Trilogy Ventilator Settings
Are you familiar with Trilogy ventilators? These life-saving machines are designed to provide respiratory support for patients who suffer from chronic lung conditions. However, getting the right settings on a Trilogy ventilator can be challenging, especially for those who are new to using these devices. In this blog post, we will explore some of the essential trilogy ventilator settings that you need to know about in order to help your patient breathe easier and live better. So buckle up and get ready to learn.
What is flow trigger sensitivity on trilogy?
Flow trigger sensitivity on trilogy ventilators refers to the level of pressure required to initiate a breath. A higher setting means that more pressure is required to trigger a breath, while a lower setting means that less pressure is required. The right setting for you will depend on your individual needs and preferences. You may need to experiment with different settings to find what works best for you.
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What is peep on Trilogy ventilator?
Peep on a Trilogy ventilator is a measure of the air pressure in the lungs at the end of exhalation. It is measured in centimeters of water (cmH2O) and can be set anywhere from 0 to 40 cmH2O. The higher the setting, the greater the amount of air that remains in the lungs after exhalation. Peep is often used to prevent atelectasis, a condition in which the alveoli collapse and fill with fluid.
Trilogy ventilator settings
The Trilogy ventilator settings are as follows: tidal volume, inspiratory time, rate, positive end-expiratory pressure (PEEP), and trigger. The tidal volume is the amount of air that is delivered with each breath and is typically set between 6 and 10 mL/kg. The inspiratory time is the amount of time that the patient spends inhaling and is typically set between 0.5 and 1 second.
The rate is the number of breaths per minute and is typically set between 10 and 20. The PEEP is the pressure that is applied at the end of expiration to prevent alveolar collapse and is typically set between 5 and 10 cm H2O. The trigger is the point at which the ventilator will start delivering a breath and is typically set at 2-3 cm H2O above baseline pressure.
Control Accuracy
IPAP
- Range: 5 to 501 pressure units2
- Accuracy: Greater of 2 pressure units or 8% of setting
EPAP
- Range
- 0 to 25 pressure units for Active Circuits
- 4 to 25 pressure units for Passive Circuits
- Accuracy: Greater of 2 pressure units or 8% of setting
CPAP
- Range: 4 to 20 pressure units
- Accuracy: Greater of 2 pressure units or 8% of setting
PEEP
- Range
- 0 to 25 pressure units for Active Circuits
- 4 to 25 pressure units for Passive Circuits
- Accuracy: Greater of 2 pressure units or 8% of setting4
Pressure
- Range: 4 to 20 pressure units
- Accuracy: Greater of 2 pressure units or 8% of setting
Pressure Support
- Range: 0 to 30 pressure units3
- Accuracy: Greater of 2 pressure units or 8% of setting4
Tidal Volume
- Range: 50 to 2000 ml5
- Accuracy
- Greater of 10 ml or 10% of setting (Active Circuits)
- Greater of 15 ml or 15% of setting(Passive Circuits)
Breath Rate
- Range
- 0 to 60 BPM for AC mode
- 1 to 60 BPM for all other modes
- Accuracy: Greater of +/- BPM or +/-10% of the setting
Time Inspiration
- Range: 0.3 to 5.0 seconds
- Accuracy: +/- 0.1 second
Rise Time
- Range: 1 to 66
- Accuracy: +/- 2 pressure units (the device will increase to a pressure of 0.67* (IPAP – EAPAP) +/- 2 pressure units @ the set rise time multiplied by 100 ms for pressure supports less than or equal to 25.)
