4. Only a HME approved for use with a nebuliser should be used in this
configuration (Figure 9). Follow the HME manufacturer instructions
regarding use with a nebuliser. Ensure the total combined volume of
nebuliser, T-Piece with or without a HME is suitable for the tidal volume
being delivered. Do not use a nebuliser between the wye and neonate
patient. Please refer to contraindication on page 7.
See Table 3 for T-piece volumes.
Figure 9. The Aerogen Solo placed between the HME and endotracheal tube.
5. Follow ventilator manufacturer instructions for performing a leak test
after inserting or removing the nebuliser.
Warnings
• Only use with HME devices whose manufacturer's instructions allow
use with a nebuliser, and always follow the HME manufacturer's
instructions.
• Ensure that the total combined volume of nebuliser, T-piece with or
without a HME is suitable for the tidal volume being delivered and does
not increase dead space to the extent that it adversely impacts the
ventilatory parameters of the patient.
• Always monitor the resistance to flow and excessive rain-out and
change the HME device as per manufacturer's instructions.
Aerogen® Solo System Instruction Manual
17