Galileo 1. 2. 3. 4.mode 5.GalileoRaphael 6.G5!!!

1.Galileo

(3SIZE )

AC() () ()

Battery test

Alarm silence key Batteryfull partly charged lowaudible alarm (silence)

(Monitor)

(Control)

(2)

100%(2)

30min () 6-7

Flow sensor

Filter RS-232

Air/O2

Air/O2

2.Galileo

Galileo

Monitir

Galileo MODE

Control

Alarm()

Monitor Freezing Even Log 1000

ASV( ASV Mode)

(26) Paw () Paux()

Paw/V loop~ Curve

Loop aux !

ASV

TrendFreeze

Ppeak Pmean PEEP/CPAP

Galileo Stand by)

Hold

/V Tool1()

Galileo!!/V Tool 2() Galileo~~

Control

MODEBack up mode

Volume mode

Pressure modes

Adaptive mode Sigh Breath Back-up ventilation TRC

Control Controls ApneabackupFlow Pressure ramp

Expiratory trigger sensitivity

trigger

ASV Control windowMin volumeVT

Loudspeaker symbol

Alarms Window AUTOalarm,

sensitive indicator of AutoPEEP

InfantOFF

3.Galileo

Galileo Pneumatic

O2 cell O2

Gas input & Mixer

Gas input & Mixer

8L

Restrictor sample flow P

flow

Inspiratory valve/

Servo valve

P flow & TV

Inspiratory flow valve/Servo valve

Expiratory valve

Expiratory valve

Tank overpressure Valve

Safety Block

Ambient valve

Patient High Pressure Valve

Safety BlockAmbient valve: Apnea Patient High Pressure Valve Pawvalve

Tank overpressure Valve Tankvalve

Auto zero valves

Auto zero valves

Auto zero valvesauto zero 20 auto zero : 20 valve valve P auto zeroflow sensor pressure

Auto zero valves

4.Galileo mode

GALILEO Mode

(S)CMV Assist/Control (volume targeted) Trigger: time or patient Cycle: time or volume

SIMV V-SIMV Trigger: time or patient Cycle: time or volume PEEP/CPAP Spontaneous breaths PS

GALILEO SIMV mandatory total cycle time 4 (RR=15 bpm)

P-CMV Pressure-Targeted Assist/Control Ventilation Trigger: time or patient Limit: pressure Cycle: time Vt varies, set exhaled MV alarm levels

PC above PEEP Ex. PC 15 cm H2O, PEEP 10 cm H2O 25 cm H2O PC level 5 cm H2O

P-SIMV V-SIMV mandatory breaths PC PC: time or patient trigger, pressure limit, time cycle Spontaneous breaths PS

DUOPAP

DUOPAP Rate Thigh Phigh PEEP/CPAP Plow P-support

DUOPAP PtPHighPLowPS a. High P-support PS+PEEP-PH>0PH PLPS b. Low P-support PS+PEEP-PHPH PhighPS ThighPlowCPAPThigh Tlow

Spontaneous Mode CPAP and PSV PSV is above PEEP/CPAP Ex. PS10 cm H2O, 5 cm H2OCPAPsupport 15 cm H2O. GALILEO PSVFlow-cycle ETS (Expiratory Trigger Sensitivity)

ETS: adult 25%,pediatric15%; peak flow5%~70% Ex.PS breathpeak flow35L/min, 57%,flow20L/min ()

PSV back-up: Adult Ti 3 Infant Ti RTPressure back-up. Pressure 2 cm H2O,

APV (adaptive pressure ventilation) dual-controlpressure- volume- controlled tidal volume APVcmv APVsimv ( , pressure support )

APV Initial 15cmH2O (PC/PS) 3 test breath, C Vt()/CVt +/-2 cmH2O (PEEP + 5 cmH2O) (high Pressure alarm limit - 10cmH2O) ExC25V500ml 500ml25ml/cmH2O20cmH2O

APVcmv

APVcmv

APVsimv

APVsimv

PH

PLPS

ASV(adaptive support ventilation) ComplianceResistance rate VT

ASVMinute ventilation MVtarget IBW15Kg100Min Vol/100IBWkg IBW15Kg200Min Vol/100IBWkg

22IBW

ASV

CP

5 b/min60 / (3 x RCexp)

Minimum pressurePEEP5 4.4 IBW Maximum pressurehigh Pressure limit10 A.High tidal volume limitcompliance maximum pressureCP ExPressure limit45 cmH2OPEEP5 45-10-550 patient compliance50 ml/cmH2O maximum tidal volume1500 patient compliance30 ml/cmH2O maximum tidal volume900 45-10-530 .High tidal volume limit22IBW ExPressure limit 60 cmH2O 60-10-5502250 maximum tidal volume1540 2270kg BLow tidal volume limit4.4 IBW Ex minimum tidal volume 3084.470kg CHigh rate limit60 / (3 x RCexp) = 20 / RCexp RCexpexpiratory time constantminimum inspiratory time 1 x RCexp minimum expiratory time 2 x RCexp

Exmaximum rate40 b/min20/0.5RCexp0.5 s DLow rate limit5b/min

ASVCompliancemaxVmaxVCP

expiratory time constant (RCexp) maxRmaxR 60 / (3 x RCexp)

ASV

Minute ventilation MVtarget IBW15Kg100Min Vol/100IBWkg IBW15Kg200Min Vol/100IBWkg

IBWMin Vol

Pressure-targetedVT

ASV

ASV

sigh

sigh mode100sigh ASV50sigh volume-targetedVT1.5 pressure-targetedP10cmH2O

backup

backupapnea 2 P-SIMV DuoPAP P-A/C APRV SPONTA/C SIMV

APVCMV APVSIMV

backup

backup

backup apnea time Ex.SIMV rate10 6 apnea time 6

TRC (tube resistance compensation)

TRC (tube resistance compensation) flow resistance WOB TRCTRCdisable TRC auto-triggering, disable TRC GOLD

TRC

Endotracheal tracheostomy tube SIZE5-10mm 10-100%

Calibration

1.Flow sensor 2.O2 cell 3.Tightness

Calibration1.Flow sensor

flow sensor2.O2 cell O2 cellO2 cell 3.Tightness flow sensor

5.GalileoRaphael

GalileoRaphaelGalileo valve Servo valve Raphael I valve FiO2

O2 cell FiO2

mode + CMV modeBaseflow

ETCO2