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Servo-n

Servo-n Neonatal Ventilator

Servo-n Neonatal Ventilator

 

Developed to help you create an ideal environment for newborns to breathe, sleep and grow.

Questions? Contact us about Servo-n

Overview

They deserve our best from the very beginning

Newborns should not have to start their lives battling for it. But some will, and the best we can do is help create an ideal environment for them to breathe, sleep and grow - while minimizing as many risks as possible to their physical and mental development.

Ready for the reality of NICU

Servo-n Neonatal Ventilator was created to help provide vulnerable neonates with the support they need while protecting the lungs, brain, and other developing organs. Sensitive and responsive, Servo-n compensates for variable leakage in both invasive* and non-invasive modes of ventilation. Servo-n can deliver tidal volumes as low as 2ml in patients as small as 0.3kg and includes optional hot-wire flow sensor technology to both trigger and measure pressure and flow at the patient interface.

* Leak compensation in invasive modes is only available in the neonatal patient category and is not available in Bi-Vent. 

Servo-n also enables you to monitor the electrical activity of the diaphragm (Edi). This signal reflects the neonate’s neural respiratory drive, breath by breath. With it, you can determine the optimal level of assist at any given time, in any mode of ventilation. Servo-n includes Neurally Adjusted Ventilatory Assist (NAVA®), a ventilation mode with the ability to match support to the irregular breathing patterns of neonates. There are many benefits with using NAVA, such as reduced work of breathing1, lower peak pressures and FiO2 requirements2, and improved comfort3. All of these benefits help you support neonates breathing spontaneously, while potentially reducing the need for sedation and time on ventilation.4

Servo-n makes for simple and intuitive setup, monitoring, and operation. You’re never more than a touch away from on-screen support.

Babies who start their lives in the NICU will have some catching up to do. Help them breathe, sleep and grow with Servo-n.

Built-in High Flow therapy

High Flow therapy reduces the patient’s work of breathing by delivering a gas flow volume to meet or exceed the patient’s inspiratory flow rate, supporting the patient’s own efforts and minimizing limitations.[44]This therapy involves a set flow that drives the accurate level of heated and humidified oxygen, improving patient comfort and tolerance.[45] The integrated nebulization can be used during High Flow therapy.

Servo Compass

Servo Compass on Servo-u and Servo-n target-guided ventilation

The ventilator is an indispensable tool in the ICU area. Used wisely it may help reduce the risks of Ventilator Induced Lung Injury (VILI).

Getinge Compass

Servo Compass visualizes the volume and pressure of each breath in relation to set targets.

Servo Compass® allows clinicians to visually assess patients at a glance for low tidal volumes and peak pressures, alerting clinicians to changing conditions and allowing them to intervene with appropriate therapy. Servo Compass® joins NAVA® and Edi monitoring as part of the Servo portfolio focusing on lung protection and activation of the diaphragm. The goal of which is to enable clinicians to promote lung protective ventilation and wean patients from the ventilator.

How to detect deviations from ventilation targets with Servo Compass

Servo-u compass ontarget

Patient on target

Volume and pressure OK

Servo-u compass volutrauma

Increased risk for volutrauma

Too high volume

Servo-u compass alectotrauma

Increased risk for atelectotrauma

Too low volume

Servo-u compass barotrauma

Increased risk for barotrauma

Too high pressure

Downloads

Brochures
Clinical Literature

All references

  1. Bhandari V. Synchronized ventilation in neonates: a brief reveiw. Neonatology
    Today 2011;6:1e6.

  2. Vignaux L, Grazioli S, Piquilloud L, Bochaton N, Karam O, Jaecklin T, Levy-jamet
    Y, Tourneux P, Jolliet P, Rimensberger P. Optimizing patient ventilator synchrony
    during invasive ventilator assist in children and infants remains a difficult task.
    PCCM In Press, June 2013.

  3. 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.

  4. Brander L, Leong-Poi H, Beck J, Brunet F, Hutchison SJ, Slutsky AS, et al. Titration
    and implementation of neurally adjusted ventilatory assist in critically ill
    patients. Chest 2009;135:695e703.

