ResMed Stellar 150 Operator's manual

Quick guide to initiate Non-Invasive Ventilation
with single leak circuit in ST mode with Stellar
April 2020
Covid19 epidemic period

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
•NIV with a single leak circuit in ST mode (PS/PEEP + backup rate) is
commonly used both in the hospital and homecare
•The purpose of this guide is to describe the different steps to initiate ST
mode with a single with leak circuit, in non-invasive ventilation with Stellar
•You will find the procedure to ensure correct Stellar configuration regarding
circuit assembly, the type of intentional leak to be used, filter positioning,
oxygen administration and monitoring
•This guide is not designed to recommend settings..
•For additional information, please refer to the Stellar user guide and the
instructions for any other devices that are included in the circuit
•Please note that printed materials may not be the latest version available
for download
Introduction

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Example of Single limb with leak circuit assembly
Antibacterial/Antiviral filter
Leak valve
(Place the arrows towards the
red plug)
Non-vented Full face mask
Blue elbow
Patient circuit conected to the
ventilator
Leak valve with
anti-asphyxia
protection

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Example of single limb with leak circuit assembly

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Example of single limb with leak circuit assembly
Leak valve
Antibacterial/Antiviral filter
Heat Moisture Exchange Filter
(HMEF)
Using a filter before the leak valve could cause :
1. More difficult inspiratory triggers for the patient (adjust)
2. Moisture accumulation in the filter (HME), which may require changing the filter several
times a day
The filter installation
requires the Learn
Circuit to be
performed
Non-vented Full
face mask
Blue elbow

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Turning Stellar on/off
To turn on the ventilator
•Press the power switch on the back of the device
and wait until the patient interface screen is
displayed
To turn off the ventilator
•Press the power switch on the back of the
device, then follow the instructions on the screen

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
About the control panel

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Accessing Clinical mode
•To activate Clinical mode, press
the buttons as shown in the image
simultaneously for at least three
seconds
•You will be shown how long the
device will stay in this mode
•After the set period of inactivity or
next power cycle (power on/off),
the device automatically switches
back to patient mode and the
device beeps
•Proceed in the same way to lock
the device (back to the patient
mode)

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Mask type and Learn Circuit
•The Learn Circuit procedure permits optimal therapy and
monitoring accuracy, by measuring and storing the
breathing system impedance up to and including the
vent
•Select the mask type Trach (select Setup menu, then
Clinical Settings, then Advanced Settings)

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Perform the Learn Circuit

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Select Ventilation Mode
•Access the Setup menu
•Adjust the setting according to the patients needs
Then
•Press to start ventilation

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Accessing the Alarms Menu

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
1. Unlock the low flow oxygen inlet on the back of the device by pushing up on the locking clip
2. Insert one end of the oxygen supply tubing into the oxygen connector port. The tubing automatically locks into
place
3. Attach the other end of the oxygen supply tubing to the oxygen supply.
4. Start ventilation.
5. Turn on the oxygen source and adjust to the desired flow rate
Up to 30 L/min can be added
Adding supplemental oxygen

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
1. Before use, leave the FiO2 sensor open.
to the air for 15 minutes to calibrate the sensor.
2. Attach a new FiO2 monitoring sensor (as shown below)
3. Perform the sensor calibration.
Note:Turn off the oxygen before calibrating the sensor.
Using the FiO2 monitoring sensor

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
•Continuous monitoring of FiO2, even without ventilation
•Possibility to set a Low and High FiO2 alarm during ventilation
(default values Low 20%, High 100%, default setting off)
Monitoring the delivered FiO2with oxygen sensor

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
•Settings :
•IPAP/EPAP : 10/5
•FR : 20
•Mask : Full Face
FiO2
NB : Using another type of interface
may change these results

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
Monitoring menu (8 screens)
•Viewing ventilation data :
During ventilation the screens can be viewed by pressing and turning the Push Dial

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| © 2020 ResMed. 04/20 -COVID-19 -This document is based on information available at the time of publication
04/04/20
COVID-19
Quick guide to initiate Non-Invasive Ventilation
with single with leak in ST mode with Stellar
This document is based on information available at the time of publication
Document No: 110297. Copyright ResMed
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