Training report – 6 th 7th semester(15 days - copy

TRAINING REPORT – 6 TH - 7 TH SEMESTER (15 DAYS) MADE BY:- SARTHAK JAIN (11307042) UNDER SUPERVISION OF:- MR.VIJAY JAIN (EXECUTIVE DIRECTOR-AIHPL)

AIRSEP(VISION AIRE):AS098-2 ,[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PHILIPS REMSTAR-1017453 ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A sleep study called Polysomnography is conducted for such patients before prescription of a CPAP. Polysomnography - a painless study done in lab setting to monitor patient’s sleep patterns . It includes: EEG, EOG, EMG, ECG, airflow, thoracic and abdominal respiratory movements, oxygen saturation, activity of the tibialis muscles, snoring activity, body position.

LAB SET UP ,[object Object],[object Object],[object Object]

PHILIPS HARMONY-1014249 ,[object Object],[object Object],[object Object],Is a Bi-level form of ventilation with sudden short releases in pressure to rapidly reduce FRC and allow for ventilation Can work in spontaneous or apneic patients. Bipap delivers CPAP but also senses when inspiratory effort is being made and delivers a higher pressure during inspiration. Auto track is preset and compensates for small leaks after recognizing it.

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[object Object],Mode Trigger Limit Cycle S Patient Pressure Patient/Device S/T Patient/Device Pressure Patient/Device PC* Patient/Device Pressure Device T* Machine Pressure Device

AVAPS (average volume assured pressure support) ,[object Object],[object Object],[object Object],[object Object],Flow Reversal- A leak causes the flow to increase, if cycling to EPAP, the unit will automatically reverse the flow so that cycling can continue IPAP Time- If inspiratory time exceeds three seconds, unit will cycle to EPAP Volume- IPAP is triggered when 6cc of volume above baseline leak Leak Tolerance- Digital Auto-Trak  Sensitivity identifies leaks by comparing original flow baseline to the new baseline flow

DAMECA SIESTA iTS ,[object Object],[object Object],[object Object]

Scavenging system APL valve Soda lime Corrugated tube bellow Flow meter ventilator vaporizer

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PIN INDEXED SYSTEM- It is a gas specific system which prevents accidental rearrangement of cylinders. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],vaporizer -A vaporizer is an instrument designed to change a liquid anesthetic agent into its vapor and add a controlled amount of this vapor to the fresh gas flow. Adjustable pressure limiting valve User adjustable valve that releases gases to the scavenging system and is intended to provide control of the pressure in the breathing system. SODA LIME Allows rebreathing of anesthetic gases. Composed of 94% calcium hydroxide, 5% sodium hydroxide, 1% potassium hydroxide, silica to harden granules, ethyl violet as an indicator.

Scavenging system ,[object Object]

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SPIROMETERY Spirometry is a method of assessing lung function by measuring the volume air that the patient is able to expel from the lungs after maximum inspiration. It is reliable method of differentiating between obstructive airways disorder (COPD, Asthma) and restrictive diseases (Where the size of the lungs is reduced). Spirometry plays a key role in the diagnosis and assessment of chronic obstructive disease COPD. COPD means airways obstructions which does not change markedly over several month. TYPES OF SPIROMETRY DONE:- 1.Ergo Spirometer 2.Diffusion system 3.spiroscout(based on ultrasound) 4.Ros box 5.Software lf8

Ergo Spirometery System ,[object Object],[object Object],[object Object]

Instrumentation and Techniques in PFT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Measurement Principals for Flow Measurement and Sensors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fleisch pneumotach Turbines / Vanes Lilly screen type Variable orifice

Flow sensors overvies ERS2008, buyer‘s guide, only ergospirometry

Training report – 6 th 7th semester(15 days - copy

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Training report – 6 th 7th semester(15 days - copy