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PAV on the 840
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Is anyone using the new proportional assist upgrade on the PB 840. I'm curious if it works as advertised
 
Posts: 4 | Location: Shelbyville, IN | Registered: December 02, 2003Reply With QuoteReport This Post
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Hi:
I posted some stuff a while back. Been using PAV for over a year now. I think its great, others are not so inclined. I dont know how it is advertised. I find it responsive to the patient, it does do a short breath hold which I personally found uncomfortable. It is only .3 ms but im a whimp. Once established it really is only weaning a percentage of PAV, the patient looks comfortable to me.
 
Posts: 45 | Registered: July 23, 2005Reply With QuoteReport This Post
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Picture of JeffWhitnack
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Since you have PAV available. If you get the time could you try breathing through the circuit yourself, (perhaps with an ET tube connected to a mouthpiece?). Which is more comfortable---breathing with it set to provide 100% support for both Resistance and Compliance (forget what they are called) and set for 0% or the minimum. Which is more comfortable?

Could one just setup a patient on PAV to 100% and view this as a better version of a "stable non-fatiguing mode" which allows for spontaneous breathing? And then just do the daily SBT? I fear people will use PAV to revert back to old SIMV "weaning" habits and start turning down the R&C support per centages.
 
Posts: 171 | Location: Palo Alto, CA USA | Registered: November 14, 2002Reply With QuoteReport This Post
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