Servo-n Neonatal Ventilator
Servo-n Neonatal Ventilator
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
- Heliox therapy
- On-screen contextual help
- Workflow support
Oversikt


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.

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][13][14][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.

Heliox therapy for infants
Newborns weighing 3 kg or more who are experiencing airway obstruction (e.g. due to bronchiolitis or asthma) can now be treated with Heliox therapy*. Heliox is a mix of helium and oxygen that, due to its low density, facilitates laminar flow and minimizes airway pressure. Safe and easy to use, it can help these tiny ones reduce the work of breathing (WoB) and soothe obstructed airways.[16]

Safe, reliable and easy to use
When switching gas from air and O2 to Heliox and back, volume and CO2 monitoring as well as flow delivery are adjusted automatically by the ventilator’s Automatic Gas Identification. Heliox delivery is confirmed by the presence of the "HeO2" symbol on the screen. O2 concentration is easily adjusted between 21% – 100% and information texts facilitate Heliox administration in every mode.

Nebulization and Heliox
The Servo-n has an integrated Aerogen nebulizer that can be used with Heliox therapy. Together, they can help improve aerosol deposition, resulting in up to 50% more drug delivered. This is primarily due to helium's lower density than air or oxygen, meaning less gas turbulence and aerosol-partical impaction loss in the tubing and patient airways.[17],[18],[19],[20]
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.[21]

Reduced death and morbidity in neonates by 40%

Survival without morbidity increased by 40%

Decrease in chronic lung disease by 70%

Median length of stay reduced by 9 days
Securing your investment
Getting started with the Servo-u ventilator
Educational training video on how to get started using the Servo-u ventilator.
Getting started with NAVA on the Servo-u ventilator
Educational training video on how to get started using NAVA on the Servo-u ventilator.
Training
Improve your knowledge with our eLearning courses
Servo-u/n start up guide (20 min)*
- Preparing for patient
- Ventilating and responding to alarms
- Maneuvers and interventions
English (voice over)

Servo-u Open Lung Tool (20 min)
- Auto SRM, Auto RM, OLT Trends
- Patient cases
English (voice over)
Servo Compass (10 min)
- VT/PBW
- Driving Pressure
- Target ventilation
English (voice over)
Nedlastninger
Relaterte produkter
NAVA
Imagine being able to see and deliver what your patients want, while their own natural respiratory drive controls the ventilator. We call it Neurally Adjusted Ventilatory Assist (NAVA). It is based on close monitoring of the output of the patient’s respiratory center, by capturing the electrical signal that activates the diaphragm (Edi), using a dedicated gastric feeding tube (Edi catheter). NAVA shortens the time of mechanical ventilation[3] and increases the numberof ventilator-free days[3] [4] [5] by providing personalized ventilation that is bothlung- and diaphragm-protective.
Servino
Device for accurate, safe delivery and monitoring of inhaled Nitric Oxide for all patient categories
Servo-u Ventilator
Servo-u gives you many options for personalized lung protection and weaning. All are easy to understand, implement and use, making it simple to integrate advanced personalized ventilation strategies into your daily patient care. *The Servo ventilator and and/or ventilator options presented on this page may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.
Servo-air Ventilator
Servo-air is easy to use and independent from compressed air and external power supplies. It makes owning, learning and using quality ventilation even more attainable.
Servo-i Ventilator
A wealth of features and functionalities for treating adult, pediatric and neonatal patients.
Servo-s Ventilator
Ventilator based on proven Servo technology, ensuring safe, reliable and high quality ventilation.
Modular Room Systems
Rooms with high technology density must be configured to respond to changing trends. The modular room systems from Getinge flexibly adapt to all spacial conditions and requirements - today and tomorrow. They consist of a substructure, wall and ceiling elements, doors, and the integration of optional built-in elements.A modular room system is the perfect base for a hygienic environment such as the OR, ICU and CSSD while offering a unique combination of functionality, design and efficiency.
Servo-u MR
Ventilate all patient categories during MR scanning,from invasive and non-invasive ventilation to high-flow therapy.[1] *The Servo ventilator and and/or ventilator options presented on this page may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.
Alle referanser
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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.
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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.
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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.
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Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724
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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.
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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.
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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.
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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.
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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.
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Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.
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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.
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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.
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Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724.
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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.
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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.
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Herman J, Baram M. In the Midst of Turbulence, Heliox Kept Her Alive. Ann Am Thorac Soc. 2017. 2 Pilbeam
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Pilbeam SP, Barraza P, Raymond W, Timon B, Ivey C. Special techniques in ventilatory support. In: Pilbeam SP and Cairo JM ed. Mechanical Ventilation, 4th ed. St Louis: Elsevier;2006: 321-327.
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Fink J; Opportunities and Risks of Using Heliox in Your Clinical Practice; Respir Care 2006;51(6):651– 660.
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Bigham MT, Jacobs BR, Monaco MA et al; Helium/oxygen-driven albuterol nebulization in the management of children with status asthmaticus: a randomized, placebo-controlled trial; Pediatr Crit Care Med. 2010 May
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Alcoforado L, Brandão S, Rattes C et al; Evaluation of lung function and deposition of aerosolized bronchodilators carried by heliox associated with positive expiratory pressure in stable asthmatics: a randomized clinical trial; Respir Med. 2013
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Stein H. (APA, 2014). Neonatal outcomes. Retrieved from www.criticalcarenews.com.