Breathing; Air And Co Source; Circulation; Sounds - Laerdal SimBaby Manual Del Usuario

– The tidal volumes dynamically alter in line with the selected
respiratory rate
SimBaby accepts a wide range of airway management
devices and techniques. Some examples are:
– Bag-Valve-Mask (BVM)
– Oral/nasal pharyngeal airways
– Endotracheal tubes - nasal and oral [recommended ET tube size
is 3.5. We also recommend the use of a malleable stylette. Care
should be taken, that the stylette does not extend beyond the
end of the tube, as with any direct intubation.]
– Laryngeal Mask Airways (LMA) [The Laerdal SimBaby will allow
use of the LMA Classic and LMA Unique. Recommended size is
1.5.]
– Fiberoptic procedures
– Nasogastric tube insertion
– Correct form and technique are required to perform direct
laryngoscopy and Endotracheal intubation
– Correct use of a variety of airway adjuncts will successfully
ventilate the Patient Simulator.
The simulator contains two lungs
Too deep intubation will result in unilateral lung filling. This usually
occurs on the right side, due to the accurate anatomical modeling of
the tracheobronchial junction.
The airway contains a number of instructor-controlled
airway complications. Using the computer user interface,
the following airway functions can be activated and
deactivated:
– Pharyngeal Obstruction
– Tongue Edema
– Laryngospasm
– Decreased Lung Compliance
– Increased right and/or left lung resistance
– Pneumothorax
– Stomach Decompression
– Exhale CO
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– Variable breathing rate
– Variable breathing pattern
•
See-saw breathing
•
Subcostal retractions
•
Unilateral breathing
– Apnea
– Variable pulse oximetry display
– Breath sounds
Warning: Prior to using airway adjuncts, spray all airway
management devices to be inserted with a small amount of the
provided airway lubricant. Use only a minimal amount of airway
lubricant in the simulator's airway.
Make sure to replace the Esophagus filter after every session or
course if airway lubricant has been used.
FEATURES
Abdominal distension
Abdominal distension occurs with too high ventilation pressure while
using Bag-Valve-Mask. NG Tube can be inserted. Operator needs to
activate gastric distension through the software to release the air
from the stomach.

Breathing

Warning: To avoid damaging the spontaneous breathing bladder, do
not perform chest compressions while the spontaneous breathing
function is activated.
Pneumothorax
Pneumothorax on left side can be simulated through the software.
The students will then see unilateral chest rise on the simulator.
Chest Drain/Chest Tube
Chest Tube insertion can be performed at the left mid-axillary
site. A cut can be made at left mid-axillary line at the 4th and
5th intercostal space.
Needle Decompression
Needle decompression can be performed at the left
mid-clavicular line, 2nd intercostal space. We recommend a
22-gauge needle for decompression of the chest. Using a smaller
gauge needle increases the longevity of the chest skin and bladder.
Air and CO Source
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Compressed air is provided by a compressor or other type of
pressurized air source via a regulator unit, allowing many functions to
take place:
– Airway complications
– Spontaneous breathing
– Tension pneumothorax inflation
– Carotid pulse
The compressor unit operates at 110 or 230 – 240 V AC. It can be
connected to a CO source for exhaled CO to take place.
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Circulation

