[children's transport group] Re: Ventilator on neocot

  • From: "Adrian Mattke" <adrian.mattke@xxxxxxxxx>
  • To: <post@xxxxxxxxxxxxxxxxxxxxxx>
  • Date: Wed, 24 Apr 2013 22:34:04 +1000

Hi Andrew (?),

 

Thanks for your feedback - much appreciated. MedSTAR have ruled out being
able to use HFOV due to the weight issue as you suggest, and capabilities of
taking the ventilator on planes + power issues. I did have a look at the
crossvent 4+, but will follow up on your suggestion of the Fabian+.

 

Daeger and Hamilton have their own devices again - they might be worthwhile
having a look at as well.

 

Thanks for your reply!

 

Adrian

 

From: transportgroup-bounce@xxxxxxxxxxxxx
[mailto:transportgroup-bounce@xxxxxxxxxxxxx] On Behalf Of Berry, Andrew
Sent: Wednesday, April 24, 2013 10:02 PM
To: post@xxxxxxxxxxxxxxxxxxxxxx
Subject: [children's transport group] Re: Ventilator on neocot

 

We use the Crossvent 4+ made by Bio-Med Devices in the USA. It provides SIMV
and assist control (pressure triggering).

However, a better option would be the new Fabian+ nCPAP  from Acutronic AG
(Switzerland) which provides all conventional modes with volume
guarantee/limit. It is also suitable for non-invasive ventilation via prongs
or mask. Many previous Crossvent users and Pneupac users are switching to
this device because of the engineering quality, the improved user interface
and an expectation of improved after-sales service. The Acutronics company
makes its own flow sensors for both its own equipment and Drager and
Hamilton. Obviously those companies know a good product when they see one.

Our experience doesn't identify a need for HFO for transport. However some
who do are considering the Stephanie which is rather bigger; being designed
for use in the ICU. It weighs 33kg. It is made by Stephan GMBH. Acutronic
make a similar device called the  Fabian HFO which is a similar size and
weight.

 

From: transportgroup-bounce@xxxxxxxxxxxxx
[mailto:transportgroup-bounce@xxxxxxxxxxxxx] On Behalf Of Adrian Mattke
Sent: Wednesday, 24 April 2013 9:11 PM
To: post@xxxxxxxxxxxxxxxxxxxxxx
Subject: [children's transport group] Ventilator on neocot

 

Hi everyone,

 

I just joined the discussion list - so short intro: I am one of the PICU
intensivists at the Mater Children's Hospital in Brisbane/Australia. We
retrieve over long distance and have an active retrieval program.

 

Currently we are getting a new neocot. So far we've had Babypack ventilators
on there, but I was unhappy about the strict CMV mode that the ventilator
allows only, as we have retrieve cardiac children that are sometimes better
off with a support mode. Also, there is no option of NIV.

 

I'd be interested what other people have in terms of ventilators, and
oscillation capabilities. We need to be able to go in fixed and rotary wing
assets.

 

A short note on what some of you out there have and do in terms of
ventilation would be greatly appreciated.

 

Best,

Adrian

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