–
The tidal volumes dynamically alter in line with the selected
respiratory rate
SimBaby accepts a wide range of airway management
devices and techniques. Some examples are:
–
Bag-Valve-Mask (BVM)
–
Oral/nasal pharyngeal airways
–
Endotracheal tubes - nasal and oral [recommended ET tube size
is 3.5. We also recommend the use of a malleable stylette. Care
should be taken, that the stylette does not extend beyond the
end of the tube, as with any direct intubation.]
–
Laryngeal Mask Airways (LMA) [The Laerdal SimBaby will allow
use of the LMA Classic and LMA Unique. Recommended size is
1.5.]
–
Fiberoptic procedures
–
Nasogastric tube insertion
–
Correct form and technique are required to perform direct
laryngoscopy and Endotracheal intubation
–
Correct use of a variety of airway adjuncts will successfully
ventilate the Patient Simulator.
The simulator contains two lungs
Too deep intubation will result in unilateral lung filling. This usually
occurs on the right side, due to the accurate anatomical modeling of
the tracheobronchial junction.
The airway contains a number of instructor-controlled
airway complications. Using the computer user interface,
the following airway functions can be activated and
deactivated:
–
Pharyngeal Obstruction
–
Tongue Edema
–
Laryngospasm
–
Decreased Lung Compliance
–
Increased right and/or left lung resistance
–
Pneumothorax
–
Stomach Decompression
–
Exhale CO
2
–
Variable breathing rate
–
Variable breathing pattern
•
See-saw breathing
•
Subcostal retractions
•
Unilateral breathing
–
Apnea
–
Variable pulse oximetry display
–
Breath sounds
Warning: Prior to using airway adjuncts, spray all airway
management devices to be inserted with a small amount of the
provided airway lubricant. Use only a minimal amount of airway
lubricant in the simulator's airway.
Make sure to replace the Esophagus filter after every session or
course if airway lubricant has been used.
FEATURES
Abdominal distension
Abdominal distension occurs with too high ventilation pressure while
using Bag-Valve-Mask. NG Tube can be inserted. Operator needs to
activate gastric distension through the software to release the air
from the stomach.
Breathing
Warning: To avoid damaging the spontaneous breathing bladder, do
not perform chest compressions while the spontaneous breathing
function is activated.
Pneumothorax
Pneumothorax on left side can be simulated through the software.
The students will then see unilateral chest rise on the simulator.
Chest Drain/Chest Tube
Chest Tube insertion can be performed at the left mid-axillary
site. A cut can be made at left mid-axillary line at the 4th and
5th intercostal space.
Needle Decompression
Needle decompression can be performed at the left
mid-clavicular line, 2nd intercostal space. We recommend a
22-gauge needle for decompression of the chest. Using a smaller
gauge needle increases the longevity of the chest skin and bladder.
Air and CO
Compressed air is provided by a compressor or other type of
pressurized air source via a regulator unit, allowing many functions to
take place:
–
Airway complications
–
Spontaneous breathing
–
Tension pneumothorax inflation
–
Carotid pulse
The compressor unit operates at 110 or 230 – 240 V AC. It can be
connected to a CO
Circulation
Defibrillation
Warning
–
Observe all normal safety precautions for use of defibrillators.
–
Connectors for external pacing are connected to the simulator's
defibrillation connectors.
–
Patient pads should not be used, as they do not guarantee sufficient
contact.
The system has a variable pacing threshold and the ability to "ignore"
pacing. Pacing capture results in a pulse synchronized with the heart
rate and the display of a paced rhythm on the Simulated Patient
Monitor.
The Patient Simulator is equipped with two defibrillation connectors.
ECG signal can also be monitored across these connectors. Instruc-
10
Source
2
source for exhaled CO
to take place.
2
2