I found this out the hard way recently. Thanks for the triple confirmation :P
@ventilator982 жыл бұрын
I am a trach patient, on an LTV ventilator, I'm using an LTV 1150 ventilator, and I truly love it! I use the following ventilator settings. Mode: AC/VC Respiratory Rate: 25, VT 500, I-Time 0.7, Trigger: 1 L/min, PEEP 10 O2: 2 L/min Low Minute Volume Alarm: 11.5, Low Pressure Alarm: 20, High Pressure Alarm: 35 Low PEEP Alarm 3 Below set PEEP, High PEEP alarm 3 above set PEEP. High F Alarm: 35 High Pressure Delay, Off. And I love my alarm settings very tight. I have neurological, and respiratory problems. Very severe respiratory Problems. I noticed that you said these vents were not the best for NIV ventilation, and you may be right. I've only used this ventilator for Invasive ventilation, but you know, I've never had a problem with the 1150 ventilator. It's essentially the 1200 without theHigh Pressure O2 source. Now in the hospital, before the trach, I had NIV, and I always told them not to use the BiPAP visions, and the V60s on me. I truly hated those. I wanted NIV from the ICU vents. The Servo I, or the Dragers. Those NIV devices, are HORRIBLE. They Autocycle, no matter ow tight the mask is. I could have that mask on without ANY leak, and it still autocycled. I LOVE MY LTV!
@henrythatrtguy6448
2 жыл бұрын
Glad to hear, Peter! I love the LTV too. I bet you're an expert inside and out of this vent!
@ventilator98
2 жыл бұрын
@@henrythatrtguy6448 I thank you for such a wonderful comment! You could say that. You could definitely say, I know my ventilator inside and out. I think more like an RT than a patient. I'm the one who's fussed at my RT because she wouldn't give me an O2 analyzer. I prefer to know my FiOW rather than just the just the L/min. I know stuff about the LTV that most patients, don't know about. I'm the one who taught my RT about the SBT function. The function that you can access if you get into the extended menu by holding the select button down for three seconds. You got Alarm operation, next you have the VENT OPERATION, and then you have QUERIES, and then you have the SBT function. In this function, you can perform something called SBT. Now back when I wasn't so sick, I did this, to enjoy some time breathing on my own. So to use this function, you set the time you want the SBT to run. You set the Pressure Support and PEEP. You set your high RSBI, low RSBI, and High Frequency, and now Frequency Alarms. You're going to determine whether you want your RSBI to be one of the values that comes up in the viewed parameters scroll, where the vent goes through the values measured, and calculated. Now before you turn SBT on, you have to make sure your sensitivity is set propperly, your Low Minute Ventilation, Low Pressure, and High Pressure alarms are set propperly. If you start SBT, and then while SBT is running, you hit any of the front panel settings, SBT will be turned off, and you'll have to restart. So before starting SBT, YOU MUST set Sensitivity, LMV, Low Pressure, and High Pressure Alarms. OK. Now once you have those set, and you have your PS, and PEEP, SBT Duration, High and Low RSBI, and F alarms set in the extended menu's SBT function, you're going to go to the beginning of the SBT menu, and where it says SBT Start, you press select, and turn On SBT. Now once you do that, your ventilator is going to start the SBT, and Go from whatever mode you have set out of that mode, and into CPAP/PSV. And The ventilator will be in CPAP/PSV, as long as you had the SBT duration set, in the SBT menu in the Extended menu. A few minutes before the SBT is over, you're going to get a message, so that you know the SBT is about to complete. At the end of the SBT, you'll get another message and the ventilator will revert back tothe mode that you had set, prior to the starting of the SBT. If the patient tires out, and his Frequency increases to the high F, or Low F Alarm threshhold, the ventilator will alarm, according to what you have set for those alarms in the SBT menu. If the patient becomes apneic, the vent will alarm APNEA, and revert to apnea ventilation. When the patient takes two breaths, the ventilator will come out of apnea ventilation, but It will end the SBT, and go back to the mode of which you had set prior to starting the SBT. I've used this function before when I liked doing some spontaneous breathing on my own, and my DME RT was like, "That's cool." That mode is usually a hospital used mode, but Not at my house. The thing is, my house, runs very much like a hospital. The way I do stuff. I have End Tidal CO2 on my bedside monitor, as well as a five lead ECG, Non-Invasive Blood Pressure, Pulse ox, and Temperature monitoring. So I'm more of an RT, than a Patient!!! Which is why sometimes I'm hard for my DME to deal with, because she's use to her patients, being like patients. NOT RTs. LOL! So, when you say, I probably know my ventilator inside in out, I don't mean to brag, but in essence, I DO.
