New valve for portable anaesthesia system DPA 2
Xavier Lassalle Paris 6 dec 2014
MSF OCP 2014
27 sites d’anesthésie •
18 Ventilateurs Monal D2 •
•
1
2
Ventilateurs Datex
Ventilateur Glostavent •
6
Systemes DPA
•
1 Monal T50
DPA system
Scavengeer
Anaesthesia, 2010, 65, pages 1080–1084
Anaesthesia, 2010, 65, pages 1080–1084
Fitting self inflating bag Fit the silicone self-inflating bag directly to white nozzle of Inspiratrory tubing
It is possible to add an extension tube for a remote use of self-iflating bag
Fitting patient circuit Insuflation branch
Expiration branch
Fitting PEEP valve
Entrée d’O2 sur le DPA
Children < 10 kg Ayres T-piece
Paediatric anaesthetic system • • • • • •
Semi-open circuit with rebreathing No CO2 absorption Part of corrugated tubing and bag acts as reservoir Very low resistance (valveless circuit) Interface : mask, LMA, ETT Minimal deadspace
17
DPA “T-piece� set-up Non-return valve
Inspiratory tubing
Fresh gas entry
Connection for mask, LMA, ETT
Antibacterial filter Extension tubing
Soft 500 ml open-tailed bag 18
T-piece
How is circuit used
• Basic positioning (mask)
19
T-piece
How is circuit used ?
• Basic positioning (ETT)
20
Many thanks
Merci