If you’re a doc or nurse in Australasia and you take care of critically ill patients chances are you’ll be familiar with the Oxylog 3000. This is the workhorse many of us use to ventilate transported patients, whether it be to the CT scanner and back, or half way across the continent.
You may be familiar with it, but can you ‘own’ it?
George Douros, an Emergency Physician from the Austin Hospital in Melbourne — and the excellent EDteaching.com — has created these useful charts (partly inspired by Scott Weingart’s ‘Dominating the Vent’ talks: part 1 and part 2) to help you ‘own the Oxylog® 3000′. They can easily be cut in half, stuck together and attached to the machine or be used as posters to jog your memory.
This is the guide for pressure controlled ventilation:
And this is for volume controlled ventilation:
If you’re a little hesitant about playing with the knobs when the oxylog’s attached to a real person, George has reminded the LITFL team that there is a pretty cool online simulator that you can play around with on the Drager website.
Finally, as much as we love the Oxylog® 3000, we suggest you read Take a big breath in… and hold it so you don’t get caught out by the lack of an oxygen disconnect breakthrough alarm…
- EMCrit.org — Dominating the Vent part 1 and part 2
- EM Updates —- Emergency Department Intubation Checklist v13
- Pulmonary Puzzle 012: Man versus machine — can you deal with post-intubation hypoxia?
- Pulmonary Puzzle 013: Bronchospastic blood pressure badness — what about post-intubation hypotension in an asthmatic?
- Pulmonary Puzzle 014: Alarmingly high pressures — what to do when a high pressure alarm goes off? Which pressures are important?
Addendum 7 Sept 2011
There have been a few comments about how to measure plateau pressure using the Oxylog 3000. Here is a diagram from the user manual showing exactly what plateau pressure is (in volume-controlled ventilation IPPV (CMV) mode):
If you’re not quite ready to own the Oxylog yet, start with the basics in this great video by Jo Deveril and ‘borrow the Oxylog 3000‘ first!