maximum patient comfort The 22mm Connector allows for connection to corrugated tubing and providing humidified oxygen when used with
12. d Nose Clip Male Connector 50 032 10 136 Adult Dual Mask with CO Monitoring Nose Clip and Filter Female Connector 50 032 10 137 Adult Dual Mask with CO Monitoring Nose Clip and Filter Male Connector 50 032 10 138 Medium Adult Dual Mask with CO Monitoring Female Connector 50 032 10 139 Medium Adult Dual Mask with CO Monitoring Male Connector 50 032 10 140 Medium Adult Dual Mask with CO Monitoring and Filter Female Connector 50 032 10 141 Medium Adult Dual Mask with CO Monitoring and Filter Male Connector 50 032 10 142 Paediatric Dual Mask with CO Monitoring Female Connector 50 032 10 143 Paediatric Dual Mask with CO Monitoring Male Connector 50 032 10 144 Paediatric Dual Mask with CO Monitoring and Filter Female Connector 50 032 10 145 Paediatric Dual Mask with CO Monitoring and Filter Male Connector 50 1 University Hospital of Wales Heath Park Cardiff CF14 4XW OXYGEN amp AEROSOL THERAPY Non Rebreathing Masks Non Rebreathing Mask The Non Rebreathing Mask provides a high concentration of oxygen whilst the reservoir bag allows tor adequate oxygen to be available in order to meet unpredictable patients breathing patterns and tidal volumes Reduced Risk of Patient Trauma The elasticated earloop bands on the adult mask eliminate the need for the patients head to be moved to apply the mask reducing the risk of further injury to the traumatized patient Latex Free Eliminates the risk of allergic rea
13. e dual nasal cannula Advantages Excellent sampling accuracy as there are two end tidal CO Oxygen delivered in both nostrils at lower rate thus minimizing sampling ports mucosal wall damage Superior waveforms as Dual has two end tidal CO sampling ports 7 Secure luer lock connection for both Male amp Female connections 2 Soft tip cannula provides superior patient comfort and nare positioning Reliable sampling under the following conditions Clogged Sinus in one nostril Deviated septum Non kinking tube ensures consistent and accurate delivery Universal Oxygen connector is standard on all items Polyps 032 10 123 Dual Nasal Cannula with CO Monitoring and Male Pigtail Luer 2 1m 50 032 10 124 Dual Nasal Cannula with CO Monitoring and Female Pigtail Luer 2 1m 50 032 10 125 Dual Nasal Cannula with CO Monitoring and Male Luer 2 1m 50 032 10 126 Dual Nasal Cannula with CO Monitoring and Female Luer 2 1m 50 032 10 127 Dual Nasal Cannula with CO Monitoring and Male Luer 3m 50 032 10 128 Dual Nasal Cannula with CO Monitoring and Female Luer 3m 50 032 12 125 Dual Nasal Cannula Paediatric with CO Monitoring and Male Luer 2 1m 50 032 12 126 Dual Nasal Cannula Paediatric with CO Monitoring and Female Luer 2 1m 50 032 13 125 Dual Nasal Cannula Neonate with CO Monitoring and Male Luer 2 1m 50 032 13 126 Dual Nasal Cannula Neonate with CO Monitoring and Female Luer 2 1m 50 M Dual M
14. g and provides visual assurance of the functioning device Stable Stand Design ee The wide legs of the MaxiNeb provides a Stable upright position Specifications Low Dead Volume chamber 0 7ml which reduces the Highly efficient nebuliser capable of operating at angles up to 45 wastage of drugs Quarter turn cap easily operated by all ages in all settings Nebulisation time as low as 3 minutes 16 seconds Large chamber capable of holding up to 10ml of the selected drug Anti Spill Design prevents loss of drug in the event of Clear chamber with graduation markers to allow for quick and knock over easy dilution MaxiNeb complies with the provision prescribed in ISO 5356 1 and is suitable for use with all complying aerosol masks and T piece designs MaxiNeb Nebuliser 032 10 003 MaxiNeb Nebuliser 50 032 10 004 MaxiNeb Nebuliser with T Piece and Mouthpiece 50 gt 032 10 005 MaxiNeb Nebuliser with T Piece Mouthpiece and Tubing 50 032 10 007 Adult Aerosol Mask MaxiNeb and Tubing 50 ho 032 10 007NC Adult Aerosol Mask Nose Clip MaxiNeb and Tubing 50 032 10 011 Paediatric Aerosol Mask MaxiNeb and Tubing 50 Trudell Medical International Canada Aerosol Laboratory Report July 2011 3 Trudell Medical International Canada Aerosol Laboratory report July 2011 Actual particle range 0 98 to 5 39 2 Albuterol Sulphate Inhalation Solution 2 5mg 3ml equivalent to 0 83mg ml albuterol Cobalt Laboratories Inc 4Surgical Mate
