Servo-n Neonatal Ventilator
Servo-n Neonatal Ventilator
Omówienie
Protect the lungs, brain and diaphragm with every tiny breath
Do you ever get neonates that are not quite in sync with standard pressure and volume settings? Babies that are sleeping erratically and wasting valuable energy? For these fragile ones, tailoring just the right level of ventilatory support – without over- or under-assist – is a delicate balance.[1][2] Servo-n makes it easier to assess this balance[3], allowing you to act on almost any situation – from delivery to discharge.
1. Assess respiratory needs with the Edi vital sign
Want to monitor your baby’s respiratory drive – from day zero? Literally see what it needs, in any mode, right in your lower screen? On Servo-n, this is possible with our unique Edi diaphragmatic monitoring.[3] It gives you valuable insights about the presence or absence of spontaneous breaths, patient effort, over- and under-assist, patient-ventilator asynchrony, sedation, patient positioning and apnea of prematurity.
2. Prevent intubation with unique NIV-NAVA therapy
If Nasal CPAP is not enough to support babies on non-invasive ventilation, NIV NAVA® offers a viable alternative. Studies show that it may increase the chance of NIV success[4],[5],[6],[7] and reduce the need for intubation[4],[5] and sedation. [1],[14],[15] NIV NAVA is leakage independent[8], it improves short-term physiological effects and comfort[9][10], and it lowers work of breathing.[11]
3. Protect and stabilize with personalized NAVA mode
With our unique Neurally Adjusted Ventilator Assist (NAVA) mode, you can personalize the neonatal support with every breath. When babies are on this mode, they tend to choose lower pressure[12] and tidal volumes with improved compliance[13] and comfort[14], improving their blood gases and oxygenation.[15] And if the babies need controlled ventilation, PRVC is there for you.
4. Rescue with HFOV that offers a difference
In critical cases such as apnea, it’s good to know you’ve got built-in HFOV. This way, you can quickly start the therapy without losing mean airway pressure or having to hook up a separate bulky unit. To reduce work of breathing, it relies on the inertia of air in the patient circuit when the pressure at airway opening is modified rapidly – combined with very rapidly responding inspiratory valves and high-flow capacity.
5. Wean from ventilation – gently and individually
Edi makes it possible to follow the patient’s progress from invasive to non-invasive ventilation (NIV, nasal CPAP and High-Flow therapy) and beyond on the same machine.[3]NAVA and NIV NAVA are especially useful during weaning. It can help you maintain diaphragm activity[10], avoid over- or under-assist[2] and reduce sedation.[15] This may limit diaphragm atrophy and facilitate earlier extubation.[1],[2],[16],[17],
Extend your treatment to pediatrics and other ventilators
While the Servo-n is mainly intended for advanced care of the most fragile neonates, it comes with a pediatric option to extend its capabilities to the PICU. Or, if your primary ventilatory need is for ICU patients, the Servo-u ventilator can be extended with a neonatal option.
One advanced neonatal ventilator
Many flexible treatment options.
Do you find it time-consuming to switch between different ventilators and support machines in the NICU? Getinge Servo-n offers ONE versatile solution for respirator support, monitoring and treatment of neonatal pediatric patients – for every stage of ventilation.
