1. Power on. Press the on button for three seconds on the rear panel.
2. Connect tubing: Tubing will only attach one way. Ensure any patient circuit is being attached on the dark grey side of ports, as pictured above. Ensure all connections of the circuit are tight; loose connections may cause low pressure or disconnect alarm. Do not connect patient to tubing until confirmation of vent settings is made.
3. Selecting Screen options. To navigate between the screen options, turn the control knob on the left side of the device. When the desired option has been marked by positioning the marker on its location, press the knob to select the option.
4. Editing Fields. While turning the control knob, fields that can be modified are highlighted. To edit a field, press the control knob when positioned on the field. The field will change color. Rotate the control knob to view different values for the field and press the knob to select a value.
NOTE: When the field changes to red, it means that the selection exceeds the normal setup related to the patient weight or type.
5. Starting Ventilation. Select “Start Vent”. Patient Weight will be in Kg. Initial weight will be for pediatric patients, and you will need to scroll to find adult weight parameters.
NOTE: Setting patient weight will automatically set all ventilation parameters.
NOTE: Selecting “new patient” will clear all previous ventilator settings.
6. Ventilation mode. Ensure patient meets criteria for ventilation management. Select appropriate mode.
7. Ventilation parameters.
a. BPM/RRate: 14BPM (10-30 range)
b. TIDAL VOLUME: The sparrow auto-defaults VT based on ideal body weight you have selected on the prior screen. If those volumes do not work, manually adjust the VT to: 6ml/kg IBW (4-8ml/kg IBW range)
QUICK REFERENCE (Male): (Detailed quick reference in Appendix C)
66” = ~380cc [min: 255 / max: 510]
69” = ~420cc [min: 283 / max: 566]
72” = ~465cc [min: 310 / max: 621]
75” = ~505cc [min: 338 / max: 676]
c. FiO2 : 21 - 100% (0.21-1.0) (low flow O2 @ 3 LPM = ~ 40% FiO2 [flowrate on Saros oxygen concentrator])
d. I:E Ratio: 1:2
e. PEEP: 5 [Range 5-20]
8. Monitor waveform on the machine and visually inspect the patient to ensure no “breath stacking.” If this occurs, a high-pressure alarm may sound. However, if breath stacking is suspected even in the absence of alarm – disconnect tubing and allow exhalation and decrease the I:E if possible, from 1:2 to 1:4.
9. When a high-pressure oxygen source that is connected to an Oxygen Mixer is not available, the Ventway Sparrow ventilator can accept oxygen from a low-pressure oxygen source such as an oxygen enrichment kit connected to a flow meter.
To do this, use an optional low-pressure oxygen enrichment system attached to the ventilator air inlet port through an optional Ventway adapter.
Adjust the “O2 coefficient” parameter on the device through the O2 enrichment screen, which can be found under the VENT. PARAMS screen, so that the coefficient is aligned with the actual FiO2 value given to the patient. Select the "O2 ENRICHMENT" option in the VENT. PARAMS menu. The FiO2 value must be measured with a calibrated external oxygen analyzer. If a high-pressure oxygen source is available, an Inovytec-approved Oxygen Mixer can be used to connect to the air inlet port, delivering between 30% to 95% FiO2 to the patient. Measure FiO2 with a calibrated external oxygen analyzer. The oxygen supply pressure shall be according to manufacturer specifications (usually 40-60 psi).