ResMed Astral 100 Bedienungsanleitung

Starship Respiratory Service

User Guide to Your Childs

Home Ventilator (Astral)

Starship Respiratory Service LTV 4 Rev 2021

Astral At A Glance…

1. Carry handle

2. Inspiratory port. The breathing circuit will attach here, carrying air to your child.

3. Expiratory port/circuit adaptor (Astral 150 only). This port varies according to the expiratory circuit

adaptor that is set up.

7. Power port (for AC power supply or external battery/batteries)

8. On/Off button

11. Oxygen port (0-30L/min low flow O2)

12. Air inlet (where air enters the ventilator)

Disclaimer: This guide is based on the Resmed Astral User Guide, focusing on the most common functions.

It is intended to aid a carer who has/is receiving training. It should be used in conjunction with other guides,

including those on Setup, Maintenance, Circuits and the manufacturer’s own User Guide.

Indications: The Resmed Astral 100/150 ventilators are intended for home and hospital respiratory

support of children weighing over 5kg by tracheostomy or non-invasive interface. They are licensed as life

support but not as transport ventilators and should only be used under the guidance of a physician. While

the Astral will operate in a wide range of conditions, effective humidification may be more challenging at

outside of the 18-26 °C temperature range. These ventilators are licensed for use during air/road travel.

Starship Respiratory Service LTV 4 Rev 2021

Powering the Astral

The Astral may be powered by its internal battery, additional external batteries, by mains power (110/230v

AC), or the car adaptor. Internal and external batteries are expected to power the device for up to 8 hours

each, but results may vary. As no power source is completely reliable all the time, if your child is dependent

on the ventilator, it is recommended that they have at least two sources of power available at all times, for

example: mains + internal battery, or the internal + an external battery.

Connecting to wall (mains) power

Starship Respiratory Service

Powering the Astral

Connecting to an external battery:

To connect an external battery: plug its cord into the Astral power port (instead of the mains power).

A fully charged external battery can provide an additional 8 hours of power during typical use. An

additional external battery can be plugged into the first external battery giving a total potential 24 hours

battery life. The mains power can be plugged into the free battery port.

The ventilator will run off the mains while power is connected and charge the internal then external

batteries. It will switch automatically to battery power if mains power fails.

To turn on:

1. Press the green button at the left rear. After a 2-second delay, the screen will power up.

To turn off:

1. Stop ventilation (ensuring your child is safe and/or on alternative ventilation).

2. Stop any oxygen running into the ventilator.

3. Press the green button at the rear. The ventilator will prompt you to confirm oxygen is off and, once

accepted, will power down.

Starship Respiratory Service LTV 4 Rev 2021

The Astral Touchscreen

1. Touchscreen

2. Power source being used

AC –mains

DC –external battery/adaptor

Battery –internal battery

3. Indicator light

Green –standby

Blue –ventilating

4. Alarm light/mute button

5. Alarm light (varies with alarm priority, but all alarms should be responded to immediately).

Starship Respiratory Service LTV 4 Rev 2021

The Astral Touchscreen

1. Clinical menu (shown locked)

2. Manual breath button (if activated)

3. Information bar showing: paediatric or adult setting, circuit type (see Circuits Guide),

programme (P1-P4) and ventilator mode.

4. Internal battery power –as a percentage or hours remaining. A lightning bolt symbol indicates it is

charging

5. Screen lock button (locks screen)

6. Main menu side bar

7. Bottom bar

8. Start/Stop Ventilation button

9. Main screen where a variety of information is shown and settings may be adjusted

10. Sub menu side bar

11. Pressure display –shows rise and fall of pressure delivered to your child. A symbol at the bottom

indicates a spontaneously triggered breath.

Starship Respiratory Service LTV 4 Rev 2021

The Astral Touchscreen

Main Menu side bar (right of touchscreen):

Information about ventilation being delivered

Settings for current programme

Alarms

Log of alarms and changes made

Sub Menu side bar (left of touchscreen):

Displays sub menus that vary according to what is selected on Main Menu side bar above.

Starship Respiratory Service LTV 4 Rev 2021

Selecting A Ventilation Programme

Depending on the model, the Astral may have 1-4 pre-set programmes. Each has its own settings, alarms and

circuit setup and is labelled P1-P4 together with a word describing its role. The active programme is shown in

the Information bar at the top. Use a wall chart and/or stickers on the ventilator to remind you what the

different programmes are for.

In the home screen (above) the available programmes (here P1 and P2) are displayed with the active

programme in orange. To change between programmes, press on the desired programme and follow the

prompts.

To return to the ‘home screen’ at any time, press on the at the top right of the screen.

Unlocking the screen:

Touch the screen and choose ‘yes’. It will re-lock automatically.

Start/Stop

Ventilation

Programmes

(the active

programme is

shown at the top

and in orange.

Here it is P1: Day)

Starship Respiratory Service LTV 4 Rev 2021

Starting And Stopping Ventilation

Starting ventilation

Turn on the ventilation and check the setup

Start by pressing the button (see picture on previous page)

Check ventilation has started:

oCheck for airflow/pressure in circuit.

oThe blue indicator light on front of the ventilator should be lit/flashing.

oThe screen indicates appropriate pressure(s): green bar + value.

Add oxygen if available

Check your child is breathing properly and is alright.

Stopping ventilation

Turn off oxygen if connected

Press and hold the button (see picture on previous page).

oRelease when prompted.

oPress ‘confirm’ to stop ventilation.

oThe ventilator may alarm (if set).

Check ventilation has stopped

oAbsence of airflow/pressure in circuit

oIndicator light turns green (‘ready’)

oScreen indicates no pressure delivered (green bar)

Check your child is supported and their breathing is alright.

Starship Respiratory Service LTV 4 Rev 2021

Adding Oxygen To The Astral

The air around us is around 21% oxygen. If needed, extra oxygen (‘low flow’) can be added via the port at the

rear of the Astral from the wall, bottle or a concentrator. Flows can be up to 30L/min (up to 6 L/min if it is in

its travel bag).

Never leave oxygen running if the ventilator has stopped or during a ‘learn circuit’.

To add oxygen:

1. Push the white oxygen connector into the ordinary oxygen tubing.

2. Press up on the oxygen inlet locking clip at the rear while inserting the oxygen adaptor/tubing into

the port (see below). It will lock into place.

3. Start ventilation (see previous page).

4. Now start the oxygen. Adjust the oxygen flow as per your health team’s advice.

Adding oxygen at the back: Removing oxygen at the back:

To remove oxygen:

1. Oxygen flow must be stopped when the ventilator is off, in standby, or being removed.

2. Press up on the oxygen inlet clip and withdraw the tubing (above).

Note: Depending on your child’s needs, it may be easiest to leave an adaptor in the port.

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