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Servo-u Ventilator

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Servo-u Ventilator

The next step forward in making protective ventilation more accessible, understandable and easy to implement.

“The Servo-u…It looks like a fish in water. If you can find things quickly, it makes the patient safe.”

- Respiratory therapist, USA

"It is really easy to find the settings of what you want to do and it is clearly displayed – that is an advantage."

- Intensive care physician, Canada

"For me, this is a secure investment – a solid product to build on, based on a solid foundation."

- Intensive care physician and researcher, Brazil

Overview

Ventilation can be complicated. But the ventilator doesn't have to be.

Servo-u delivers many effective options for protective ventilation. All of them more accessible, understandable and easy to implement. [1]  Which means more patients in all phases of ventilation – controlled, supported, non-invasive and during spontaneous breathing trials – can benefit from advanced lung protective strategies.

Protective ventilation

Making more informed decisions

Servo-u provides on-screen diagnostic tools to help you protect the lung, optimize ventilation delivery, titrate sedation and start weaning earlier.

Servo-u with driving pressure and VT/PBW

Driving pressure & VT/PBW

On-screen driving pressure and tidal volume per kilogram of predicted body weight help you deliver lung protective ventilation, associated with reduced lung injury and improved oxygenation and outcomes. [2] [3] [4]

Servo Compass

Servo Compass

Servo Compass visually displays volume and pressure in relation to set targets in invasive modes. The ventilation provided is clearly visualized, notifying staff if and when adjustments are needed. [17]

Open Lung Tool on Servo-u mechanical ventilator

Open Lung Tool (OLT)

OLT helps you assess lung mechanics and gas exchange breath by breath, in real-time and retrospectively. It guides you through the recruitment maneuver, helping you to set a personalized PEEP and reduce driving pressure. [18]

Diaphragm activity

The electrical activity of the diaphragm (Edi) shows you the patient's breathing effort, breath by breath. It helps you titrate sedation and identify the best level of support at all times and during any mode of ventilation. [5] [6] [7]

Ventilation for every patient, from neonatal to adult

Servo-u includes invasive and non-invasive ventilation with a wide range of control, support and interactive modes to suit patients in all phases of ventilation.

Ventilation performance

The combination of high-flow and high-pressure with a precise and accurate delivery allow you to ventilate any patient. The various modes give you the possibility to adapt ventilation to each situation.

Automode

Automode helps your patients' transition into spontaneous breathing with less need for staff intervention. It is an interactive mode that switches between controlled and supported ventilation conditional to patient effort.

NAVA and NIV NAVA

Neurally Adjusted Ventilatory Assist promotes lung protective spontaneous breathing with higher diaphragmatic efficiency, and fewer periods of over- and under-assist. This improves comfort  and sleep quality with less sedation. [8] [9] [10] [11] [12] [13] [14]

High Flow therapy

High Flow therapy reduces the patient’s work of breathing by delivering a gas flow volume to meet or exceed the patient’s inspiratory flow rate. [15]  Both Edi monitoring and the integrated nebulization can be used during High Flow therapy.

Ease of use

True ease of use makes you feel confident, reduces workload and positively impacts patient safety.

On screen tutorials

Servo-u provides informative text guidance for everything from pre-use check to initial parameter setting and throughout the entire treatment.

Safety scale

The Safety Scale tool makes changes quick and intuitive, and helps you avoid unusually high ranges. Furthermore, dynamic images illustrates how those changes effect patient breathing.

Alarm management

The alarm management system includes short descriptions to help you respond to, and further avoid, undesired alarms. On-screen highlights let you know which values are affected, while shortcuts take you directly to what needs to be changed.

Integrated nebulization

Aerogen nebulization is integrated into Servo-u, removing the need for a separate device. Aerogen delivers medicine to the patient’s lungs efficiently  without heating or degrading. [16]

Secure investment

It's time to take the stress out of ownership with a modular platform that grows with your changing needs

A modular platform

A range of software options and inter-changeable hardware modules allows you to configure to your current needs and upgrade as those needs change. It also means modules can be moved between ventilators, lowering overall costs.

