ResMed Astral User manual

Quick guide to initiate
Invasive Ventilation
in (A)CV with Astral
23/03/2020
Covid19 epidemic period

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 2
•(A)CV mode is commonly used in invasive ventilation
•The purpose of this guide is to describe the different steps to initiate (A)CV
ventilation mode with Astral
•You will find the procedure to ensure a correct Astral configuration
regarding circuit assembly, filters positioning, oxygen administration and
monitoring
•This guide is not conceived as a settings recommendation
•For additional information, please refer to the Astral user guide and the
instructions for any other devices that are included in the circuit
Introduction

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 3
•Use the double limb circuit adapter
Double limb circuit assembly

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 4
Example of Double limb circuit assembly
Antibacterial/Antiviral
filter/HEPA
Antibacterial/Antiviral
filter/HEPA
Heat Moisture
Exchange (HME)
HEPA: high-efficiency particulate air

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 5
•From the patient home screen, press
and hold for 3 seconds, then
release
•Select:
•20 minutes—the device will return to
patient mode after 20 minutes of
inactivity, or
•Unlimited—the device will remain
unlocked until powered off or manually
locked.
Accessing Clinical Mode

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 6
Using the Setup Assistant
•From the Main menu press Setup Menu
•Select Setup Assistant and press Start
•A warning message will display. Select Continue
NB: This procedure will reset ventilation and alarms settings

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 7
Select the Patient type and Circuit type

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Perform the Learn Circuit
To connect a double limb circuit:
1. Ensure the device is fitted with the
double limb adapter (otherwise change
the adapter).
2. Start the test and follow the instructions
on the screen
3. Select the type of circuit
4. Connect all required circuit accessories
(e.g. humidifier or filters) and perform
perform a Learn Circuit
5. Select the interface type: Mask
* Oxygen flow must be turn off during the
Learn Circuit procedure

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 9
Perform the Learn Circuit
It is required to perform:
•When starting a new patient
•When changing the circuit configuration
2 paths:
•Setup Assistant for a new patient
•Circuit for a patient already being ventilated

| © 2020 ResMed. 24/03/20 -COVID-19 -This document is based on information available at the time of publication 10
Learn Circuit Results