Best practice clinical protocols tell that neonatal ventilation should use both lung protective volume control and CO2 monitoring. Clinicians who do not combine volume and CO2 monitoring in the smallest patients, tend to do so because the excessive deadspace will not let them.
The Europlaz Flow Sensor enables clinicians to follow the correct protocols, by combining the sensor for measuring flow-volume with an optimally placed sampling port for safely extracting gas for tidal flow CO2 monitoring.
Europlaz is a cutting-edge medical technology manufacturer. The flow sensor is produced using automated micro-robotic assembly, for a highly consistent sensor quality, performance and traceability.
The Flow Sensor is also available without the side-port, for those situations or markets that do not use tidal flow CO2 monitoring.
Combined deadspace of 2ml to 5ml.
Large, unyielding and uncomfortable.
Prone to connectors mismatch and human errors, which can result in significant measurement errors.
Elevated risks of lung protective volume errors, from ventilator sample gas estimation and connection errors or secretion in sampling tube.
Higher gas turbulences contributing to flow and CO2 measurement errors.
Cost of two separately stocked parts.
In sidestream CO2 monitoring, a chain of connectors can by nature not entirely mitigate human errors such as not pushing them fully together or inadvertently placing them in the wrong order.
Placing the side-stream adapter before the flow sensor, for example, will result in a significant tidal volume error, because the ventilator assumes post-sensor sampling gas loss that does in fact not occur.
Worst case, the ventilator overshoots tidal volume by 50%. Also, the turbulent gas mixing will result in an EtCO2 under-measurement.
The smallest patients require a minute-volume as low as 100ml. When considering that the sidestream adapter draws 50ml/min, this means that the ventilator must estimate and compensate for 50% of the tidal volume.
Any secretion and sampling line obstruction, or sidestream pump wear, has potential for quickly creating a significant estimation error and volume inaccuracy. Such an error will in turn also affect the calculation of compliance and resistance values, potentially providing wrong feedback to clinicians. This carries a safety risk in lung protective ventilation of the smallest and most fragile patients.
Deadspace from the extra connector can be a significant detractor for use with the smallest babies. So called ‘low deadspace’ adapters still add a significant volume, where the smallest patients are concerned.
Also, the common design convention of using a flexible, contracting bore reducer can risk a slight misalignment to the small ET connector bore, with undesirable flow resistance and turbulence (measurement noise) results.
The Europlaz sensor eliminates all of the concerns described for the prior technology. The patented position and distance between the side-port orifice and the anemometer flow sensor is constructed to eliminate inaccuracies from the gas turbulence noise that can occur between multiple connectors.
You can contact your ventilator supplier to enquire about their variant of the Europlaz flow sensor with combined CO2 sampling port.
Infant ventilators for which the Europlaz Flow Sensor is 100% compatible:
Infant ventilators using hotwire technology for which the Europlaz flow sensor is not 100% compatible but could potentially be adapted with sideport technology:
• Draeger Babylog8000
• Draeger VN800
• Vyaire Avea
If you are interested in white labelling our Flow Sensors please contact us today to discuss your requirements.Contact US