@toddkilleen87134 жыл бұрын
Ok so after watching your video which was well done I note you putting it on Pressure setting before going to CPAP or BiPap. Must you do this if doing BiPap? If so, why? If I remember correctly CPAP was 1 continuous pressure and BiPap was one pressure in and a different pressure out. Can this machine do CPAP or is it truly BiPAP only. I have heard before that others have stated as you did this machine was never intended as a BiPAP machine which I agree with 100%. Thank you for making this video! Also, I believe I would add that the mask that you would use for this set up should be with no holes In it. I noted you said this on another video. I was taught to 0 out the Low min volume and low pressure and set the High pressure to 100. Any thoughts on this would be greatly appreciated!
@henrythatrtguy6448
4 жыл бұрын
Just a quirky thing to have to do with the LTV. We are essentially setting a pressure, not a volume.
@toddkilleen8713
4 жыл бұрын
@@henrythatrtguy6448 So I have a question. If you press and hold the low O2 pressure source and bleed in O2 that way will it use less oxygen as opposed to the high-pressure setting and starting out at 21%? My example would be using the above for BiPap.
@henrythatrtguy6448
4 жыл бұрын
@@toddkilleen8713 the 50 psi connection is pretty efficient, you have to run the tank at a pretty high flow based on the minute ventilation of the patient so I'm not sure how much oxygen you save. Here is a great video of how to set it up. kzread.info/dash/bejne/oH-N25KtktGyZto.html
@henrythatrtguy6448
4 жыл бұрын
Hi Todd: Sorry for the delayed response, didn't see the full question. the LTV 1200 effectively delivers BIPAP, but the vent-like volume delivery pressure and expiratory limb makes it kinda awkward. The manufacturer would never legally recommend widening out the alarms like that, (but I unofficially do) its the only way to get the machine to shut up and so you can see the feedback display showing the return tidal volumes. Just make sure to keep eyes on the patient at all times if you disable the alarms.
@toddkilleen8713
4 жыл бұрын
@@henrythatrtguy6448 Thanks, Henry! I do sit right next to them during transit, so yes I do keep an eye on them all the time. I worked for AMR for 17 years as a CCT transfer nurse and now doing the same for Mission. I had some great paperwork from a class I took that showed me how to set up SIMV and PS/PC and the usual start-up for each and what to expect and somehow lost it. For the most part, we used AC or Bipap and rarely the other two. That's why I had the handy reference sheet's to help with the ones I did not use all the time. I will look over the video above.😉
@xuanhoang81094 жыл бұрын
hi my friend is vietnamese i want to buy the device you are using that device is suitable for use on ambulance
Пікірлер: 13
I found this out the hard way recently. Thanks for the triple confirmation :P
I am a trach patient, on an LTV ventilator, I'm using an LTV 1150 ventilator, and I truly love it! I use the following ventilator settings. Mode: AC/VC Respiratory Rate: 25, VT 500, I-Time 0.7, Trigger: 1 L/min, PEEP 10 O2: 2 L/min Low Minute Volume Alarm: 11.5, Low Pressure Alarm: 20, High Pressure Alarm: 35 Low PEEP Alarm 3 Below set PEEP, High PEEP alarm 3 above set PEEP. High F Alarm: 35 High Pressure Delay, Off. And I love my alarm settings very tight. I have neurological, and respiratory problems. Very severe respiratory Problems. I noticed that you said these vents were not the best for NIV ventilation, and you may be right. I've only used this ventilator for Invasive ventilation, but you know, I've never had a problem with the 1150 ventilator. It's essentially the 1200 without theHigh Pressure O2 source. Now in the hospital, before the trach, I had NIV, and I always told them not to use the BiPAP visions, and the V60s on me. I truly hated those. I wanted NIV from the ICU vents. The Servo I, or the Dragers. Those NIV devices, are HORRIBLE. They Autocycle, no matter ow tight the mask is. I could have that mask on without ANY leak, and it still autocycled. I LOVE MY LTV!
@henrythatrtguy6448
2 жыл бұрын
Glad to hear, Peter! I love the LTV too. I bet you're an expert inside and out of this vent!
