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Organis TestChest® Flight Simulator for Intensive Care Clinicians

Organis TestChest® Critical Care challenges The equipment and devices intended for the care of critically ill patients make the ICU one of the most technologically sophisticated environment in any hospital. The aim of this technology is to facilitate everyday practice by decreasing workload but it may become a source of dilemma as it is difficult to handle and often not totally trustworthy. ICU is likely the most error prone environment in the hospital. Training on ventilation modes with simulation is crucial for patient safety Mechanical Ventilation is a life-saving method used to assist...

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ORGANIS TESTCHEST®Respiratory Right Simulator for Intensivists Intuitive The high-end lung simulator is an easy tool to use for training on ventilation management. It supports any kind of artificial respiration in anesthesia, intensive care, emergency medicine and home care. Realistic TestChest® combines the simplicity of a physical model with the sophistication of advanced mathematical modelling to provide a complete solution for a real patient's conditions. TestChest® is capable of replicating pulmonary mechanics, gas exchange and hemodynamic responses of healthy and pathological adult....

ORGANIS TestChest® has unique features in terms of representing compLex breathing patterns. PhysioLogicaL equations realize two modes of spontaneous activity: The driving pressure (p0.1) for ventilator triggering and the loading of respiratory rate. Muscular activity, important criteria for weaning, can be easily simulated. In contrast to mechanically lungs, TestChest® inspiratory compliance is a non-linear function that can be represented as S-shape curve. TestChest® aflows the simulation of lung coflapse and recruitment as weA as hysteresis of the pressure-volume loop. A variety of...

TestChest® consists of two bellows driven by a Linear motor. The Large voLume ensures a reaListic replication of vital capacity and FRC of an ICU adult patient. TestChest® contains alveolar, airway, and ambient pressure sensors as weA as a temperature sensor. TestChest® features a detachable calibration module, which makes it accurate for years of use. Options including intrapulmonary oxygen sensor, mass flow controLLer for CO2 production, puLse oximeter simulator in form of an “artificial finger", variable dead space and variable leakage are available. TestChest® is loaded with highly...

SETTINGS PARAMETER_ Chest wall Compliance Total Compliance Functional Residual Capacity (Predicted) Airway Resistance Spontaneous Breathing Activity (P0.1) Spontaneous Respiratory Rate lower Inflection Point Upper Inflection Point MEASUREMENTS Functional Residual Capacity Alveolar Pressure Airway Pressure Airway Temperature Barometric Pressure End-expiratory Lung Volume Tidal volume UNIT ml/mbar ml/mbar BTPS ml mbar/(L/s) mbar/100ms /min mbar mbar ml mbar mbar °C mbar ml ml BTPS The physiological model built into TestChest® was designed to simulate the human cardio-respiratory system for...

ORGANIS TestChest® interfaces • CO2 connector, tube 0 4 mm • Manually adjustable valve for leakage • Airway connector, connection to the ventilator • Leakage outlet • DB9 connector for pulse oximeter simulator • USB-B connector for service • J45 connector for Ethernet • DB9 connector for analog output

The communication between the user interface and TestChest® is effectuated via standard TCP/IP network connections. The communication status is continuously displayed via colored indicators in order to draw the attention of the user about it. AQAI Simulation Center is a cooperative partner of Organis and has developed a PC based software “Basic Control" Organis GmbH has developed a new cockpit that controls the TestChest® and runs on any window PC. User Interface features • Selection of preconfigures patients scenarios. • Selection of preconfigured spontaneous breaths. • Calibration...

ORGANIS Example Transition from a passive to an actively breathing patient. SCENARiOS Passive Weak Strong Normal (no Respiratory Respiratory Respiratory Respiratory Effort) Activity Activity Activity Background Respiratory drive, spontaneous breathing rates, respiratory muscle tension and oxygen consumption may vary considerably with the patient s breathing efforts. Therefore, a systematic simulation of these conditions in a stepwise fashion might be highly instructive. Simulation Set respiratory drive iPo.ll and spontaneous breathing rate if(spont)] according to table below. Then adjust...

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