Thanks to their ease of use, various respiratory therapy modes, integrated oxygen measurement without consumables, and adjustable alarm limits, these devices can be used in acute care, physiotherapy, and general nursing care alike.
It is a special challenge in CPAP therapy to compensate mask-related leakages. Even short-term pressure drops of just 0.2 to 0.4 seconds may lead to the collapse of alveolar areas. With its comprehensive dynamic leakage compensation of up to 200 liters per minute, db 2000 prevents drops of respiratory pressure below the lower inflection point and thus helps avoid hypoxemia induced by alveolar collapse.
Atelectasis resulting from general anesthesia frequently persists for the first postoperative days. The resulting postoperative restriction of pulmonary function depends on patient-specific risk factors (COPD, age, smoking, ASA status) and the length of surgery (> 3 hours). The intermittent use of mask CPAP for quick restoration of lung volumes is a decisive step to help minimize the risk of postoperative pneumonia and other pulmonary complications. db 2000 is suited for use in the recovery room in the immediate postoperative phase.
Nebulized drug delivery can be combined with the continuous flow of CPAP therapy for the patient's benefit. The combination of both methods can enhance intrapulmonary efficacy and thereby optimize the drug therapy. db 2000 makes it easy to nebulize medications and does not require any trigger mechanisms for nebulizer control.
Mask-related complications occur with greater frequency the longer the patient is on CPAP therapy, which often leads to escalation procedures. Helmet CPAP therapy offers a patient-friendly alternative and can help avoid intubation and reduce lethality. Helmet CPAP therapy can also be used as a preventive approach for avoiding mask-related problems and allows for the safe application of higher PEEP levels. It is well accepted by patients as a supplementary therapy option, since helmet CPAP significantly reduces eye irritation and stomach bloating. To avoid any undesired CO2 rebreathing, db 2000 is equipped with a high-flow CPAP system with adjustable flush flow.
As a supplement to mask and helmet applications, nasal CPAP–with the corresponding positive end-expiratory pressure (PEEP) setting–represents an interesting therapy option. In contrast to CPAP therapy with low PEEP settings, nasal CPAP with settings of 9-10 cm H2O lead to a rise in the oxygenation index without hemodynamic effects. The literature documents reduced stays in intensive care and clinical settings as a consequence. In addition, nasal CPAP allows for prolonged application as part of the weaning process and for postoperative respiratory therapy. db 2000 delivers CPAP in three different modes with varying devices.