15. iatric Venturi Mask 40 with Tubing 50 032 10 054T Paediatric Venturi Mask 60 with Tubing 50 OXYGEN amp AEROSOL THERAPY Fixed Concentration Aerosol Masks Multi Venturi Masks amp Venturi Barrels When the required concentration needs to change during oxygen therapy the adult aerosol mask with the choice of 6 venturies or a multi venturi mask kit will offer the choice to suit the individual patients requirements The aerosol mask can be used with a nebuliser or 22mm corrugated tubing for combined oxygen therapy and humidification 22mm Male Swivel Connector D Stepped Mask Construction SS T Soft Feathered Edges Ad Integrated Plastic Nose Bridge Latex Free Knitted Strap with secure ends Adult Aerosol Masks and Venturies atk ai aine e miine oura ona 032 10 006 Adult Aerosol Mask 50 032 10 006SM Small Adult Aerosol Mask 50 032 10 006NC Adult Aerosol Mask with Nose Clip 50 032 10 026 Adult Mask with 2 Venturies 40 amp 60 50 032 10 027 Adult Mask with 2 Venturies 40 amp 60 with Tubing 50 032 10 024 Adult Mask with 4 Venturies 24 28 35 amp 40 50 032 10 025 Adult Mask with 4 Venturies 24 28 35 amp 40 with Tubing 50 032 10 028 Adult Mask with 6 Venturies 24 28 31 35 40 amp 60 50 032 10 028T Adult Mask with 6 Venturies 24 28 31 35 40 amp 60 with Tubing 50 032 10 028NC Adult Mask with 6 Venturies 24 28 31 35 40 amp 60 with Nose Cl
16. ip 50 Paediatric Aerosol Mask and Venturies 032 10 010 Paediatric Aerosol Mask 50 032 10 055T Paediatric Mask with 6 Venturies 24 28 31 35 40 amp 60 with Tubing 50 Venturi Barrels 034 10 026 Venturi Barrel 24 Blue 50 034 10 027 Venturi Barrel 28 White 50 034 10 032 Venturi Barrel 31 Orange 50 034 10 028 Venturi Barrel 35 Yellow a 50 034 10 029 Venturi Barrel 40 Red 50 034 10 030 Venturi Barrel 60 Green Se 50 034 10 031 Blank Venturi Oxygen Connector AO zz fflexicare Fixed Concentration Venturi Barrels with Reservol 034 10 026C 034 10 027C 034 10 032C 034 10 028C 034 10 029C 034 10 030C Adult Venturi Masks with Reservoir Tubing 032 10 040C 032 10 041C 032 10 048C 032 10 042C 032 10 043C 032 10 044C r Tube Venturi Barrel 24 Blue with Reservoir Tube Venturi Barrel 28 White with Reservoir Tube Venturi Barrel 31 Orange with Reservoir Tube Venturi Barrel 35 Yellow with Reservoir Tube Venturi Barrel 40 Red with Reservoir Tube Venturi Barrel 60 Green with Reservoir Tube Adult Venturi Mask 24 Blue with Reservoir Tube Adult Venturi Mask 28 White with Reservoir Tube Adult Venturi Mask 31 Orange with Reservoir Tube Adult Venturi Mask 35 Yellow with Reservoir Tube Adult Venturi Mask 40 Red with Reservoir Tube Adult Venturi Mask 60 Green with Reservoir Tube Adult Venturi Masks Reservoir and Oxygen Tubing 032 10 040CT 032 10 041CT 032 10 048CT 032 10 042CT 032 10 043CT 032 10 0
17. ity 280ml face piece j Gas Flow J Soft and Flexible The construction of the facemask ensures maximum comfort during sleep _ Latex Free Straps Exhalation Vents Latex free elastic straps eliminate Extraneous air dilution is greatly reduced by the risk of allergic reactions r Exhalation Vents enhancing CO washout and preventing pressure build up Ventimask without Venturi Barrel 037 10 007 Ventimask no Venturi 50 Ventimask with Venturi Barrel i i i 037 10 001 Ventimask with 24 Blue Venturi 2 lites minute 50 037 10 002 Ventimask with 28 White Venturi 4 litres minute 50 Os7 10 0110 Ventimask with 31 Orange Venturi 6 litres minute 50 037 10 003 Ventimask with 35 Yellow Venturi 8 litres minute 50 037 10 004 Ventimask with 40 Red Venturi 10 litres minute amp 50 037 10 005 Ventimask with 60 Green Venturi 15 litres minute 50 037 10 006 Ventimask with 28 White Venturi in situ 2 litres minute for use at home 40 Ventimask O Concentration Sets Li SS Low O Set ae High O Set 037 10 008 Ventimask Low O Concentration Set with 24 28 31 amp 35 Venturies 50 037 10 009 Ventimask High O Concentration Set with 40 amp 60 Venturies 50 Ventimask with 6 Venturies J Adda LH i p E 037 10 012 Ventimask with 6 Venturies 24 28 31 35 40 amp 60 40 E ae 96 J lexicare Fixed Concentration Single Venturi Masks These masks sometimes called High Air Flow Oxygen
