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Servo-n Neonatal Ventilator

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Servo-n Neonatal Ventilator

 Helping premature babies breathe, sleep and grow.

Diagnostic tools

  • Electrical activity of the diaphragm (Edi)
  • Servo Compass
  • Trends, logs and media library

Modes

  • High Frequency Oscillatory Ventilation (HFOV)
  • Pressure Regulated Volume Control (PRVC)
  • Automode
  • Neurally Adjusted Ventilatory Assist (NAVA and NIV NAVA)
  • Non-invasive ventilation (NIV)
  • Nasal CPAP
  • High Flow therapy, and more

Features

  • Proximal flow and pressure sensors
  • EtCO2
  • Integrated Aerogen nebulizer
  • On-screen contextual help
  • Workflow support

Overview

Protecting your neonate at every step of respiratory support

Finding the right level of ventilatory support without over- or under-assisting neonates is a delicate balance.[1][2] Servo-n makes it easier to assess that balance[3] and enables you to act on almost any situation, from delivery to discharge.

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1. Assessing respiratory need

Diaphragmatic monitoring with the Edi aids you in determining and providing the appropriate support the babies want and need during any mode of ventilation.[3] It provides insight on the presence or absence of spontaneous breaths, patient effort, over- and under-assist,  patient-ventilator asynchrony, sedation, patient positioning and apnea of prematurity.

2. Preventing intubation

When CPAP is not enough, NIV NAVA offers a viable alternative that may increase NIV success.[4] NIV NAVA is leakage independent[5], it improves short-term physiological effects and comfort[6][7], and it lowers work of breathing.[8]

3. Protecting and stabilizing

With NAVA, you have the opportunity to personalize the support. When babies are on this mode, they tend to choose lower pressure[9] and tidal volumes with improved compliance[10] and comfort[11], improving their blood gases and oxygenation.[12] And if the babies need controlled ventilation, PRVC is there for you.

4. Rescuing with HFOV

Built-in HFOV allows you to quickly start the therapy without losing mean airway pressure or having to switch ventilators. It includes a volume target option and is purposely designed to reduce work of breathing.

5. Weaning from ventilation

Edi makes it possible to follow the patient's progress from invasive to non-invasive ventilation (NIV, nasal CPAP and high-flow therapy) and beyond on the same machine.[3] NAVA and NIV NAVA are especially useful during weaning. It can help you maintain diaphragm activity[7], avoid over- or under-assist[2] and reduce sedation.[12] This may limit diaphragm atrophy and facilitate earlier extubation.[1][2][0][15]

Extending treatment capabilities

With an available pediatric option, the Servo-n is also able to extend its capabilities to the PICU. Or, if your primary ventilatory need is for ICU patients, the Servo-u ventilator can be extended with a neonatal option.

The Toledo Hospital journey towards better outcomes

Dr. Howard Stein says there are a number of alterations to thank for his patients’ improvements – PICC line reduction and non-invasive ventilation strategies, such as CPAP and NIV NAVA, to name a few.[16]

Reduced death and morbidity in neonates by 40%

Survival without morbidity increased by 40%

Decrease in chronic lung diesease by 70%

Median length of stay reduced by 9 days

Securing your investment

Ensure maximum uptime

Optimizing your equipment's services is often an untapped opportunity to maximize productivity and reduce costs. Our Getinge Care service offering will ensure that your equipment always perform at peak levels allowing you to focus on what’s important - saving lives.

High quality consumables

We offer an extensive range of readily available consumables designed for highest possible patient safety and ease of use – all to help secure your everyday operations.

Patient data at your fingertips

MSync helps you to connect your Servo-n fleet to your patient monitor, HIS or patient data management system (PDMS). Clinical and patient data is transferred in real time to support clinical decision-making.

