While neonatal jaundice – or hyperbilirubinemia – occurs in almost all babies, it is a cause of concern for caregivers and anxiety for families. If not treated in time, neonatal jaundice can lead to permanent brain damage1 . Screening for jaundice by visual assessment can lead to an overestimation of risk, which means unnecessary lab tests. This blood draw (total serum bilirubin testing (TsB)) requires a heel prick, which is painful for the baby and costly for the hospital. Visual assessment can also lead to an underestimation of risk, which could result in a failure to obtain necessary lab tests. That’s why transcutaneous bilirubin testing (TcB) has grown rapidly in the past few years as a standard practice in hospitals to identify at-risk infants. But even TcB has presented challenges in terms of human error and time consumption. Until now.

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The Savina® 300 combines the independence and power of a turbine-driven ventilation system with state-of-the-art ventilation modes and appealing design. The open breathing concept lets patients breathe at any time and in any mode. To improve workflow and reduce patient risk, Savina® 300 features a simple user interface that concentrates on essential controls and parameters.

HIGH VENTILATION PERFORMANCE – Full range of ventilation modes – The “open breathing concept” for stress-free spontaneous breathing – Advanced non-invasive ventilation with sophisticated leak compensation – Turbine with rapid response time and high flow delivery (max. 250l/min) – Capnography for monitoring of CO2 gas exchange

EASY OPERATION – Colour touch-screen with Dräger-wide standardized user interface – Intuitive system for simple operation and configuration – Advanced graphic capabilities with Loops, Trends and Logbook – Automatic device check

INDEPENDENT APPLICATION – No central gas supply or external compressors required – 5 hours of independent ventilation due to built-in and external batteries – Transport Supply Unit (TSU) for two gas cylinders – Bed coupling for quick connection between ventilator and patient bed during transport

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Savina– and your patients are in good hands

Even when faced with the most clinicallychallenging environments – including iso-lated rural or earthquake-endangered*areas – you can depend upon the Savina not to fail you. It combines excellent venti-lation performance, quality, versatility and ease of use.

Excellent, flexible ventilation perform-ance – Our open breathing system enables spontaneous breathing at any time and any pressure level in all ventilation modes during ventilation cycles – Internal turbine that eliminates the need for air cylinders or external com-pressor – Internal battery to bridge periods of power failure and to support mobility – Full range of ventilation modes to accommodate different patient popula-tions and acuity levels Excellent quality with an integral safety concept – Savina integrates the experience gained over decades of development work in modern intensive care ventilation – Nine rubies enable highly precise,endurable O2 dosage – one example ofour high quality – Three independent, invisible “body-guards” always on duty to improve patient safety – Three backup twin sensors on duty for: – FiO2 – airway pressure – minute volume Designed for ease of use – Direct access to essential ventilation settings – Intuitive operating concept for mini-mized training time – Bright, high-resolution color screen for excellent visibility – even from a distance – Ergonomic and sleek design that nicely blends into the clinical environment Minimize patient risk Savina offers advantages that help protectpatients every time ventilation support is needed: – Comprehensive NIV – available in all modes, with intelligent monitoring and alarms adaptation. With certain diag-noses, NIV has been shown to reduce the need for intubation, decrease the hospital length of stay and reduce the number of complications. – The open breathing system allows the patient to breathe spontaneously at any time and pressure level – in any ventila-tion mode during ventilation cycles. Easily adapt to changing needs Savina provides the flexibility to easily adapt ventilation therapy to individual patient situations: – The open breathing system with BIPAP/PCV+ enables a smooth transi-tion to the weaning phase. Weaning starts right when your patient is ready. – AutoFlow® brings “open breathing” to all volume controlled modes. The natu-ral flow pattern and spontaneous breathing contributes to better gas ex-change and secretion clearance. – Seamless ventilation from bedside to transport for the most critically ill pa-tients. This enables maintaining the same level of ventilation support in every situation. Support effective weaning Savina supports getting patients off the ventilator, safely and quickly: – Savina’s amazingly fast response to the patient’s flow demand as well as the highly sensitive patient trigger reduce the work of breathing. – Advanced leakage compensation provides adapted responsiveness and reliable triggering even in the presence of high leakages such as during NIV. Enhance recovery and long-term ventila-tion Savina supports recovery and comfortablelong-term ventilation: – Savina combines invasive and noninva-sive ventilation. Studies have shown that non-invasive ventilation helps to avoid reintubation and enhancerecovery times. – Responding to individual patient needs and supporting mobility, Savina makes a comfortable companion for patients in long-term facilities. – The LPO – Low Pressure Oxygenoption enables O2 delivery independ-ent from any central gas supply. Over 100 years of innovation in ventilation Dräger is committed to providing Tech-nology for Life®. We were there at the very beginning of modern ventilation, and we’ve been innovating ever since: 1907 – Pulmotor emergency resuscitator 1952 – “E 52 Iron Lung” long-term breath-ing system 1978 – Oxylog transportable emergency ventilator 1989 – BIPAP1) /PCV+ and APRV free breathing in PCV 1995 – AutoFlow® free breathing in VCV 1995 – Operating concept with touch screen and rotary knob 1997 – ATCTM automatic tube compensa-tion 2000 – Non-Invasive Ventilation (NIV) for ICU ventilators 2003 – SmartCare®/PS automated knowledge-based weaning tool 2004 – Disposable expiration valve 1) Trademark used under licenses Our reputation for quality and reliability is built on sound German engineering – but this is only part of Dräger’s commit-ment to ongoing support: – Clinical education and training that maximizes equipment utilization – DrägerService® including remote diagnostics help to maximize uptime and minimize lifetime operating costs – Continuous equipment development to protect your investment

