It occurs when the delivered tidal volume is less than the low vti alarm setting for three consecutive breaths. "low vti alarm: this is a high priority alarm. The current plan is for a physician order to be placed whenever an alarm is deemed safe to be turned off and the respiratory therapist will ensure that other safety alarms are set tight to safely monitor the patient.
Trilogy response code update#
He also checked a recent update to the software and confirmed that changing the low tidal volume to be adjustable below 40 ml was not altered.
He stated that not every alarm was meant to be used with every patient but he would file my complaint with the engineers regarding the inadequacy of the low tidal volume alarm. The company, respironics, was contacted and i spoke with a respiratory therapist. This is a major problem in a tertiary care pediatric hospital with level 3 nicus. This alarm setting does not support a 5 kg patient who would have a spontaneous tidal volume of around 30 ml. The lowest the low tidal volume alarm will go is 40 ml. The trilogy 202 ventilator has specifications to be used on a patient who is 5 kg or greater. We are disabling the alarms that we feel become nuisance alarms if left on, having a physician write an order for the alarm(s) to be disabled, and then ensuring that other alarms are enabled on the device to keep the patient safe from harm. When this problem was brought to the attention of the leadership team, the issue was quickly addressed. We feel uncomfortable disabling ventilator alarms for fear of patient harm. There have been instances at our institution when a specific alarm, the low tidal volume, has become an issue and has been turned off. The trilogy ventilator is made so that all alarms may be turned off if the clinician so chooses. There is an alarm issue with the respironics trilogy ventilator 100 and 202 series.
0 kommentar(er)