Training

Improve your knowledge with our eLearning courses

Servo-u start up guide (20 min)

  • Preparing for patient
  • Ventilating and responding to alarms
  • Maneuvers and interventions

English (voice over) | DutchFrench | German | Italian | Spanish | Swedish

Servo Compass (10 min)

  • VT/PBW
  • Driving Pressure
  • Target ventilation

English (voice over)

The basic concept of NAVA and Edi
NAVA module 1 (10 min)

  • Breathing regulation
  • Conventional ventilatory treatment
  • Edi and NAVA treatment

English (voice over) | Dutch | French | German | Italian | Spanish | Swedish

How to use NAVA and Edi
NAVA module 2 (10 min)

  • Insertion and position of Edi catheter
  • NAVA set-up
  • Starting NAVA ventilation

English (voice over)  | Dutch | French | German | Italian | Spanish | Swedish

Servo-u NAVA (10 min)

  • Servo-u NAVA screen layout
  • NAVA workflow

English (voice over) | DutchFrench | German | Italian | Spanish | Swedish

Modes of ventilation module 1:
settings and waveforms (20 min)

  • Introduction to waveforms and ventilator settings

English (voice over) | Dutch | French | German | Italian | Spanish | Swedish

Modes of ventilation module 2:
Controlled modes (20 min)

  • Pressure Control, Volume Control, PRVC and Bi-Vent/APRV

English (voice over) | Dutch | French | German | Italian | Spanish | Swedish

Downloads

All references

  1. 1. Emeriaud G, Larouche A, Ducharme-Crevier L, Massicotte E, Fléchelles O, Pellerin-Leblanc AA, Morneau S, Beck J, Jouvet P. Evolution of inspiratory diaphragm activity in children over the course of the PICU stay. Intensive Care Med. 2014 Nov;40(11):1718-26.

  2. 2. Ducharme-Crevier L, Du Pont-Thibodeau G, Emeriaud G. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care Res Pract. 2013; 2013: 384210.

  3. 3. Stein H, Firestone K. Application of neurally adjusted ventilatory assist in neonates. Semin Fetal Neonatal. Semin Fetal Neonatal Med. 2014 Feb;19(1):60-9.

  4. 4. Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724

  5. 5. Beck J, Reilly M, Grasselli G, et al. Patient-ventilator interaction during neutrally adjusted ventilatory assist in low birth weight infants. Pediatr Res 2009;65(6):663–8.

  6. 6. Gibu CK, Cheng PY, Ward RJ, Castro B, Heldt GP. Feasibility and physiological effects of noninvasive neurally adjusted ventilatory assist in preterm infants. Pediatr Res. 2017 Oct;82(4):650-657.

  7. 7. Lee J, Kim HS, Jung YH, Shin SH, Choi CW, Kim EK, Kim BI, Choi JH. Non-invasive neurally adjusted ventilatory assist in preterm infants: a randomised phase II crossover trial. Arch Dis Child Fetal Neonatal Ed. 2015 Nov;100(6):F507-13.

  8. 8. Houtekie L, Moerman D, Bourleau A, Reychler G, Detaille T, Derycke E, Clément de Cléty S. Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants. Respir Care. 2015 Jul;60(7):1007-14.

  9. 9. Piastra M, De Luca D, Costa R, Pizza A, De Sanctis R, Marzano L, Biasucci D, Visconti F, Conti G. Neurally adjusted ventilatory assist vs pressure support ventilation in infants recovering from severe acute respiratory distress syndrome: Nested study. J Crit Care. 2013 Oct 24.

  10. 10. Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.

  11. 11. de la Oliva P, Schuffelmann C, Gomez-Zamora A, Vilar J, Kacmarek RM. Asynchrony, neural drive, ventilatory variability and COMFORT: NAVA vs pressure support in pediatric patients. A randomized cross-over trial. Int Care med. Epub ahead of print April 6 2012.

  12. 12. Kallio M, Peltoniemi O, Anttila E, Pokka T, Kontiokari T. Neurally Adjusted Ventilatory Assist (NAVA) in Pediatric Intensive Care – A Randomized Controlled Trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.

  13. 13. Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724.

  14. 14. L. Brochard, A. Harf, H. Lorino, and F. Lemaire. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. American Review of Respiratory Disease, vol. 139, no. 2, pp. 513–521, 1989.

  15. 15. E. Futier, J.M. Constantin, L. Combaret et al., “Pressure support ventilation attenuates ventilator-induced protein modifications in the diaphragm,” Critical Care, vol. 12,no. 5, articleR116, 2008.

  16. 16. Stein H. (APA, 2014). Neonatal outcomes. Retrieved from www.criticalcarenews.com.