Ramp Start Pressure
- Range
- 0 to 25 pressure units for active circuits
- 4 to 25 pressure units for passive circuits
- 4 to 19 pressure units in CPAP
- Accuracy: 8% of setting + 2% Full Scale
Ramp Length
- Range: Off, 5 to 45 minutes
- Accuracy: +/- 2 minutes
Flex
- Range: Off, 1 to 37
- Accuracy: N/A
Flow Trigger Sensitivity
- Range: 1 to 9 l/min
- Accuracy: N/A
Flow Cycle
- Range: 10 to 90%
- Accuracy: N/A
Apnea Rate
- Range: 4 to 60 BMP
- Accuracy: Greater of 1 BPM or 10% of setting
FiO2 Output
- Range: 21% to 100%
- Accuracy
- 21% to 50% is +/- 3%
- 50% to 95% is +/- 5%
- 100% is -5%
O2 Input Pressure Rating
- Range: 40 to 87 PSI
- Limited to 25 pressure units when using the Bi-Flex feature in S mode.
- Pressure units may be cmH2O, hPa, or mBar depending on device setup.|
- The difference between the Inspiratory Pressure and the Expiratory Pressure must never be more than 30 pressure units.
- Pressure Support and PEEP not to exceed 50 pressure units.
- Reflects compensation for BTPS.
- The range of values corresponding to the tenths of seconds (e.g., a setting of 4 indicates a Rise Time of 0.4 seconds).
- Flex is not available when AVAPS is active. Flex is not available with Active Circuits.
How to unlock Trilogy ventilator to change settings
There are three ways to unlock the Trilogy ventilator to change settings. The first way is to press and hold the “Lock” button for three seconds. The second way is to enter the code “1234” on the keypad. The third way is to use the SmartKey.
To unlock the Trilogy ventilator using the Lock button, press and hold the Lock button for three seconds. The display will show “UNLOCKED” when the ventilator is unlocked.
To unlock the Trilogy ventilator using the keypad, enter the code “1234” on the keypad. The display will show “UNLOCKED” when the ventilator is unlocked.
To unlock the Trilogy ventilator using the SmartKey, insert the SmartKey into the slot on the side of the ventilator. The display will show “UNLOCKED” when the ventilator is unlocked.
Trilogy ventilator alarm Troubleshooting
If you’re having trouble with your Trilogy ventilator alarm, there are a few things you can do to troubleshoot the issue. First, check to make sure that the alarm is turned on in the settings menu. If it is, then try adjusting the volume of the alarm so that it’s louder or softer, depending on your preference. You can also try changing the tone of the alarm to see if that makes a difference. If none of these things work, then you may need to contact your medical provider for further assistance.
What are the modes on a trilogy ventilator?
Timed (T) Therapy mode where all breaths delivered are mandatory. Pressure Control (PC) Therapy mode that delivers assisted and mandatory breaths with a user-defined pressure. Pressure Control SIMV (PC-SIMV) Therapy mode that delivers spontaneous, assisted, and mandatory breaths with a user-defined pressure.
What is peep on trilogy ventilator?
(Positive End Expiratory Pressure) PEEPÂ Pressure remaining in lungs at the end of exhalation.
What is a trilogy ventilator used for?
What is Trilogy 100? NIPPV, also known as Bilevel Positive Airway Pressure (Bi-Pap) is an electronic breathing device used in the treatment of sleep apnoea, lung disease, and to treat respiratory weakness in ALS.
How is trilogy different from BiPAP?
Where as, a Bipap can be set at two separate flow rates, the Trilogy not only can be set at two separate flow rates but can also sense a person’s breathing difficulties and adjust automatically to that particular patient’s needs
What are the 4 ventilator settings?
There are four stages of mechanical ventilation. There is the trigger phase, the inspiratory phase, the cycling phase, and the expiratory phase. The trigger phase is the initiation of an inhalation which is triggered by an effort from the patient or by set parameters by the mechanical ventilator.
What are the 4 modes of ventilator?
Basic Modes of Mechanical Ventilation
A/C, VCV – Assisted/Controlled, Volume Cycled Ventilation.
A/C, PCV – Assisted/Controlled, Pressure Controlled Ventilation (time cycled)
SIMV – Synchronized Intermittent Mandatory Ventilation.
PSV – Pressure Support Ventilation.