V+Pro COPD Quick Reference Guide
React Health
Key Features
- Invasive and Non-invasive modes ⚕️
- Easily Transportable ?
- Up to 9 hours of battery life ?
- Record, Trend and Monitor ?
Contents
- Recommended settings
- Predicted body weight to tidal volume charts
- Flow cycle guide
Example Presets
Example Preset 1: Non-Invasive Ventilation
| Setting | Value |
|---|---|
| Mode | Vol. Targeted-PS |
| Patient Type | Adult |
| Humidification | HME or Humidifier |
| Circuit Type | Valveless |
| Breath Rate | 12 BPM |
| Inspiratory Time | 1.0 Seconds |
| Tidal Volume | 7-8 mL/kg (IBW) |
| Pres. Adj. Rate | Slow |
| Pres. Minimum | 8 cmH2O (above set PEEP) |
| PEEP | 5 cmH2O |
| Flow Trigger | 3.0 L/min |
| Flow Cycle4 | 65% |
| Time Cycle | 1.5 Seconds |
| Rise Time | 2 or 3 |
| Apnea Rate | 10 Backup BPM |
| Alarms | (set Alarms according to your Protocol) |
| Inspiratory Pressure | (High) 35 cmH2O |
Example Preset 2: High Flow Therapy
| Setting | Value |
|---|---|
| Mode | SIMV-Pressure |
| Patient Type | Adult |
| High Flow | ON |
| Flow2 | 30 L/min |
| Alarms | (set Alarms according to your Protocol) |
| High Insp. Pressure | (set Alarms according to your Protocol) |
| Patient Circuit Discon. | (set Alarms according to your Protocol) |
| High Pressure Delay | (set Alarms according to your Protocol) |
1 The settings referenced in this guide are suggestions and do not replace physician orders; please consult with patient physician to make sure that all settings are appropriate for the patient.
2 Adjust flow to achieve target SpO2 and/or CO2 targets.
3 Adjust to patient comfort.
4 See Flow Cycle Guide (pg. 4).
Predicted Body Weight (PBW) / Tidal Volume Charts
Males
| Height | PBW | Tidal Volume (mL/kg) | ||||
|---|---|---|---|---|---|---|
| 4 | 5 | 6 | 7 | 8 | ||
| 4'10" | 45.5 | 182 | 227 | 272 | 318 | 363 |
| 4'11" | 47.7 | 191 | 239 | 286 | 334 | 382 |
| 5'0" | 50 | 200 | 250 | 300 | 350 | 400 |
| 5'1" | 52.3 | 209 | 262 | 314 | 366 | 418 |
| 5'2" | 54.6 | 218 | 273 | 328 | 382 | 437 |
| 5'3" | 56.9 | 228 | 285 | 341 | 398 | 455 |
| 5'4" | 59.2 | 237 | 296 | 355 | 414 | 474 |
| 5'5" | 61.5 | 246 | 308 | 369 | 431 | 492 |
| 5'6" | 63.8 | 255 | 319 | 383 | 447 | 510 |
| 5'7" | 66.1 | 264 | 331 | 397 | 463 | 529 |
| 5'8" | 68.4 | 274 | 342 | 410 | 479 | 547 |
| 5'9" | 70.7 | 283 | 354 | 424 | 495 | 566 |
| 5'10" | 73 | 292 | 365 | 438 | 511 | 584 |
| 5'11" | 75.3 | 301 | 377 | 452 | 527 | 602 |
| 6'0" | 77.6 | 310 | 388 | 466 | 543 | 621 |
| 6'1" | 79.9 | 320 | 400 | 479 | 559 | 639 |
| 6'2" | 82.2 | 329 | 411 | 493 | 575 | 658 |
| 6'3" | 84.5 | 338 | 423 | 507 | 592 | 676 |
| 6'4" | 86.8 | 347 | 434 | 521 | 608 | 694 |
| 6'5" | 89.1 | 356 | 446 | 535 | 624 | 713 |
| 6'6" | 91.4 | 366 | 547 | 548 | 640 | 731 |
Females
| Height | PBW | Tidal Volume (mL/kg) | ||||
|---|---|---|---|---|---|---|
| 4 | 5 | 6 | 7 | 8 | ||
| 4'7" | 34 | 136 | 170 | 204 | 238 | 272 |
| 4'8" | 36.3 | 145 | 182 | 218 | 254 | 290 |
| 4'9" | 38.6 | 154 | 193 | 232 | 270 | 309 |
| 4'10" | 40.9 | 164 | 205 | 245 | 286 | 327 |
| 4'11" | 43.2 | 173 | 216 | 259 | 302 | 346 |
| 5'0" | 45.5 | 182 | 228 | 273 | 319 | 364 |
| 5'1" | 47.8 | 191 | 239 | 287 | 335 | 382 |
| 5'2" | 50.1 | 200 | 251 | 301 | 351 | 401 |
| 5'3" | 52.4 | 210 | 262 | 314 | 367 | 419 |
| 5'4" | 54.7 | 219 | 274 | 328 | 383 | 438 |
| 5'5" | 57 | 228 | 285 | 342 | 399 | 456 |
| 5'6" | 59.3 | 237 | 297 | 356 | 415 | 474 |
| 5'7" | 61.6 | 246 | 308 | 370 | 431 | 493 |
| 5'8" | 63.9 | 256 | 320 | 383 | 447 | 511 |
| 5'9" | 66.2 | 265 | 331 | 397 | 463 | 530 |
| 5'10" | 68.5 | 274 | 343 | 411 | 480 | 548 |
| 5'11" | 70.8 | 283 | 354 | 425 | 496 | 566 |
| 6'0" | 73.1 | 292 | 366 | 439 | 512 | 585 |
| 6'1" | 75.4 | 302 | 377 | 452 | 528 | 603 |
| 6'2" | 77.7 | 311 | 389 | 466 | 544 | 622 |
| 6'3" | 80 | 320 | 400 | 480 | 560 | 640 |
5 Source: http://www.ardsnet.org/files/pbwtables_2005-02-02.pdf
Flow Cycle Guide
This section illustrates the concept of flow cycling in ventilation.
Diagram Description:
The diagram shows a graph with Pressure (cmH2O) on the vertical axis and Time (sec) on the horizontal axis. A ventilation breath waveform is depicted, starting from a baseline pressure, rising to a peak, and then descending. Two points on the descending phase are marked:
- One point, labeled "Flow Cycle = 90%", indicates the point where the inspiratory flow has decreased to 90% of its peak value.
- Another point, labeled "Flow Cycle = 20%", indicates the point where the inspiratory flow has decreased to 20% of its peak value.
A dashed line segment represents the "Time Cycle", indicating a duration on the time axis. The diagram visually explains how flow cycling terminates inspiration based on a percentage of peak flow.
Note: This Quick Reference Guide contains limited information. Please refer to the VOCSN Clinical & Technical Manual for detailed use guidance.
Document Revision: LBL-00333-000 Rev B