High quality consumables

We offer an extensive range of readily available consumables designed with patient safety and ease of use in mind - all to help secure your everyday operations.

Connected to your data

MSync helps you to connect your Servo 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.

Maximum uptime

Optimizing your equipment's services is often an untapped opportunity to maximize productivity and reduce costs. Our Getinge Care service offering  allows you to focus on what’s important - saving lives.

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 | French | German | Italian | Spanish | Swedish | Dutch

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

  • Introduction to waveforms and ventilator settings

English

Modes of ventilation module two: Controlled modes

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

English

The basic concept of NAVA and Edi (10 min)

This eLearning is optimized to use with Internet Explorer 9 or later version.

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

English | French | German | Italian | Spanish | Dutch

How to set up NAVA and Edi in your hospital (10 min)

This eLearning is optimized to use with Internet Explorer 9 or later version.

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

English | French | German | Italian | Spanish

Downloads

All references

  1. 1. http://ccforum.biomedcentral.com/articles/10.1186/s13054-016-1431-1

  2. 2. Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med. 2014 Mar 6;370(10):980.

  3. 3. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respira-tory Distress Syndrome Network. N Engl J Med. 2000 May 4;342(18):1301-8.

  4. 4. Amato et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015 Feb 19;372(8):747-55.

  5. 5. 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 Med. 2014 Nov;40(11):1718-26.

  6. 6. Brander L, Leong-Poi H, Beck J, Brunet F, Hutchison SJ, Slutsky AS, et al. Titration and implementation of neurally adjusted ventilatory assist in critically ill patients. Chest 2009;135:695e703.

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

  8. 8. Cecchini J, et al. Increased diaphragmatic contribution to inspiratory effort during neurally adjusted ventilatory assistance versus pressure support: an electromyographic study. Anesthesiology. 2014 Nov;121(5):1028-36.

  9. 9. Di Mussi R, et al. Impact of prolonged assisted ventilation on diaphragmatic efficiency: NAVA versus PSV. Crit Care. 2016 Jan 5;20(1):1.

  10. 10. Yonis H, et al. Patient-ventilator synchrony in Neurally Adjusted Ventilatory Assist (NAVA) and Pressure Support Ventilation (PSV). BMC Anesthesiol. 2015 Aug 8;15:117.

  11. 11. Piquilloud L, et al. Neurally adjusted ventilatory assist improves patient-ventilator interaction. Intensive Care Med. 2011 Feb;37(2):263-71.

  12. 12. Kallio M, et al. Neurally adjusted ventilatory assist (NAVA) in pediatric intensive care – a randomized controlled trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.

  13. 13. Piastra M, et al. Neurally adjusted ventilatory assist vs pressure support ventilation in infants recovering from severe acute respiratory distress syndrome: nested study. J Crit Care. 2014 Apr;29(2):312.e1-5.

  14. 14. De la Oliva P, et al. Asynchrony, neural drive, ventilatory variability and COMFORT: NAVA versus pressure support in pediatric patients. Intensive Care Med. 2012

  15. 15. Dysart K et al. Research in high flow therapy: mechanisms of action. Respir Med. 2009 Oct;103(10):1400-5.

  16. 16. Ari A and Fink JB. Guidelines for aerosol devices in infants, children and adults: which to choose, why and how to achieve effective aerosol therapy. Expert review of respiratory medicine. 2011;5:561-72.

  17. 17. Data on file Maquet Critical Care AB. Formative usability tests with 12 subjects. October 7-9, 2013. Paris, France.

  18. 18. Kacmarek RM, et al. Open Lung Approach for the Acute Respiratory Distress Syndrome: A Pilot, Randomized Controlled Trial. Crit Care Med. 2016 Jan;44(1):32-42.

  19. 19. The views, opinions and assertions expressed on the page with regards to ventilation are strictly those of the interviewed and do not necessarily reflect or represent the views of Maquet Critical Care AB. The Servo-u may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.