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Tips for buying Ventilator, Portable. Portable ventilators shouldmonitor the following: airway pressure, respiratory rate, I:E ratio, andminute volume. The portable ventilator unitsshould provide controls for the following: FiO2, PEEP/CPAP, tidal volume,pressure level, respiratory rate, I:E ratio, pressure support,sensitivity, and pressure limit. Portable ventilators (alsoknown as intermittent positive-pressure breathing units) should be able tooperate in a variety of conditions. They also should not be affected byelectromagnetic interference and electrostatic discharge. The ventilatorand breathing circuit should not be excessively noisy or distracting. All controls on the home careventilator should be visible and clearly identified, with simple functions.The design should prevent misinterpretation of displays and controlsettings.
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Controls should be protected against accidental setting changesand sealed against fluid penetration. Fluid spills should not affectpatient and operator safety, as well as system performance. Portable respirator visualand audible alarms, which are distinct and easily identified, should alertfor peak inspiratory pressure, low CPAP/PEEP, respiratory rate, gas supplyloss, low battery, and power failure. Even in cases where the alarmvolume is adjustable, users should not be able to turn the volume down solow that the alarm is not heard. If the alarm condition is not corrected,the alarm-silencing feature must reactivate automatically. If an alarm issilenced, a visual display should clearly indicate which portablerespirator alarm is disabled.
Visual indicators arerecommended for home care respirator units offering additional modes, suchas SIMV. These indicators should identify when the portable ventilatorsenses a breathing effort and what type of breath the patient receives. When the portable ventilatoris switched from line to battery power and from an external to an internalbattery, audible and visual alarms should activate. The home careventilator unit should also have a low internal battery alarm.
Portable ventilator alarmsshould use different audible tones and visual indicators to identify thepriority of the alarm. It should not be allowed to disable visualindicators. A major factor for facilitiesto consider is the ease of use and transportation of the portableventilator.
Home care respirators should be easy to operate, especially inemergencies.
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