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The challenge of achieving lung protective ventilation

Although respiratory care has come a long way over the years, complications attributed to apropriate settings of mechanical ventilation continue to have an adverse impact on patient outcome. Today lung protective ventilation strategies largely rely on physiological parameters which only reflect global lung function. The well known complications of atelectasis and overdistension call for insight into the distribution of ventilation in the ventral and dorsal regions of the lung so that measures can be taken to individually tailor ventilator settingss snapshot in time. Determining how different lung regions respond to therapeutic interventions over time is challenging without continuous regional information.

THE VISION – CONTINUOUSLY VISUALIZING VENTILATION

Dräger understands the need for continuous information about regional distribution of ventilation to be available at the bedside. Our search for a suitable solution revealed that the monitoring technique of Electrical Impedance Tomography (EIT) had the potential to address this need. The progress of development, and results of clinical studies, confirmed that EIT provides the required information in a superior manner

THE METHOD – ELECTRICAL IMPEDANCE TOMOGRAPHY

EIT monitoring involves the application of a small current and measurement of resulting voltages to determine the ventilation related impedance changes that occur in a thoracic cross-section.Advanced data acquisition techniques and sophisticated reconstruction algorithms are used to generate mographic images and parameters which enable the assessment of regional distribution of ventilation as well as short-term changes of end-expiratory lung volume within the cross-section. This offers clinicians a new and unique perspective on respiratory care.

PulmoVista® 500 offers: – Continuous information about regional distribution of ventilation, displayed as images, waveforms and parameters – Trend display of regional distribution of ventilation – Trend display of changes in end-expiratory lung volume

PulmoVista 500 is an Electrical Impedance Tomograph which has been specially designed for use in clinical routine. Data is continuously displayed in the form of images, waveforms and parameters. Simply put, PulmoVista 500 lets you visualize the distribution of ventilation.

Regionally specific information

Mechanical ventilation is commonly used as a life saving measure for patients with respiratory complications. However, mechanicalventilation may lead to lung injury and cause inflammatory responses.It is often challenging to set PEEP and tidal volume so that the well known adverse effects of mechanical ventilation are minimized.Due to the heterogeneous properties of the injured lung, veolar collapse and overdistension may occur in different parts of thelung. Information about the regional distribution of ventilation is valuable for the management of mechanically ventilated patients PulmoVista 500 has been specifically designed to display and quantify regionally specific changes of air content.

Continuous dynamic bedside imaging

PulmoVista 500 provides continuous real-time dynamic images of ventilation and intrapulmonary air distribution at the bedside. Monitoring is possible for up to 24 hours, enabling a close watch to be kept on critical lung conditions and the effect of therapy changes. Additionally, clever use of trended information provides further insight into patient progress.

Non-invasive tomographic monitoring

The regional ventilation monitoring provided by PulmoVista 500 is non-invasive and without any side-effects. Unlike chest x-rays or CT, there’s no ionizing radiation involved. EIT involves minimal preparation so monitoring is established in just a few minutes.Patient preparation only requires the positioning of a flexible non-adhesive belt around the patient’s chest. PulmoVista 500 has been designed with the busy ICU environment in mind and does not interfere with the ICU workflow. D-87-2010 D-102-2010 D-28201-2009

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