18. m 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 Variable Concentration Medium Concentration Masks The Venticaire Medium Concentration Mask is a small capacity variable performance mask At a flow rate of 6 8 litres minute the Venticaire MC Mask delivers an oxygen concentration of 40 to 50 depending on the patients breathing rate and tidal volume Easy Fit with Good Seal The soft pliable mask moulds easily to the patient s face The feather rim provides maximum comfort to the patient Clear Observation of Face Colour and Vital Signs The mask is made of colourless and transparent soft PVC to allow visual inspection Reduces Patients Eye Irritation The angled O Inlet directs oxygen into the nostrils not upwards towards the eyes Nose Clip Adult MC masks are also available with a nose clip The products can be identified by an NC suffix Patient Comfort The adult mask is offered with head strap or earloops This will allow easy fitting of the mask to patients whose head movements need to be restricted Eliminate Risk of Patient Injury The design of the plastic nose bridge eliminates the need for a metal nose bridge thus eliminating the risk of injury to patients especially children Stepped Oxygen Inlet Ensures easy and safe connections to oxygen tubing Swivel Connector The swivel connector provides maximum patient comfort by allowing it to be
19. n Post Op FCOT 40 Fixed Oxygen Delivery The 40 red venturi delivers the fixed concentration irrespective of oxygen flow rate and patient breathing pattern providing the recommended level of oxygen concentration helping in fast post operative wound healing therefore reducing the risk of infection No Rebreathing or Oxygen Dilution The high flow of oxygen enriched air 40 flushes the expired gases through the vents on the bag eliminating the risk of rebreathing During inspiration the bag collapses preventing any dilution CO t Oz ar Osy Visual Observation Of Spontaneous Breathing Cost Effective The mist formation on the T piece and bag inflation deflation The complete kit of 40 T piece bag Mask and Star Lumen provides a visual observation Tubing provides a cost effective solution Ul i ae eet N Ww A _ _ O WO O2 Litres Min O NW Aa HD N OC O 10 20 30 40 50 60 70 80 90 100 110 Air Litres Min Total Flow rate 10 litres O2 30 litres entrained air 40lpm at 40 O2 Sa Post Operative Recovery Room And Ward Flexicare s FCOT is used with a Laryngeal mask in the recovery room There after the mask included within the kit can be used for continuation of fixed concentration oxygen therapy Controlled oxygen delivery at 40 has been proven to shorten recovery time enhance wound healing by reducing the risk of infection and reduced patient n
20. n entering the lungs O2 molecules dissolve in the lipid and aqueous phase of tissues and diffuses across alveolar membranes and into alveolar capillaries The vast majority of oxygen is bound to haemoglobin and only a small fraction less than 2 is dissolved in the plasma Following the transport to various tissues oxygen diffuses into the cells for metabolism Oxygen Administration Methods Oxygen therapy devices for the spontaneously breathing patient fall into two categories Variable Performance and Fixed Performance 1 Variable Performance 2 Fixed Performance These devices administer uncontrolled oxygen therapy because These devices allow controlled known fixed and selectable the patient creates the inspired mixture by the act of breathing oxygen dosage They create a constant proportion of air Examples of these are nasal catheters nasal cannulae and oxygen mixture in excess of patient inspiratory flow rate and are mask shells with or without a rebreathing bag see pictures independent of patient factors or fit to the face With gas flow below Various factors cause unpredictability in knowledge constantly in excess of patient demand and with enhanced COQ and control of inspired oxygen concentration when using these washout rebreathing is virtually eliminated devices Firstly because the oxygen flow is less than the patient s inspiratory flow the patient obtains some oxygen and some air Fixed Performance Devices but in unknown p
