MACS CPAP System

1. MACS CPAP System Self Guided Tour

2. Program Objectives This program is a self guided tour of the MACS CPAP System. At the end of this tour you will be able to: • Describe the main operating features of MACS • Identify the controls and connections • Describe the patient circuit • Set-upMACS for patient operation • Define various clinical environments for CPAP application • Clean and maintain the MACS

3. Features and Controls – Rear Panel Driving Gas Input • Connection for 50 psi oxygen source gas • Always use a high flow gas source (pressure take-off) that can provide 55 + 15 psi pressure at a minimum of 40 L/min

4. Features and Controls – Rear Panel Air Entrainment • Ambient air is entrained for internal gas mixing • External housing contains air filter • Air filter replacement is part of the preventative maintenance

5. Features and Controls – Front Panel CPAP Control • Adjusts the CPAP from 0 to 20 cm H2O • Automatic sensitivity • Flow adjusts automatically to meet patient demand up to 140 L/min • Oxygen concentration is maintained at set % Oxygen control

6. Features and Controls – Front Panel % Oxygen Control • Delivered oxygen choice • 65% • 100% • Sets the spontaneous breath oxygen concentration

7. Features and Controls – Front Panel Pressure Gauge • Shows pressure in patient circuit at the output of MACS • Gives an indication of patient effort

8. Features and Controls – Front Panel Circuit Connection 1 • Connection for the large bore hose of the patient circuit

9. Features and Controls – Front Panel Circuit Connection 2 • Patient circuit small hose connection • Connects to the expiratory valve on the patient circuit

10. Patient Circuit Patient circuit is a disposable, single limb system; • Both hoses attach to the front of MACS • Patient end connects for clinical intervention • Directly to an endotracheal tube (invasive) • Resuscitator face mask (noninvasive) • Use 90 degree elbow to connect bacteria filter for operator protection

11. Patient Circuit Use only Airon Corporation patient circuits; • Calibration of the CPAP control is based upon the Airon patient circuit • Using other manufacturers circuits may cause • errors in pressure delivery • high expiratory flow resistance • interference with CPAP sensitivity • increased oxygen usage

12. Program Objectives MACS CPAP System self guided tour, objectives completed so far: • Describe the main operating features of MACS • Identify the controls and connections • Describe the patient circuit With an understanding of MACS’s capabilities, let’s look at patient application.

13. Patient Application Initial Set-up • Attach Airon patient circuit to MACS • Attach a high pressure oxygen hose to the rear of MACS • Attach this hose to the oxygen source

14. Patient Application Set % Oxygen Control • Set % Oxygen control to the desired oxygen level • All breaths receive set oxygen level + 10% • Oxygen tank time doubles with 65% • Caution - with rapid, large tidal volumes on 100% oxygen, the actual delivered percentage might be slightly less than 100%

15. Patient Application Start CPAP • Turn on oxygen source • Attach patient breathing circuit to the patient using either a mask or endotracheal tube • Adjust the CPAP control to the level desired • If the patient is not attached to the circuit, or there is a large leak, a high flow of gas will occur

16. Patient Application Monitor patient • Assess per your protocol • patient breathing rate • comfort • oxygenation • CO2

17. Clinical Issues Pediatric Support • MACS is safe for pediatric - adult patients • Use the lowest possible settings • Monitor closely for patient synchrony

18. Clinical Issues Providing nebulized medications • A medication nebulizer may be placed between the patient connection and the patient • Patient will inhale medication during every breath and exhale back out through patient circuit • Filters may be added for personnel safety

19. Clinical Issues CO2 Monitoring • Any type of CO2 analyzer may be used • Inline style analyzers should be place between the patient circuit connection and the patient • Place the sampling tube of sidestream analyzers under the patient mask

20. Clinical Issues Altitude Operation • MACS can be used for air transports in unpressurized cabins up to 15,000 feet • Pressure settings will not change as altitude changes

21. Patient Safety Patient Safety Features • Internal Safety Pressure Release – limits circuit pressure to 40 cm H2O • Anti-Suffocation System – in the event of device malfunction, an internal valve will allow ambient air to enter the patient circuit

22. Cleaning and Maintenance • Clean MACS between patients using a soft cloth and a mild detergent / disinfectant • Do not immerse MACS in water • Patient circuit is disposable, single use application and should not be cleaned, disinfected or reused • MACS should receive preventative maintenance every 2 years

23. Program Objectives MACS CPAP System self guided tour completed; you should now be able to: • Describe the main operating features of MACS • Identify the controls and connections • Describe the patient circuit • Set-up MACS for patient operation • Define various clinical environments for CPAP application • Clean and maintain MACS Next Step – consider reviewing the MACS Case Study and completing the competency evaluation

24. Contact Information Thank you for you interest in the MACS CPAP System For more information visit www.macs-cpap.com or call Airon Corporation at 888-448-1238