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Servo i versus PB 840
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<mass>
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Can some one tell me which vent is better> servo i or PB 840? need to decide as i have to buy either one.
 
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<OK RT>
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It depends on what you like to use. We trialed both of these vents and the drager when we looked at purchasing new vents and went with the Servo i and beleive that it is a wonderful vent. I know other RT departments in our city that use the PB 840 and the Drager and they are happy with them. I would suggest getting the reps to bring you one and for you to actually use it once you are familiar with it and base your decision on what you see then.
 
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My opinion,

1st=Drager XL
2nd= Servo I
3rd= PB840
Distant 4th=Avea

GJ


Chris Hanson RN, RRT-NPS, CPFT, AE-C
ER Registered Nurse
Grand Junction, Colorado
 
Posts: 66 | Location: Grand junction, colorado | Registered: August 21, 2006Reply With QuoteReport This Post
<brandx>
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Chris,

Would you mind sharing your opinion as to why you like the Drager over the other 3?

Our department is getting ready to start evals next months on all 4 ventilators and I am curious to what others across the States are thinking and why?

Thanks
 
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brandx,

We went through the same process within the last 18 or so months, and the Evita XL was what preformed best for us. After sale support has been great, intensivecareonline.com and 24/7 ICON has has also provided tons of info and clinical support. I don't have a my vent is better than your vent attitude, I just know what worked for us. I know Light has many of the new vents in his lab and he may be able to give you more of the technical info.

GJ


Chris Hanson RN, RRT-NPS, CPFT, AE-C
ER Registered Nurse
Grand Junction, Colorado
 
Posts: 66 | Location: Grand junction, colorado | Registered: August 21, 2006Reply With QuoteReport This Post
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Each hospital is going to have different criteria. Both of these ventilators have active exhalation valves and fast inspiratory response times. You should look at how your department is organized and what clinical advancement would occur with the capabilities of each of these ventilators. I believe that the 840 is the easiest to turn around from patient to patient. So, if you do not have an equipment person or if you do not have the resources to maintain ventilators it seems to be better. The 840 offers PAV. You should evaluate your clinical environment and make sure the MDs and theapist can use this appropriately. The Servo I has a lot to offer towards management of ARDS. If you are a trauma center or see many patients with oxygenation issues you might enjoy the Servo. I would suggest that you survey your staff and physicians and determine what are your goals for adding these newer generation ventilators. Set your evaluation criteria based on these criteria and evaluate the products based on this. You should consider the capabilities and background of the company representative. If you will need support to meet goals you should make sure that you have a partner to get you there. Do not depend on a Clincal Specialist that lives many miles away. Look at the sales person as a resource. I like the Drager as well. It offer many nice capabilites that may be beneficial. The Drager weakness is the exhalation transducer. If you use humidifiers then it might be problematic. Take you time and involve your team and look for a good fit. All of these companies offer great products.
 
Posts: 32 | Location: Powder Springs, GA | Registered: January 18, 2003Reply With QuoteReport This Post
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Here at our facility, we have been using Servo I's for two years now. We also use PB-840 rentals(when out of Servo I's). The feedback from staff...they all like the Servo I over the 840. I ask why and most of them say, It's more user friendly and the screen graphics are better(ETCO2, OLT, loops, and trends). We also use a lot of BiVent and the Open Lung Tool.

We are also a teaching facility, so if we only have one vent to learn inside and out, it makes it easier to teach the residents/staff.

Don't get me wrong though, the 840 is a good vent and has all the bells and whistles, but it came down to a staff choice and they voted the I. Right now, the 840 is our back-up vent.

We use them from the NICU, PICU and Burn/Trauma/Medicine ICU's.

Maquet also offers FREE support from their clinical application specialists...I have never had a problem getting a hold of one of them for questions or concerns(no, I'm not one of them).
 
Posts: 16 | Registered: October 10, 2006Reply With QuoteReport This Post
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BMAC,

To fix your flow sensor problems on the Drager XL.

1. Change to a natheon expiratory limb heated wire vent circuit.
2. Remove any expiratory filter except for CDC reccomendation and nebulized Mucomyst.

We have very few sensor problems since implementing the above.
Also, you can't beat clinical support from Dr Habashi. I am only a staff therapist and he was more thatn willing to talk with me for well over 15" a few months ago.

GJ

This message has been edited. Last edited by: GJ,RRT,


Chris Hanson RN, RRT-NPS, CPFT, AE-C
ER Registered Nurse
Grand Junction, Colorado
 
Posts: 66 | Location: Grand junction, colorado | Registered: August 21, 2006Reply With QuoteReport This Post
<brandx>
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Chris,

I have heard of intensivecareonline, but I am not exactly sure what it is; is it similar to RC World?
 
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<ventuser>
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You have to look at the whole picture when deciding which ventilator is right for you. Our facility went with the Servoi because we use our ventilators in the NICU, PICU and Adult ICU's. The Servo was extremely easy to convert from Adult to Neonatal whereas the 840 required differnet filters, different pre-use check etc... If you are using you vents to stabalize and ship than either will work. If you and your docs follow trends, CO2 and use BiVENT (APRV)then the Servo should be your choice.

Every time I come on ventworld its the same question... which vent is better. I always say it depends on YOUR Needs. Do a clinical eval... breath on each devices. Get RN feedback etc...
research the company. Where they are now and where they are going.

Anyway, good luck. I am sure whatever decision you make will be the right one
 
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