Diagnostic tools:
- Electrical activity of the diaphragm (Edi)
- Servo Compass®
- Trends, logs and media library
Modes:
- High Frequency Oscillatory Ventilation (HFOV)
- Pressure Regulated Volume Control (PRVC)
- Automode
- Neurally Adjusted Ventilatory Assist (NAVA and NIV NAVA)
- Non-invasive ventilation (NIV)
- Nasal CPAP
- High Flow therapy, and more
Features:
- Proximal flow and pressure sensors
- EtCO2
- Integrated Aerogen nebulizer
- Heliox therapy
- On-screen contextual help
- Workflow support
Additional therapies
Heliox therapy for infants
Newborns weighing 3 kg or more who are experiencing airway obstruction (e.g. due to bronchiolitis or asthma) can now be treated with Heliox therapy*. Heliox is a mix of helium and oxygen that, due to its low density, facilitates laminar flow and minimizes airway pressure. Safe and easy to use, it can help these tiny ones reduce the work of breathing (WoB) and soothe obstructed airways.[18]
Safe, reliable and easy to use
The Servo-n has an integrated Aerogen nebulizer that can be used with Heliox therapy. Together, they can help improve aerosol deposition, resulting in up to 50% more drug delivered. This is primarily due to helium’s lower density than air or oxygen, meaning less gas turbulence and less aerosol-particle-impaction loss in the tubing and patient airways.[19],[20],[21],[22]
Nebulization and Heliox
The Servo-n has an integrated Aerogen nebulizer that can be used with Heliox therapy. Together, they can help improve aerosol deposition, resulting in up to 50% more drug delivered. This is primarily due to helium’s lower density than air or oxygen, meaning less gas turbulence and aerosol-particle impaction loss in the
tubing and patient airways.[19],[20],[21],[22]
Clinical experience in the NICU
Hear from neonatal experts who are using NAVA and other therapies to avoid patient-ventilator asynchrony and achieve safe, gentle ventilatory support, with better outcomes.
Trends, news and insights from our ESPNIC panel
Did you miss ESPNIC 2021? Don’t worry, we recorded our panel discussion with neonatal experts. Learn about their protective lung, brain and diaphragm strategies, how they avoid BPD, deal with COVID and use NAVA and High Frequency Oscillatory Ventilation (HFOV).
Top London neonatal expert shares his NICU’s best practices
As Consulting Neonatologist at St George’s University Hospital in London, Dr. Sandeep Shetty (MBBS, DCH, DNB, FRCPCH, MDre) is always looking for better ways to advance respiratory care for babies. In this video, he shares some of his team’s latest approaches to both invasive and non-invasive ventilation, including using NIV-NAVA and NAVA.
Dr. Howard Stein on latest approaches to NICU care
What are the latest practices in NICU care at the Toldeo Hospital? Listen to this in-depth interview with Dr. Howard Stein (MD, FAAP), Medical Director of the NICU at Ebeid Children’s Hospital and Professor of The University of Toledo College of Medicine and Life Sciences in Toledo, Ohio, USA.
What a US neonatal outreach liaison is advising to NICUs
As an independent neonatal respiratory advisor and liaison to Akron Children’s Hospital in Ohio, USA, Kimberly S. Firestone (MSc, RRT) always gives her informed, honest advice on the optimal respiratory practices to support prematurely born babies. It’s her passion and the focus of years of research. In this short video, she shares some of her insights.
The Toledo Hospital journey towards better outcomes
Dr. Howard Stein says there are a number of alterations to thank for his patients’ improvements – PICC line reduction and non-invasive ventilation strategies, such as CPAP and NIV NAVA, to name a few.[23]
Reduced death and morbidity in neonates by 40%
Survival without morbidity increased by 40%
Decrease in chronic lung disease by 70%
Median length of stay reduced by 9 days
Securing your investment
Ensure maximum uptime
Optimizing your equipment's services is often an untapped opportunity to maximize productivity and reduce costs. Our Getinge Care service offering will ensure that your equipment always perform at peak levels allowing you to focus on what’s important - saving lives.
High quality consumables
We offer an extensive range of readily available consumables designed for highest possible patient safety and ease of use – all to help secure your everyday operations.
Patient data at your fingertips
MSync helps you to connect your Servo-n fleet to your patient monitor, HIS or patient data management system (PDMS). Clinical and patient data is transferred in real time to support clinical decision-making.
Getting started with the Servo-u ventilator
Educational training video on how to get started using the Servo-u ventilator.
Getting started with NAVA on the Servo-u ventilator
Educational training video on how to get started using NAVA on the Servo-u ventilator.
