Nitric OxideSet-up for Patients

on Ventilator

Injector Module

• Place the injector module

directly to ventilator on the

inspiratory limb of the ventilator

circuit, where the gas flow exits

the ventilator.

• This is the same for anyventilator.

Inspiratory

Injector

Module

Sample line non- heated circuit set up

• Is placed in line on

inspiratory limb, 6-12”

after the injector module

and 6-12” from patient.

• Will need to cut circuit and use blueadaptor to add T-piece

for sample line.

SAMPLE

LINE

Sample Line for heated circuit

• Sample line placed on dry

side of heater 6-12” after

injector module .

• Will need blue adaptor to place in-line and T-piece where sample line attach.

Sample Line

Nitric Machine

• Big white power button on back of Nitric.

• Touch Screen

• To adjust NO level touch and turn knob.

• Constant sample being measured for accuracy.

Photo from dartmed.dartmouth.edu

NO Level

Delivery line

Sample measuremen

t

Remove the shrink wrap and red lock (push down on lock to remove.) Remove cap on tank and connect hose to tank (one hose for each tank.)

Connecting the Nitric tank

Turn on tank: Turn tank on (open completely). When tank is off, dashes and the # Zero should be flashing. The dashes disappear when tank is on.

Turn tank on and purge line

Delivery of Nitric Resuscitation Bag

• Can bag with same amount of NO you can deliver in-line.

• Must be hooked up to Oxygen source.

• Attach Ambu bag to front of nitric where flow meter is located. Run flow meter at 15LPM.

Picture from dartmed.dartmouth.edu

O2 line

NO dial

Connect ambu

Nitric via Transport Ventilator

Injector Module

Sample Line

Common alarms and what to check

• Recalibrate• Make sure tank is on • Make sure sample line is

not blocked

• Low nitric oxide• Tank closed• Sample line blocked

The big picture

• Turn off the gauge when Nitric is discontinued. You will see Dashes (-------) on the gauge when gas is completely off. No dashes and the tank is not off. Turn paper work in to Mike, also call mike and Cyndi when you turned it off.

When you are all done with Nitric