  5. Bordessoule A, Emeriaud G, Morneau S, Jouvet P, Beck J. Neurally Adjusted
    Ventilatory Assist (NAVA) improves patient-ventilator interaction in infants
    compared to conventional ventilation. Pediatr Res. 2012 May 11. doi: 10.1038/
    pr.2012.64.

  6. Chen Z, Luo F, Ma XL, Lin HJ, Shi LP, DU LZ. Application of neurally adjusted
    ventilatory assist in preterm infants with respiratory distress syndrome].
    Zhongguo Dang Dai Er Ke Za Zhi. 2013 Sep;15(9): 709-12.

  7. Clement KC, Thurman TL, Holt SJ, et al. Neurally triggered breaths reduce
    trigger delay and improve ventilator response times in ventilated infants with
    bronchiolitis. Intensive Care Med 2011;37:1826–32.

  8. Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for
    Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724.

  9. 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.

  10. 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.

  11. 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.

  12. Lee J, Kim HS, Sohn JA, Lee JA, Choi CW, Kim EK, Kim BI, Choi JH. Randomized
    Crossover Study of Neurally Adjusted Ventilatory Assist in Preterm Infants. J
    Pediatr. 2012 Jun 1.

  13. Zhu LM, Shi ZY, Ji G, Xu ZM, Zheng JH, Zhang HB, Xu ZW, Liu JF. [Application of
    neurally adjusted ventilatory assist in infants who underwent cardiac surgery for
    congenital heart disease]. Zhongguo Dang Dai Er Ke Za Zhi. 2009 Jun;11(6):433-6.

  14. Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less
    than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.

  15. 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.

  16. Gibu C, Cheng P, Ward RJ, Castro B, Heldt GP. Feasibility and physiological
    effects of non-invasive neurally-adjusted ventilatory assist (NIV-NAVA) in
    preterm infants. Pediatr Res. 2017 Apr 11.

  17. Amigoni A, Rizzi G, Divisic A, Brugnaro L, Conti G, Pettenazzo A. Effects of
    propofol on diaphragmatic electrical activity in mechanically ventilated
    pediatric patients. Intensive Care Med. 2015 Oct;41(10):1860-1.

  18. Parikka V, Beck J, Zhai Q, Leppäsalo J, Lehtonen L, Soukka H. The effect of
    caffeine citrate on neural breathing pattern in preterm infants. Early Hum Dev.
    2015 Oct;91(10):565-8.

  19. 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.

  20. Stein H. NAVA ventilation allows for patient determination of peak pressures
    facilitating weaning in response to improving lung compliance during
    Respiratory Distress Syndrome: a case report. Neonatol Today 2010;5:1e4.

  21. Colombo D, Cammarota G, Alemani M, et al. Efficacy of ventilator waveforms
    observation in detecting patient-ventilator asynchrony. Crit Care Med. 2011
    Nov;39(11):2452-7.

  22. Rahmani A, Ur Rehman N, Chedid F. Neurally adjusted ventilatory assist (NAVA)
    mode as an adjunct diagnostic tool in congenital central hypoventilation
    syndrome. J Coll Physicians Surg Pak 2013; Feb:23(2):154-156.

  23. 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.

  24. Soukka H, Grönroos L, Leppäsalo J, Lehtonen L. The effects of skin-to-skin care
    on the diaphragmatic electrical activity in preterm infants. Early Hum Dev. 2014
    Sep;90(9):531-4.

  25. Wolf G, Walsh B, Green M, Arnold J. Electrical activity of the diaphragm during
    extubation readiness testing in critically ill children. Pediatr Crit Care Med
    2010;12:e220e4.

  26. Poets CF, Roberts RS, Schmidt B, Whyte RK, Asztalos EV, Bader D, Bairam A,
    Moddemann D, Peliowski A, Rabi Y, Solimano A, Nelson H; Canadian Oxygen Trial
    Investigators. Association Between Intermittent Hypoxemia or Bradycardia
    and Late Death or Disability in Extremely Preterm Infants. JAMA. 2015 Aug
    11;314(6):595-603.

