Download - Galileo
Galileo 1. 2. 3. 4.mode 5.GalileoRaphael 6.G5!!!
1.Galileo
(3SIZE )
AC() () ()
Battery test
Alarm silence key Batteryfull partly charged lowaudible alarm (silence)
(Monitor)
(Control)
(2)
100%(2)
30min () 6-7
Flow sensor
Filter RS-232
Air/O2
Air/O2
2.Galileo
Galileo
Monitir
Galileo MODE
Control
Alarm()
Monitor Freezing Even Log 1000
ASV( ASV Mode)
(26) Paw () Paux()
Paw/V loop~ Curve
Loop aux !
ASV
TrendFreeze
Ppeak Pmean PEEP/CPAP
Galileo Stand by)
Hold
/V Tool1()
Galileo!!/V Tool 2() Galileo~~
Control
MODEBack up mode
Volume mode
Pressure modes
Adaptive mode Sigh Breath Back-up ventilation TRC
Control Controls ApneabackupFlow Pressure ramp
Expiratory trigger sensitivity
trigger
ASV Control windowMin volumeVT
Loudspeaker symbol
Alarms Window AUTOalarm,
sensitive indicator of AutoPEEP
InfantOFF
3.Galileo
Galileo Pneumatic
O2 cell O2
Gas input & Mixer
Gas input & Mixer
8L
Restrictor sample flow P
flow
Inspiratory valve/
Servo valve
P flow & TV
Inspiratory flow valve/Servo valve
Expiratory valve
Expiratory valve
Tank overpressure Valve
Safety Block
Ambient valve
Patient High Pressure Valve
Safety BlockAmbient valve: Apnea Patient High Pressure Valve Pawvalve
Tank overpressure Valve Tankvalve
Auto zero valves
Auto zero valves
Auto zero valvesauto zero 20 auto zero : 20 valve valve P auto zeroflow sensor pressure
Auto zero valves
4.Galileo mode
GALILEO Mode
(S)CMV Assist/Control (volume targeted) Trigger: time or patient Cycle: time or volume
SIMV V-SIMV Trigger: time or patient Cycle: time or volume PEEP/CPAP Spontaneous breaths PS
GALILEO SIMV mandatory total cycle time 4 (RR=15 bpm)
P-CMV Pressure-Targeted Assist/Control Ventilation Trigger: time or patient Limit: pressure Cycle: time Vt varies, set exhaled MV alarm levels
PC above PEEP Ex. PC 15 cm H2O, PEEP 10 cm H2O 25 cm H2O PC level 5 cm H2O
P-SIMV V-SIMV mandatory breaths PC PC: time or patient trigger, pressure limit, time cycle Spontaneous breaths PS
DUOPAP
DUOPAP Rate Thigh Phigh PEEP/CPAP Plow P-support
DUOPAP PtPHighPLowPS a. High P-support PS+PEEP-PH>0PH PLPS b. Low P-support PS+PEEP-PHPH PhighPS ThighPlowCPAPThigh Tlow
Spontaneous Mode CPAP and PSV PSV is above PEEP/CPAP Ex. PS10 cm H2O, 5 cm H2OCPAPsupport 15 cm H2O. GALILEO PSVFlow-cycle ETS (Expiratory Trigger Sensitivity)
ETS: adult 25%,pediatric15%; peak flow5%~70% Ex.PS breathpeak flow35L/min, 57%,flow20L/min ()
PSV back-up: Adult Ti 3 Infant Ti RTPressure back-up. Pressure 2 cm H2O,
APV (adaptive pressure ventilation) dual-controlpressure- volume- controlled tidal volume APVcmv APVsimv ( , pressure support )
APV Initial 15cmH2O (PC/PS) 3 test breath, C Vt()/CVt +/-2 cmH2O (PEEP + 5 cmH2O) (high Pressure alarm limit - 10cmH2O) ExC25V500ml 500ml25ml/cmH2O20cmH2O
APVcmv
APVcmv
APVsimv
APVsimv
PH
PLPS
ASV(adaptive support ventilation) ComplianceResistance rate VT
ASVMinute ventilation MVtarget IBW15Kg100Min Vol/100IBWkg IBW15Kg200Min Vol/100IBWkg
22IBW
ASV
CP
5 b/min60 / (3 x RCexp)
Minimum pressurePEEP5 4.4 IBW Maximum pressurehigh Pressure limit10 A.High tidal volume limitcompliance maximum pressureCP ExPressure limit45 cmH2OPEEP5 45-10-550 patient compliance50 ml/cmH2O maximum tidal volume1500 patient compliance30 ml/cmH2O maximum tidal volume900 45-10-530 .High tidal volume limit22IBW ExPressure limit 60 cmH2O 60-10-5502250 maximum tidal volume1540 2270kg BLow tidal volume limit4.4 IBW Ex minimum tidal volume 3084.470kg CHigh rate limit60 / (3 x RCexp) = 20 / RCexp RCexpexpiratory time constantminimum inspiratory time 1 x RCexp minimum expiratory time 2 x RCexp
Exmaximum rate40 b/min20/0.5RCexp0.5 s DLow rate limit5b/min
ASVCompliancemaxVmaxVCP
expiratory time constant (RCexp) maxRmaxR 60 / (3 x RCexp)
ASV
Minute ventilation MVtarget IBW15Kg100Min Vol/100IBWkg IBW15Kg200Min Vol/100IBWkg
IBWMin Vol
Pressure-targetedVT
ASV
ASV
sigh
sigh mode100sigh ASV50sigh volume-targetedVT1.5 pressure-targetedP10cmH2O
backup
backupapnea 2 P-SIMV DuoPAP P-A/C APRV SPONTA/C SIMV
APVCMV APVSIMV
backup
backup
backup apnea time Ex.SIMV rate10 6 apnea time 6
TRC (tube resistance compensation)
TRC (tube resistance compensation) flow resistance WOB TRCTRCdisable TRC auto-triggering, disable TRC GOLD
TRC
Endotracheal tracheostomy tube SIZE5-10mm 10-100%
Calibration
1.Flow sensor 2.O2 cell 3.Tightness
Calibration1.Flow sensor
flow sensor2.O2 cell O2 cellO2 cell 3.Tightness flow sensor
5.GalileoRaphael
GalileoRaphaelGalileo valve Servo valve Raphael I valve FiO2
O2 cell FiO2
mode + CMV modeBaseflow
ETCO2