Introduction
This document provides guidelines for clinicians on the use of ResMed bilevel ST devices as invasive ventilators during the COVID-19 crisis.
Important Safety Considerations
The ResMed VPAP ST device is designed for noninvasive ventilation and should not be used for invasive ventilation without modification to the circuit.
Supplemental oxygen flows > 15 I/min can cause an unanticipated device shut-off and patient harm.
Device Settings
Device settings include MODE: ST (bilevel), EPAP = PEEP, IPAP = PI + PEEP or plateau pressure, and Resp Rate: Match patient’s rate.
Oxygen flow should be set at 15 I/min via port, and FiO2 > 60% requires a different bi-level device.
Transitioning from Conventional Ventilator to Bilevel Ventilator
Calculate patient ideal body weight (IBW) from height and goal tidal volume (TV) of 6 – 8 cc/kg with plateau pressure < 30.
Verify TV reading on bilevel device display or on gas sampling/flow monitor.
Manual:
Download: Clinician Guidelines ResMed VPAP ST Version 3.0
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