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Equipment
Information on Equipment Commonly Used on the Critical Care Units
VENTILATORS
Worcestershire uses Evita (v500, v800) and Savina ICU ventilators on ICU, along with Oxylog 3000 transport ventilators in ED and ICU. Anaesthetic machines have advanced ventilators (Maquet Flowi)
DRAGER VENTILATORS
Drager Oxylog
We have a number of Drager oxylogs across the county, in Alexandra and Worcester ICUs and EDs
MAQUET FLOWi ANAESTHETIC MACHINES
Worcestershire set up and troubleshooting guide to using the Maquet anaesthetic machines for ICU patients, Used in Anaesthetic Theatres, ED resus, and occasionally in ICU (managment of asthma, or during pandemic surge)
Hamilton T1 transfer ventilators
(on transfer trolleys)
Hamilton T1 ventilators are located on both ICU transfer trolleys, but can be detatched and used as a stand alone transfer ventilator. It has some advantages over the oxylog transfer ventilator, in particular with smaller children.
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Locally produced video on setting up the Hamilton T1 on the transfer trolley (including all safety checks)
(to skip straight to ventilator setup go to 5 minutes in)
Locally produced video on setting up Hamilton T1 ventilator using paediatric circuit
(to skip straight to ventilator setup go to 4 minutes in)
HAMILTON-T1 Product Training
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IFUs and operator's manual
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Video tutorials
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E-learning
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Simulation
Extra-Corporeal C02 removal (ECC0R)
NovaLung
AnaConDa device, with gas absorbing system, can be used for treatment of severe-bronchospasm (with additional general anaesthetic properties). As scavenging is not available on the Alex site, Anaesthetic machines cannot be used on the unit, and so the AnaConDa system is preferred. Either an Anaesthetic machine or the AnaConDa could be used on the Worcester site.
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Section 1 deals with rapid set up of the system in the emergency setting.
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Section 2 includes setting up and installing the gas analysis, which can be done either at initial setup, or once the patient has been stabilised if user not fully familiar with system.
Aeroneb - Nebulised Prostacyclin
Nebulised Prostacyclin (nPGI2) can be used for pulmonary dilatation in the management of right heart strain and hypoxia in the context of pulmonary hypertension.
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Use with viral filters on the ventilator can be problematic because of the oily nature of the drug, which necessitates extra vigilance.
Rotem
A Rotem machine is available on the WRH site in main theatres recovery (next to ABG machine). Alistair Mcminn leads on training for this machine.
Please fill one of the light blue (citrated) tubes stored next to the machine (slightly larger than standard tubes), ensuring filled to the line with blood.
ULTRASOUND
The ICUs in Worcester have a number of both handheld ultrasounds for echo/vascular access as well as the larger ultrasound machines on wheels.
B-Braun Perfuser Space Infusion pumps
Quick reference infographic or detailed instructions for using the B-braun infusion pumps generally used in the critical care setting
B-Braun Infusomat volumetric pumps
Quick reference infographic or detailed instructions for using the B-braun volumetric pumps generally used in the critical care setting
Sonosite PX ultrasound for vascular access and focussed ultrasound/echocardiography (WRH)
Sonosite-x-Porte Ultrasound for vascular access and focussed ultrasound/echocardiography
(WRH and ALX)
Handheld Ultrasounds for vascular access
The WRH ICU has a portable hand held Philips lumify ultrasound probe suitable for echocardiography. It has a tablet with with the app installed
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Both WRH and Alex ICUs have portable vascular access ultrasounds, which can pair with your mobile phone and be used around ICU/the hospital to aid in vascular access
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INFUSION DEVICES
B-Braun Perfuser Space Infusion pumps
Quick reference infographic or detailed instructions for using the B-braun infusion pumps generally used in the critical care setting
B-Braun Infusomat volumetric pumps
Quick reference infographic or detailed instructions for using the B-braun volumetric pumps generally used in the critical care setting
CARDIAC OUTPUT MONITORING
LIDCO Cardiac Output Monitors
Both Intensive Care Units, and theatre complexes at Worcester and Redditch have the Lidco cardiac output monitor available to use.
The video below is an overview of the monitor put together by the Lidco rep for Worcestershire Acute Hospitals.
PA catheters: Hemisphere Cardiac Output Monitor
In addition to Lidco, The Worcester site has cardiac output monitoring using the Edwards Lifesciences HEMISPHERE
Below is a PPT step by step guide for the hardware setup (it will not help you to put in or find a PA catheter).
EMERGENCY TRANSVENOUS PACING
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Both Intensive Care Units carry a small stock of emergency transvenous pacing wires, which can be inserted by floatation without access to screening.
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Temporary pacing boxes can be located in Alex or WRH ICU
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The following presentation by Steve Haynes summarises the insertion and setup of a pacing wire in the emergency setting.
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If time and patient stability allows, transvenous pacing is ideally performed by cardiologist under screening
OTHER COMMONLY USED ICU EQUIPMENT
How to work an ICU bed
Click link to access training on HillRom_Accella900 ICU bed
Flexiseal bowel management system
Indications/contraindications and user guide