21. nt to safely store the nebuliser and accessories ensuring that all the necessary items are at hand when required One Piece Uni Enclosure Sealed Design No compartments or openings therefore reducing size Positive On and Off Switch The rocker design of the switch allows patients with less dexterity to easily operate the compressor Portability Integrated handle allows for easy transportation Replaceable Filter Side located air filter can be changed as required Sleek Finish Casing Easy to clean finish with minimal crevices to harbour bacteria Operational Benefits The MaxiNeb Compressor is quiet when in use and produces 8 lom providing optimal output to the nebuliser to deliver the drug Each MaxiNeb Compressor is supplied with all the essential items comprising of MaxiNeb Compressor MaxiNeb Nebuliser Aerosol Mask Mouthpiece Star Lumen Tubing and Instructional Manual MaxiNeb Compressor British Plug 9R619001 1 MaxiNeb Compressor European Plug 9R619002 1 MaxiNeb Compressor Indian Plug 1 MaxiNeb Compressor Chinese Australian Plug 1 Replacement Filter for all Compressor Variations 5 MaxiNeb Compact Compressor British Plug 9R619001 1 MaxiNeb Compact Compressor European Plug 9R619002 1 MaxiNeb Compact Compressor Indian Plug 1 MaxiNeb Compact Compressor Chinese Australian Plug 1 Aerosol Therapy Tubing Connectors amp Water Traps There is a wide range of oxygen tubing corrugated tubing water t
22. raps T Pieces and accessories to provide maximum flexibility for clinicians to customise devices to meet the specific needs of patients Star Lumen Tubing Oxygen Bubble Tubing Corrugated Tubing Water Traps Tubing Connections pes 032 10 060 032 10 063 037 110 059 032 10 069 032 10 067 32 10 066 058016226 038 01 228 OBa ZU 010 650 020 650 Oe 2a 10 11 17 032 10 1 16 DEZO 032 10 110 oo OE Star Lumen Oxygen Tubing with connectors 2 1m Star Lumen Oxygen Tubing with one narrow and one wide connector 2 1m Star Lumen Oxygen Tubing 100m Oxygen Bubble Tubing 1 8m Oxygen Bubble Tubing 3mm 30m coil in dispensing box Oxygen Bubble Tubing 3mm 100m coil in dispensing box 22mm Corrugated Tubing with 45cm repeat 50m coil in dispensing box 22mm Corrugated Tubing with 15cm repeat 50m coil in dispensing box 22mm Corrugated Tubing 2m with two 22mm female connectors Adult Self Sealing Water Trap Paediatric Self Sealing Water Trap Oxygen Tubing T Connector Oxygen Tubing Right Angled Connector Oxygen Tubing Straight Connector Oxygen Tubing Swivel Connector Oxygen Tubing Swivel Connector with Clip OXYGEN amp AEROSOL THERAPY 100 100 100 50 10 10 25 25 25 29 25 Aerosol Therapy Humidity Adaptor Normally enough moisture is present in ambient air entrained into a venturi barrel to provide sufficient humidification Patients however with thick mucou
23. rials testing laboratory Bridgend CF31 1RQ UK May 2011 FL Pulmicort Nebuamp 0 5mg ml budesonide suspension for inhalation AstraZeneca Canada Inc 5 Surgical Materials testing laboratory Bridgend CF31 1RQ UK May 2011 Result using fill volume of 2ml of 1 Ratio lpratropium UDV 250mcg 1ml Ratiopharm inc Canada sodium fluoride Flow rate set at 7 litres per minute Aerosol Therapy Mass Median Average Diameter MMAD Particles in Respirable Range 7 3 T a 6 6 Particle Size u D of Particles IN 0 0 Allbuterol Sulfate Pulmicort Ratio lpratropium Allbuterol Sulfate Pulmicort Ratio lpratropium Solution Nebuamp UDV Solution Nebuamp UDV The chart shows an independent comparison of the MMAD of the The chart shows the percentage of particles falling within the respirable MaxiNeb Nebuliser when tested with three different drugs mass range of 1 to 5 u microns The MMAD of MaxiNeb can be seen to be consistently within the MaxiNeb has the highest percentage of particles falling in the respirable accepted respirable mass range of 1 to 5 u microns range MaxiNeb has been independently proven to produce a MMAD of 4 1u with over 60 of aerosol particles being less than the maximum respirable particle size of 5u a MaxiNeb 90 MaxiNeb y wi MaxiNeb 90 gt Features all the same benefits as MaxiNeb but can be used when the patient is lying flat without inhibiting nebulisation