Training
Improve your knowledge with our eLearning courses
Servo-u/n start up guide (20 min)*
- Preparing for patient
- Ventilating and responding to alarms
- Maneuvers and interventions
English (voice over)
Servo-u Open Lung Tool (20 min)
- Auto SRM, Auto RM, OLT Trends
- Patient cases
English (voice over)
Transpulmonary pressure (20 min)
- Workflow
- Managing transpulmonary pressure monitoring
- Patient cases
English (voice over)
Servo Compass (10 min)
- VT/PBW
- Driving Pressure
- Target ventilation
English (voice over)
Servo-n HFOV (20 min)
- How to get started
- Setting up HFOV
- HFO
- HFO V(TGT)
Materiały do pobrania
Brochures
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Servo-n ventilator system
Servo-n offers an advanced all-in-one solution for personalized lung protection and weaning, helping neonates breathe, sleep and grow.
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Heliox therapy
Help patients suffering from obstructive lung diseases, such as asthma, bronchiolitis, and COPD, breathe easier where additional targeted support may be required.
Technical specifications
Clinical literature
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NAVA flowchart – Neonates
How to set up NAVA, position the Edi catheter, and troubleshooting guide
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NICU/PICU clinical experience
Read more about the first impressions of using the Servo-u with a neonatal option (similar to Servo-n)
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NAVA Protain clinical study
Discover how NAVA can achieve recommended PIP and Vt in neonates and also provide optimal synchronization between neonate and ventilator
Produkty powiązane
NAVA
Imagine being able to see and deliver what your patients want, while their own natural respiratory drive controls the ventilator. We call it Neurally Adjusted Ventilatory Assist (NAVA). It is based on close monitoring of the output of the patient’s respiratory center, by capturing the electrical signal that activates the diaphragm (Edi), using a dedicated gastric feeding tube (Edi catheter). NAVA shortens the time of mechanical ventilation[3] and increases the number of ventilator-free days[3] [4] [5] by providing personalized ventilation that is both lung- and diaphragm-protective.
Servino
Device for accurate, safe delivery and monitoring of inhaled Nitric Oxide for all patient categories
Servo-u Ventilator
Servo-u gives you many options for personalized lung protection and weaning. All are easy to understand, implement and use, making it simple to integrate advanced personalized ventilation strategies into your daily patient care. *The Servo ventilator and and/or ventilator options presented on this page may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.
Servo-air Ventilator
Servo-air is easy to use and independent from compressed air and external power supplies. It makes owning, learning and using quality ventilation even more attainable.
Servo-i Ventilator
A wealth of features and functionalities for treating adult, pediatric and neonatal patients.
Servo-s Ventilator
Ventilator based on proven Servo technology, ensuring safe, reliable and high quality ventilation.
Modular Room Systems
Rooms with high technology density must be configured to respond to changing trends. The modular room systems from Getinge flexibly adapt to all spacial conditions and requirements - today and tomorrow. They consist of a substructure, wall and ceiling elements, doors, and the integration of optional built-in elements.A modular room system is the perfect base for a hygienic environment such as the OR, ICU and CSSD while offering a unique combination of functionality, design and efficiency.
Servo-u MR
Ventilate all patient categories during MR scanning,from invasive and non-invasive ventilation to high-flow therapy.[1] *The Servo ventilator and and/or ventilator options presented on this page may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.
Wszystkie źródła
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Emeriaud G, Larouche A, Ducharme-Crevier L, Massicotte E, Fléchelles O, Pellerin-Leblanc AA, Morneau S, Beck J, Jouvet P. Evolution of inspiratory diaphragm activity in children over the course of the PICU stay. Intensive Care Med. 2014 Nov;40(11):1718-26.
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Ducharme-Crevier L, Du Pont-Thibodeau G, Emeriaud G. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care Res Pract. 2013; 2013: 384210.
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Stein H, Firestone K. Application of neurally adjusted ventilatory assist in neonates. Semin Fetal Neonatal. Semin Fetal Neonatal Med. 2014 Feb;19(1):60-9.