Defibrillation
Warning
– Observe all normal safety precautions for use of defibrillators.
– Connectors for external pacing are connected to the simulator's
defibrillation connectors.
– Patient pads should not be used, as they do not guarantee sufficient
contact.
The system has a variable pacing threshold and the ability to "ignore"
pacing. Pacing capture results in a pulse synchronized with the heart
rate and the display of a paced rhythm on the Simulated Patient
Monitor.
The Patient Simulator is equipped with two defibrillation connectors.
ECG signal can also be monitored across these connectors. Instruc-
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tor can select, via appropriate keyboard command, the "Ignore
Defib" function. This determines if the defibrillation shock results
in conversion to a selected waiting rhythm. Manual paddle
adapters (Manual Defib. Plates) are supplied for use with
manual defibrillators.
Note: The ECG connectors are designed for ECG monitoring only.If
defibrillation is attempted over any of the ECG connectors, high
voltages may be present on one or more of the uncovered
connectors during the shock. (See "Cautions and Warnings"
section.) Defibrillation attempts via the ECG connectors will also
damage the internal electronics requiring that they have to be
replaced.
Pulses
– SimBaby has palpable pulses:
– Bilateral femoral pulse
– Left radial and brachial pulse
– The pulses are synchronized to the simulated ECG and, when
activated, the external pacemaker upon capture.
– Pulses, once activated, will remain on for approximately five
seconds before reactivation is required.
Note: Care should be taken when palpating pulses. Use of
excessive force results in the inability to feel the pulse.

Sounds

The torso contains a number of hidden speakers that allow
the realistic auscultation of sounds:
– Lung, left and right
– Heart, upper and lower

Body Movement

Body movement can be simulated and requires that the simulator
lie onto a rigid base. Place a piece of cardboard or similar under the
simulator if it is placed on a soft surface (bed, mattress etc.).

Drugs and IV

Right Arm is dedicated to IV skills and allows:
– Cannulation
– Phlebotomy
– Drug administration
•
Infusion
•
Legs: both legs have IO and IV access with replaceable lower
legs that include the IO and IV access points.

SETUP

Circulation
Blood Pressure Arm
Left Arm is a Blood Pressure Arm with radial and brachial pulses
and Korotkoff sounds. Blood pressure can be measured using the
supplied blood pressure cuff attached to the Link Box and installed
onto the Left Arm (BP Arm) brachial position.
Blood pressure settings are controlled using the computer, and
linked to the ECG functionality, so if you are changing the rhythm
from a perfusing rhythm to a non-perfusing rhythm, this will also
be reflected on the blood pressure settings, which will be changed
according to the new type of rhythm. A non-perfusing rhythm will
change respiratory rate (RR) to zero. When changing to a perfusing
rhythm, the blood pressure will remain at 0/0 until changed.
Auscultation gap can also be simulated.

Connecting IV Arm

The veins are self-sealing, which allows for multiple uses; however, re-
petitive insertions in the same area will result in leakage sooner than
if the cannulations had been spread over a wider area. Using smaller
size needles will also extend the "life-time" of the veins. The venous
system and the skin sleeve are both replaceable.
The IV Arm can be used with simulated blood by attaching one of
the supplied blood system tubes to one of the two latex vein open-
ings near the top of the arm. Using the supplied simulated blood
concentrate, mix the desired volume of simulated blood and add
to the IV bag (see Filling the IV Bag). Release simulated blood until it
runs via the tubing into the arm and out the other latex vein. Once
fluid is running freely out of the second vein, seal it using a clamp. Us-
ing a 22 gauge (or smaller) needle for IV training increases the life of
the IV Arm skin. If you want the student to infuse medicines, attach a
second IV bag for free flow.
Warning: If a training session involves the administration of fluids
and/or drugs into the IV Arm, empty the arm immediately following
the training session.

Connecting IV/IO Legs

The IV/IO Legs can be used with simulated blood. Using the supplied
simulated blood concentrate, mix the desired volume of simulated
blood with water and add to the IV bag.
Before IV/IO practice can start, fill the lower legs with simulated
blood. Use a syringe and fill through the drain plugs at the back of
the lower leg (drain plug to be the highest point to avoid air remain-
ing in the leg). Attach two of the supplied blood system tubes to
the latex veins openings near the top of the lower legs and release
simulated blood until it runs via the tubing into the legs. Make sure
the drain plugs are not closed before this procedure is done. Close
drain plug when fluid is running freely. Using a 22 gauge (or smaller)
needle for IV training increases the life of the IV Leg skin and vein.
For IO training a 14 gauge (or smaller) needle is recommended.
Replace the lower leg after each course if used for IO cannulations.
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