24. ring the remainder of the recovery period ensuring that the concentration is not changed This is critical for patients who have undergone a major surgery where the recommendation is to continue post op oxygen therapy for a further 3 days 032 10 640 FCOT T Piece with Indicator Bag 50 032 10 740 FCOT T Piece with Indicator Bag Aerosol Mask and 2 1m Oxygen Tubing 50 032 10 740A FCOT KIT T Piece with Indicator Bag Aerosol Mask and 3m Oxygen Tubing 50 032 10 741 FCOT T Piece with Indicator Bag Paediatric Aerosol Mask and 2 1m Oxygen Tubing 50 OXYGEN amp AEROSOL THERAPY Aerosol Therapy MaxiNeb Nebuliser MaxiNeb is a high output nebuliser which delivers medication quickly and efficiently In comparing the performance of nebulisers for Dead Volume Nebulising Time MMAD and percentage of aerosol mass in the respirable range MaxiNeb performed among the most efficient in each of these categories Patient Choice 22mm connector allows MaxiNeb to be connected to either an aerosol mask or mouth piece providing users choice of delivery A 17 5mm version is also available Anti Spill Cap The easy 1 4 turn closing design of the cap provides confidence in a secure seal whilst also incorporating a large 10ml reservoir to reduce the risk of spillage Easy Dilution The chamber has clearly visible graduation marks to facilitate easy dilution of drugs as necessary Clear Construction Allows clinicians to view the nebulisation of the dru
25. roportion because normal breathing has an irregular pattern ul Litres Min I I The resulting oxygen concentration varies not only on a breath by breath basis but also from patient to patient Secondly the size of the mask size and placement of the vents and fit of the mask to the face will cause variation in inspired oxygen concentrations To work efficiently and to prevent air dilution a fixed performance device should incorporate Variable Performance Devices a A large volume face piece not less than 280ml b Gas mixture flowing directly towards the nose and mouth c Vents positioned well away from the patient airway Fixed performance devices are sometimes referred to as venturi or air entrainment masks Calculating total gas mixture flow rates Using the mixture graph below the total gas flow rate available to the patient can be assessed 60 40 35 31 a H Vl A gl P gf Yl V7 o H ey ew ee 1 E ff yo 28 e UJ A O gt Litres Min High Capacity Systems Nasal Catheter The disadvantage of using a variable performance device is that blood gas values cannot be easily interpreted since they only reflect performance variation of the mask patient interface rather than a true change in the condition of the lungs under treatment So 94 J lexicare O 10 20 30 40 50 60 70 80 90 100 110 Air Litres Min Principles of Aerosol Therapy Medication Nebulisers also referred to as sm
26. rotated to the required position All masks are supplied with knitted latex free straps The knitted strap maintains its width when stretched and this will reduce the pressure on patients skin and can protect patients from pressure sores Adult MC Mask with Head Strap 032 10 001 Adult MC Mask with Head Strap 50 CA 032 10 001SM Small Adult MC Mask with Head Strap 50 W 032 10 002 Adult MC Mask with Head Strap and Tubing 50 032 10 002NC Adult MC Mask with Head Strap Tubing and Nose Clip 50 Adult MC Mask with Earloops ES 032 10 013 Adult MC Mask with Earloops 50 DA 032 10 014 Adult MC Mask with Earloops and Tubing 50 Y 032 10 014NC Adult MC Mask with Earloops Tubing and Nose Clip 50 Paediatric MC Mask with Head Strap 032 10 008 Paediatric MC Mask with Head Strap 50 032 10 009 Paediatric MC Mask with Head Strap and Tubing 50 Sao Variable Concentration Nasal Cannula amp Nasal Catheter Nasal Cannulae are used for their simplicity and patient convenience There is entrainment of ambient air through the nostrils The FiO2 achieved is proportional to a the flow rate of oxygen 1 6 mni b the patients tidal volume inspiratory flow rate and c the volume of the nasal pharynx At an oxygen flow rate of 2 l min the oxygen concentration in the hypopharynx of a resting person is 25 30 Nasal Cannula prevents Rebreathing and are comfortable for long periods There is increased patient compliance with nasal cannula as patients