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Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724
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Stein H, Beck J, Dunn M. Non-invasive ventilation with neurally adjusted ventilatory assist in newborns. Semin Fetal Neonatal Med 2016;21(3):154–61.
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Protain AP, Firestone KS, McNinch NL, Stein HM. Evaluating peak inspiratory pressures and tidal volume in premature neonates on NAVA ventilation. Eur J Pediatr. 2021 Jan;180(1):167-175. doi: 10.1007/s00431-020-03728-y. Epub 2020 Jul 6. PMID: 32627057; PMCID: PMC7335731.
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Dargaville PA, Gerber A, Johansson S, et al. Incidence and Outcome of CPAP Failure in Preterm Infants. Pediatrics. 2016;138:e20153985-e20153985.
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Beck J, Reilly M, Grasselli G, et al. Patient-ventilator interaction during neutrally adjusted ventilatory assist in low birth weight infants. Pediatr Res 2009;65(6):663–8.
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Gibu CK, Cheng PY, Ward RJ, Castro B, Heldt GP. Feasibility and physiological effects of noninvasive neurally adjusted ventilatory assist in preterm infants. Pediatr Res. 2017 Oct;82(4):650-657.
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Lee J, Kim HS, Jung YH, Shin SH, Choi CW, Kim EK, Kim BI, Choi JH. Non-invasive neurally adjusted ventilatory assist in preterm infants: a randomised phase II crossover trial. Arch Dis Child Fetal Neonatal Ed. 2015 Nov;100(6):F507-13.
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Houtekie L, Moerman D, Bourleau A, Reychler G, Detaille T, Derycke E, Clément de Cléty S. Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants. Respir Care. 2015 Jul;60(7):1007-14.
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Piastra M, De Luca D, Costa R, Pizza A, De Sanctis R, Marzano L, Biasucci D, Visconti F, Conti G. Neurally adjusted ventilatory assist vs pressure support ventilation in infants recovering from severe acute respiratory distress syndrome: Nested study. J Crit Care. 2013 Oct 24.
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Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.
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de la Oliva P, Schuffelmann C, Gomez-Zamora A, Vilar J, Kacmarek RM. Asynchrony, neural drive, ventilatory variability and COMFORT: NAVA vs pressure support in pediatric patients. A randomized cross-over trial. Int Care med. Epub ahead of print April 6 2012.
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Kallio M, Peltoniemi O, Anttila E, Pokka T, Kontiokari T. Neurally Adjusted Ventilatory Assist (NAVA) in Pediatric Intensive Care – A Randomized Controlled Trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.
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L. Brochard, A. Harf, H. Lorino, and F. Lemaire. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. American Review of Respiratory Disease, vol. 139, no. 2, pp. 513–521, 1989.
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E. Futier, J.M. Constantin, L. Combaret et al., “Pressure support ventilation attenuates ventilator-induced protein modifications in the diaphragm,” Critical Care, vol. 12,no. 5, articleR116, 2008.
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Herman J, Baram M. In the Midst of Turbulence, Heliox Kept Her Alive. Ann Am Thorac Soc. 2017. 2 Pilbeam
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Pilbeam SP, Barraza P, Raymond W, Timon B, Ivey C. Special techniques in ventilatory support. In: Pilbeam SP and Cairo JM ed. Mechanical Ventilation, 4th ed. St Louis: Elsevier;2006: 321-327.
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Fink J; Opportunities and Risks of Using Heliox in Your Clinical Practice; Respir Care 2006;51(6):651– 660.
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Bigham MT, Jacobs BR, Monaco MA et al; Helium/oxygen-driven albuterol nebulization in the management of children with status asthmaticus: a randomized, placebo-controlled trial; Pediatr Crit Care Med. 2010 May
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Alcoforado L, Brandão S, Rattes C et al; Evaluation of lung function and deposition of aerosolized bronchodilators carried by heliox associated with positive expiratory pressure in stable asthmatics: a randomized clinical trial; Respir Med. 2013
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Stein H. (APA, 2014). Neonatal outcomes. Retrieved from www.criticalcarenews.com.