Giulia Giulia Gentle Neonatal Ventilation

The newest technology in neonatal nasal ventilation The goal of the latest research in the field of neonatal intensive care is the use of nasal ventilation in order to minimize or avoid the practice of endotracheal intubation. The beneficial physiological effects of nCPAP (nasal Continuous Positive Airway Pressure) on the respiratory system are well known. By applying continuous pressure to the lungs throughout the respiratory cycle, it prevents alveolar collapse by performing mechanical recruitment of alveoli; it improves oxygenation, lowers upper airways resistance and reduces obstructive apnoea(1)....

Synchronised with the future Giulia’s advanced technology and its small but highly sophisticated flow transducer allow it to provide babies with nasal Continuous Positive Airway Pressure, nasal Synchronized Intermittent Positive Pressure Ventilation (nSIPPV) and nasal Synchronized Intermittent Mandatory Ventilation (nSIMV). The improvement of nasal ventilation techniques permits the lowering of the rate of intubation in the population of preterm infants, thus reducing morbidity and costs(1, 5). The delivery of positive pressure synchronized with the infant’s own breathing gives an improvement...

Management of an open respiratory system It’s widely known that the main limit to the to detect gas leakages through mouth and nose so improvement of non invasive ventilation are the that the management of the main respiratory gas leakages through mouth and nostrils, due to parameters, pressure and flow, is now possible even nasal prongs application. In Giulia neonatal nasal ventilator this limitation The Giulia neonatal nasal ventilator encloses an has been successfully overcome. expiration valve, electronically controlled, by A sophisticated mathematical algorithm, running means of which it...

How technology makes life easier The key to the success of patient-triggered ventilation is to minimize the delay between the beginning of infant’s spontaneous inspiration and the increase of positive pressure in the ventilatory circuit, due to the activation of a mechanical breath. Moreover the trigger signal has to be a specific signal of spontaneous respiratory effort and any artefact should be detected and rejected by the system(8). For these reasons Ginevri has developed a dedicated flow sensor with enhanced sensitivity and very low response time (less than 100 ms). Therefore, the system...

How technology makes life easier The key to the success of patient-triggered ventilation is to minimize the delay between the beginning of infant’s spontaneous inspiration and the increase of positive pressure in the ventilatory circuit, due to the activation of a mechanical breath. Moreover the trigger signal has to be a specific signal of spontaneous respiratory effort and any artefact should be detected and rejected by the system(8). For these reasons Ginevri has developed a dedicated flow sensor with enhanced sensitivity and very low response time (less than 100 ms). Therefore, the system...

Accessories SCH 1000 Humidifier: The Ginevri SCH 1000 servo controlled humidifier is a piece of equipment designed to provide gas humidification in the patient ventilation circuit. The gas thermoregulation is managed by a servo-controlled proportional heating system that allows a constant maintenance of the desired humidity and temperature in the patient circuit. The humidity can be adjusted by the user on 5 different levels. Trolley: A complete trolley assembly facilitates the correct use of any ventilation system. Giulia original trolley is designed to allow for the safest manoeuvrability in...

Main Technical Specifications CONTROLS Continuous flow range Inspiratory time Expiratory time Ventilation freq, Insp flow PIP CPAP/PEEP FiO2 Trigger mechanism 0-18 L/min 0.1-2 sec 0.1-60 sec 1-150 breaths/min 0-18 L/min 0-60 mbar 0-10 mbar 0.21-1 Flow OPERATING MODES nCPAP nSIMV nSIPPV MANUAL INSPIRATION MONITORED PARAMETERS PIP FLOW CPAP/PEEP Ventilation freq Insp time Exp time FiO2 Yes (mbar) Yes (l/min) Yes (mbar) 1-400 breaths/min 0.1-2 sec 0.1-60 sec Yes ALARMS Low PIP High PIP Continuous Pressure Low battery Power failure FiO2 GRAPHICS CAPABILITY INTERFACING 10,4 “ TFT OLOUR SCREEN FLOPPY...

REFERENCES: 1. A.G. De Paoli, et al. Nasal CPAP for neonates. What we do know in 2003? Arch Dis Child Fetal Neonatal Ed 2003; 88:F168. 2. A Greenough, et al. Respiratory support. In: A. Greenough, A.D. Milner: Neonatal Respiratory Disorders (Second Edition) – Ed. Arnold, London 2003; p. 152. 3. B. Lemyre, et al. Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive pressure (NCPAP) for apnoea of prematurity. Cochrane Database of Systematic Reviews, 2001. 4. C. Moretti, et al. Prolonged intermittent positive pressure ventilation by nasal prongs in intractable...