ResMed Astral Series Bedienungsanleitung

Smart mouthpiece

ventilation solution

Mouthpiece ventilation

Quick setup guide

The EasySpeakTM mouthpiece is

a convenient daytime solution for

patients using Astral. It helps to

make eating, breathing and talking

more natural. Quick to assemble and

easy to clean, it features a curved

‘lip’ for a proper seal without the

need to bite down. Choose between

a mouthpiece that’s conveniently

pre-mounted on a thin ﬂexible tube

or a stand-alone angled mouthpiece

to offer a solution that meets your

patient’s needs.

ResMed’s mouthpiece ventilation solution has been

thoughtfully designed to reﬂect the needs of patients and

their carers and support good quality of life.

The circuit support arm

holds the mouthpiece in a

comfortable, accessible position.

It provides up to 100cm of

ﬂexibility with 180 degrees

of movement and four setup

orientations suitable for single

and double limb circuits.

1 Simonds AK, editor. ERS Practical Handbook of Noninvasive Ventilation.

European Respiratory

Society

, 2015.

Refer to the user guide for further instructions including indications, contraindications, warnings

and precautions. See ResMed.com for ResMed locations worldwide. Astral and EasySpeak are

trademarks and/or registered trademarks of the ResMed family of companies. Speciﬁcations

10110946/1 2018-08

ResMed.com/Astral

Mouthpiece ventilation can be set up with valve circuits 1or the

mouthpiece circuit 2 . The mouthpiece circuit is a simple, single circuit

in which the mouthpiece can easily be replaced by a vented mask for

night leak ventilation, without any need to change the circuit.

Use the setup assistant to activate Astral’s default settings.

When you choose a mouthpiece setup for an adult patient:

• PEEP, back-up rate and most alarms automatically default to OFF.

• Other parameters adjust to common settings for MPV.

The setup assistant will direct you to the circuit setup screen and

prompt you to perform a Learn Circuit afterwards.

The following modes can be set with the mouthpiece circuit:

• (A)CV – (Assisted) volume-controlled ventilation

• P(A)CV – (Assisted) pressure-controlled ventilation

• PS – Pressure support mode

Choose your circuit setup

1Choose your ventilation mode

When the Learn Circuit is complete, you will be directed to the

ventilation modes.

Titrate your patient

5 trigger options

• Touch, for little to no effort: triggers at the touch of the mouthpiece

• Standard, for higher effort: triggering sensitivity can be set at low, medium or high

• Off: for patients who are fully dependent on a back-up rate

DAY NIGHT

Initiating mouthpiece ventilation in (A)CV mode

(based on recommendations in the ERS handbook for NIV)1:

Set the tidal volume at 700-1200 mL (1000 mL ) and adjust to

optimise patient comfort.

Set the PEEP to 0 cmH2O. PEEP setting is disabled .

Set the inspiratory time to 1 sec and increase it until the

patient is comfortable.

Set the respiratory rate to the lowest possible setting or OFF

Set the inspiratory trigger so it is sensitive enough to respond

to the patient’s inspiratory effort without self-triggering. If the

patient is unable to trigger from the ventilator then an appropriate

backup rate may be set to compensate.

Default setting

•

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