Ventilator Setup and Use: Puritan Bennett 980

Introduction

• Lecturer: Staff Sergeant Mitchell
• Position: Restorative Therapist
• Institution: Long Beach Children's Medical Center
• Purpose: How to properly set up, perform a short self-test (SST), and initiate ventilation on a patient using the Puritan Bennett 980 Ventilator.

Equipment Needed

• RT380 Package
  • Dual heated inspiratory and expiratory limbs
  • Humidifier canister
  • Inspiratory filter
• Additional Items
  • Puritan Bennett 980 specific expiratory filter
  • Heater humidifier cables

Initial Setup

1. Connect Essentials
   • Power cable
   • Air source
   • Oxygen source
2. Install Components
   • Expiratory Filter: Place inside the port and close.
   • Humidifier Canister: Slide into the heater.
   • Inspiratory Filter: Attach the thick side to the ventilator.
3. Tubing and Connections
   • Connect blue tubing to the humidifier.
   • Attach circuits to appropriate humidifier and filter ports.
   • Wear gloves (recommended).
4. Heater Humidifier Cables
   • Blue Cable: Connect the single prong end to the circuit.
   • Yellow Cable: Connect appropriately on the heater side.

Performing the Short Self-Test (SST)

1. Preparation
   • Remove the blue cap from the circuit.
   • Power on the ventilator.
2. SST Menu
   • Select the SST option.
   • Choose "Run all SST".
   • Set up for the type of patient, usually adult in ICU.
3. Test Steps
   • Initial circuit setup without humidifier.
   • Block the Y-piece as instructed.
   • Reconnect and disconnect as per on-screen guidance.
   • Check for leaks, especially around the humidifier and IV line.

Initiating Ventilation

1. Preparation
   • Attach Aerogen if patient is expected.
   • Set up suction catheter and end tidal CO2 monitor.
2. Patient Settings
   • Select "New Patient".
   • Input predicted body weight (optional).
   • Choose settings: Assist Control, Volume Control, etc.
   • Confirm settings and be ready to connect to a patient.

ET Tube and Hollister Setup

1. ET Tube Placement
   • Align Hollister over the upper lip, stick to cheeks.
   • Secure with Velcro strap around the head.
2. Bite Block Placement
   • Place between teeth and secure with a zip tie.
   • Ensure pilot tube is not compressed.
3. Pressure Check
   • Use a manometer to check cuff pressure.

Final Steps

• Confirm readiness for patient attachment.
• Ensure all monitors and settings are correct.
• Remember to turn off the ventilator before storage.

Conclusion

• This session covered the basics of setting up and operating the Puritan Bennett 980 Ventilator.
• Future lessons will cover patient management and troubleshooting on this device.
• Emphasized the importance of preparation and setup accuracy.