27. s secretions in the airway undergoing controlled oxygen therapy may require additional humidification Pa To provide this a humidity adaptor has to be attached to the venturi barrel with the open end away from the mask and connected to either a large volume nebuliser or humidifier When oxygen is delivered at a flow rate of 1 4 I min by mask nasal cannula or nasal catheters the oropharynx or nasopharynx provide adequate humidification At a higher i A he gt mane Name flow rate or when oxygen is delivered directly to the trachea humidification is necessary Ultimately it might be necessary to increase the moisture content of the inspired gases in order to prevent the possible detrimental effect of dry gases on the airway structure The humidity adaptor fixes over a venturi barrel as normal The adaptor has a 22mm arm which is connected to a humidifier via 22mm corrugated elephant tubing Humidified air is transported trom the bubble humidifier or heated humidifier to the humidity adaptor then it is mixed with fixed concentration oxygen This is the most accurate method of giving Fixed Concentration Humiditied Oxygen to the patient 5506 Humidity Adaptor 22mm 10 Bubble Humiditier Oxygen is a dry gas when it is delivered in excess of 4 l min or when using a Nasal Cannula it is recommended that oxygen is humidified to prevent damaging the respiratory trac
28. t Bubble humidifiers are used to provide humidified oxygen cold humidification to patients both in hospital and at home Satety Pressure Valve The pressure valve automatically opens at 6psi 4psi should the outlet line occlude PVC Nipple Diffuser For home use the PVC nipple diffuser extends the life of the humiditier and eliminates the clogging of the diffuser apertures Recessed Connector with Screw Cap Protecting the connector from accidental breakage Increased Humidification The fine diffuser at the end of the inlet tube produces very small bubbles of gas thus increasing contact surface providing maximum humidity picked up by the bubbles At the same time the tiny bubbles produce very low noise unlike larger bubbles helping the patient rest 032 10 090 Bubble Humidifier with PVC Diffuser 300ml 6psi 20 recommended for home use 032 10 089 Bubble Humidifier with Fine Diffuser 400ml 4psi 20 recommended for hospital IE J lexicare
29. xygen saturation in the blood is maintained and this sometimes is monitored and measured by a pulse oximeter However the pulse oximeter does not provide breath by breath patient ventilator status Capnography is the vital sign of ventilation By tracking the patient s expired CO clinicians can evaluate the ventilation condition of the patient during critical emergency situations and make the judgment to assess and treat the patient Capnography provides the following vital information Hypo ventilation End tidal CO as predictor of resuscitation outcome Hyperventilation Monitoring sedated patients Confirming maintaining and assisting intubation Ventilating head injury patients Return of spontaneous circulation ROSC Perfusion warning sign Measuring cardiac output during cardiopulmonary resuscitation CPR EtCO in asthma chronic obstructive pulmonary diseases COPD and congestive heart failure CHF End Tidal CO Monitoring amp O Delivery Cannula The Dual nasal cannula is designed to provide oxygen to both nostrils and also sample CO at the same time The CO sampling is taken from both nostrils and there is no risk of mixing with fresh oxygen as the patient s expiratory flow will divert fresh gas away trom the sampling prongs Lod h CO CO is sampled from both nostrils for side stream CO monitoring through the upper pronos f Q_ Fresh oxygen is delivered to both nostrils via the lower prongs of th
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