  27. Morley CJ, Davis PG, Doyle LW, Brion LP, Hascoet JM, Carlin JB; COIN Trial
    Investigators. Nasal CPAP or intubation at birth for very preterm infants. N Engl J
    Med. 2008 Feb 14;358(7):700-8.

  28. SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research
    Network, Finer NN, et al. Early CPAP versus surfactant in extremely preterm
    infants. N Engl J Med. 2010 May 27;362(21):1970-9.

  29. Courtney SE, Pyon KH, Saslow JG, Arnold GK, Pandit PB, Habib RH. Lung
    recruitment and breathing pattern during variable versus continuous flow nasal
    continuous positive airway pressure in premature infants: an evaluation of three
    devices. Pediatrics. 2001 Feb;107(2):304-8.

  30. 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.

  31. 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.

  32. 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.

  33. Zhu LM, Xu ZM, Ji G, Cai XM, Liu XR, Zheng JH, Zhang HB, Shi ZY, Xu ZW, Liu JF.
    [Effect of prone or spine position on mechanically ventilated neonates after
    cardiac surgery with acute lung injury]. Zhonghua Yi Xue Za Zhi. 2010 May
    11;90(18):1260-3.

  34. Lehtonen, L. (EPNV, 2014). NAVA experiences and research in preterm infants.
    Retrieved from http://www.criticalcarenews.com.

  35. Lehtonen, L. (EPNV, 2014). Hospital in Finland experiences a weight gain of 35%
    with NAVA - neonatal NAVA and individualizing treatment at bedside. . Retrieved
    from http://www.criticalcarenews.com.

  36. Terzi N, Pelieu I, Guittet L, Ramakers M, Seguin A, Daubin C, Charbonneau P, du
    Cheyron D, Lofaso F. Neurally adjusted ventilatory assist in patients recovering
    spontaneous breathing after acute respiratory distress syndrome: physiological
    evaluation. Crit Care Med. 2010 Sep;38(9):1830-7.

  37. Kallio M, Koskela U, Peltoniemi O,Kontiokari T, Pokka T, Suo-Palosaari M, Saarela
    T. Neurally adjusted ventilatory assist (NAVA) in preterm newborn infants with
    respiratory distress syndrome-a randomized controlled trial. Eur J Pediatr. 2016
    Sep;175(9):1175-1183.

  38. Delisle S, Ouellet P, Bellemare P, Tetrault J, Arsenault P. Sleep quality in
    mechanically ventilated patients: comparison between NAVA and PSV modes.
    Ann Intensive Care 2011:1. On-line.

  39. Longhini F, Ferrero F, De Luca D, Cosi G, Alemani M, Colombo D, Cammarota G,
    Berni P, Conti G, Bona G, Della Corte F, Navalesi P. Neurally adjusted ventilatory
    assist in preterm neonates with acute respiratory failure. Neonatology.
    2015;107(1):60-7.

  40. Morita P, et al. The usability of ventilators: a comparative evaluation of use safety
    and user experience. Crit Care. 2016; 20: 263.

  41. Poddutoor PK, Chirla DK, Sachane K, Shaik FA, Venkatlakshmi A. Rescue high
    frequency oscillation in neonates with acute respiratory failure. Indian Pediatr.
    2011 Jun;48(6):467-70.

  42. Iscan B, Duman N, Tuzun F, Kumral A, Ozkan H. Impact of Volume Guarantee
    on High-Frequency Oscillatory Ventilation in Preterm Infants: A Randomized
    Crossover Clinical Trial. Neonatology. 2015;108(4):277-82.

  43. Stein H. (APA, 2014). Neonatal outcomes. Retrieved from
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  44. Dysart K et al. Research in high flow therapy: mechanisms of action. Respir Med. 2009 Oct;103(10):1400-5.

  45. Gotera C et al. Clinical evidence on high flow oxygen therapy and active humidification in adults. Rev Port Pneumol. 2013; 19(5):217–227.

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