@ventilator98
2 жыл бұрын
@@henrythatrtguy6448 I thank you for such a wonderful comment! You could say that. You could definitely say, I know my ventilator inside and out. I think more like an RT than a patient. I'm the one who's fussed at my RT because she wouldn't give me an O2 analyzer. I prefer to know my FiOW rather than just the just the L/min. I know stuff about the LTV that most patients, don't know about. I'm the one who taught my RT about the SBT function. The function that you can access if you get into the extended menu by holding the select button down for three seconds. You got Alarm operation, next you have the VENT OPERATION, and then you have QUERIES, and then you have the SBT function. In this function, you can perform something called SBT. Now back when I wasn't so sick, I did this, to enjoy some time breathing on my own. So to use this function, you set the time you want the SBT to run. You set the Pressure Support and PEEP. You set your high RSBI, low RSBI, and High Frequency, and now Frequency Alarms. You're going to determine whether you want your RSBI to be one of the values that comes up in the viewed parameters scroll, where the vent goes through the values measured, and calculated. Now before you turn SBT on, you have to make sure your sensitivity is set propperly, your Low Minute Ventilation, Low Pressure, and High Pressure alarms are set propperly. If you start SBT, and then while SBT is running, you hit any of the front panel settings, SBT will be turned off, and you'll have to restart. So before starting SBT, YOU MUST set Sensitivity, LMV, Low Pressure, and High Pressure Alarms. OK. Now once you have those set, and you have your PS, and PEEP, SBT Duration, High and Low RSBI, and F alarms set in the extended menu's SBT function, you're going to go to the beginning of the SBT menu, and where it says SBT Start, you press select, and turn On SBT. Now once you do that, your ventilator is going to start the SBT, and Go from whatever mode you have set out of that mode, and into CPAP/PSV. And The ventilator will be in CPAP/PSV, as long as you had the SBT duration set, in the SBT menu in the Extended menu. A few minutes before the SBT is over, you're going to get a message, so that you know the SBT is about to complete. At the end of the SBT, you'll get another message and the ventilator will revert back tothe mode that you had set, prior to the starting of the SBT. If the patient tires out, and his Frequency increases to the high F, or Low F Alarm threshhold, the ventilator will alarm, according to what you have set for those alarms in the SBT menu. If the patient becomes apneic, the vent will alarm APNEA, and revert to apnea ventilation. When the patient takes two breaths, the ventilator will come out of apnea ventilation, but It will end the SBT, and go back to the mode of which you had set prior to starting the SBT. I've used this function before when I liked doing some spontaneous breathing on my own, and my DME RT was like, "That's cool." That mode is usually a hospital used mode, but Not at my house. The thing is, my house, runs very much like a hospital. The way I do stuff. I have End Tidal CO2 on my bedside monitor, as well as a five lead ECG, Non-Invasive Blood Pressure, Pulse ox, and Temperature monitoring. So I'm more of an RT, than a Patient!!! Which is why sometimes I'm hard for my DME to deal with, because she's use to her patients, being like patients. NOT RTs. LOL! So, when you say, I probably know my ventilator inside in out, I don't mean to brag, but in essence, I DO.
Ok so after watching your video which was well done I note you putting it on Pressure setting before going to CPAP or BiPap. Must you do this if doing BiPap? If so, why? If I remember correctly CPAP was 1 continuous pressure and BiPap was one pressure in and a different pressure out. Can this machine do CPAP or is it truly BiPAP only. I have heard before that others have stated as you did this machine was never intended as a BiPAP machine which I agree with 100%. Thank you for making this video! Also, I believe I would add that the mask that you would use for this set up should be with no holes In it. I noted you said this on another video. I was taught to 0 out the Low min volume and low pressure and set the High pressure to 100. Any thoughts on this would be greatly appreciated!
@henrythatrtguy6448
4 жыл бұрын
Just a quirky thing to have to do with the LTV. We are essentially setting a pressure, not a volume.
@toddkilleen8713
4 жыл бұрын
@@henrythatrtguy6448 So I have a question. If you press and hold the low O2 pressure source and bleed in O2 that way will it use less oxygen as opposed to the high-pressure setting and starting out at 21%? My example would be using the above for BiPap.
@henrythatrtguy6448
4 жыл бұрын
@@toddkilleen8713 the 50 psi connection is pretty efficient, you have to run the tank at a pretty high flow based on the minute ventilation of the patient so I'm not sure how much oxygen you save. Here is a great video of how to set it up. kzread.info/dash/bejne/oH-N25KtktGyZto.html
@henrythatrtguy6448
4 жыл бұрын
Hi Todd: Sorry for the delayed response, didn't see the full question. the LTV 1200 effectively delivers BIPAP, but the vent-like volume delivery pressure and expiratory limb makes it kinda awkward. The manufacturer would never legally recommend widening out the alarms like that, (but I unofficially do) its the only way to get the machine to shut up and so you can see the feedback display showing the return tidal volumes. Just make sure to keep eyes on the patient at all times if you disable the alarms.
@toddkilleen8713
4 жыл бұрын
@@henrythatrtguy6448 Thanks, Henry! I do sit right next to them during transit, so yes I do keep an eye on them all the time. I worked for AMR for 17 years as a CCT transfer nurse and now doing the same for Mission. I had some great paperwork from a class I took that showed me how to set up SIMV and PS/PC and the usual start-up for each and what to expect and somehow lost it. For the most part, we used AC or Bipap and rarely the other two. That's why I had the handy reference sheet's to help with the ones I did not use all the time. I will look over the video above.😉
hi my friend is vietnamese i want to buy the device you are using that device is suitable for use on ambulance
RT MORE LIKE SRT