Settings for BPAP (BiPAP) on the LTV 1200 Ventilator HD

Quick Set up Guide to NiPPV (BPAP or CPAP) 1. Press and hold “On/Standby” until lights turn on. 2. Turn selection wheel/dial on front lower-right face of machine until “NEW PATIENT” is displayed at top of the machine. Press “Select” to the left of screen. 3. Turn dial until “ADULT” is displayed and press “Select” 4. To silence alarm press “Silence Reset” on the right (and use repeated as needed as alarm comes back on after a time lapse). 5. Selecting NPPV mode: a. Press the grey button 3rd to the right from the bottom left, “Assist/Ctrl, SIMV/CPAP, NPPV” four times. i. “NPPV” is flashing green and “SIMV/CPAP” is solid green ii. The only variable that is highlighted (with a default setting of “10”) is “Pres. Support.” All other variables will have numbers that are dimmed. iii. Proceed to step 6 or 7 depending on desired positive airway pressure mode 6. BPAP (e.g., for usual initial orders are IPAP of 10 cm H20 and EPAP of 5 cm H20): a. Dial “Pres. Support” down from “10” to “5.” Press the grey button beneath “Pres. Support” to confirm. i. Note: Pressure Support = IPAP - EPAP. b. “PEEP” now becomes highlighted. Turn selection wheel from “0” up to “5.” Press the grey button beneath “PEEP” to confirm. i. Note: PEEP = EPAP c. To change backup breath rate (default is 12 which is what is usually initially ordered): i. Pressing the grey button beneath “Breath Rate” ii. Turn the dial so the desired rate is displayed iii. Press the grey button beneath “Breath Rate” again to confirm d. To change FiO2: i. Press the grey button beneath “O2%” ii. Turn the dial so the desired percentage is displayed iii. Press the grey button beneath “O2%” again to confirm 7. CPAP (e.g., for usual initial order is CPAP of 5 cm H20): a. Dial “Pres. Support” down from “10” to “0.” Press the grey button beneath “Pres. Support” to confirm. b. “PEEP” now becomes highlighted. Turn selection wheel from “0” up to “5.” Press the grey button beneath “PEEP” to confirm. i. Note: PEEP = CPAP c. Change backup breath rate (note absolutely necessary as you will usually be using NiPPV when a patient is breathing fast): i. Press the grey button beneath “Breath Rate” ii. Turn the dial down so the desired rate is “--” d. To change FiO2: i. Pressing the grey button beneath “O2%” ii. Turn the dial so the desired percentage is displayed iii. Press the grey button beneath “O2%” again to confirm 8. To change settings again later, use the mnemonic, ‘Press, Change, Press’ (credit to Dr. Michael Kirlew): a. Press the grey button beneath the variable you want to change b. Change to the desired value using the wheel c. Pressing the grey bu