The db edition universal intensive care ventilator was developed for all patient categories, starting from a body weight of 2 kg. Its state-of-the-art microprocessor technology, precise measuring techniques, and efficient technology of the universal ventilator guarantee accurate ventilation, economic operation, and patient-specific ventilation strategies.
The pressure-controlled db edition universal ventilator combines the patient's spontaneous breathing with dynamic adjustment of the upper pressure level to the tidal volume, thus linking the benefits of pressure-controlled and volume-controlled ventilation. Thanks to the virtually automatic setup, less user time is spent on settings. The upper pressure level self-adjusts within an established safe range. As two additional benefits, the db edition universal ventilator allows for performing lung-protective ventilation therapy with low tidal volume and CO2 target values are easily reached based on volume specifications.
The leakage rate during mask ventilation is subject to continuous variation, which hampers spontaneous breathing at the upper pressure level. It may also impede the reliable detection of the trigger signal and the criterion for activating pressure support. Conventional ventilators attempt to address these problems with compromises, such as pressure-controlled ventilation (PCV) without spontaneous breathing at the upper pressure level or a trigger signal. The db edition universal ventilator offers an effective technical solution instead. Its highly responsive measuring and control technology, comprehensive leakage compensation, and trigger detection based on adaptive byflow technology make no compromise in ventilation therapy in spite of mask-related leakages.
Even current clinical study results do not provide any clear specifications for weaning. There still is no reliable indicator to accurately predict weaning success. The current recommendation is to perform a daily, structured spontaneous breathing test to assess the patient's respiratory situation. Weaning protocols allow for the clinical assessment of the actual status along with continuous evaluation of spontaneous breathing activity. Tube-related resistance can be compensated to eliminate factors that impede weaning due to additional work of breathing (WOBadd). The db edition universal ventilator supports the successful application of weaning protocols with adjustable inspiratory and expiratory tube compensation, P01 occlusion pressure measurement, Rapid Shallow Breathing Index (RSBI), and Negative Inspiratory Force (NIF).
Preoxygenation and postoxygenation procedures with 100% oxygen during bronchial hygiene measures pose the risk of causing alveolar collapse with so-called resorption atelectasis. When the inspiratory oxygen supply is reduced below 80%, the extent of oxygen-related resorption atelectasis can be drastically decreased. The automatic suction routine (ASR) of the db edition universal ventilator adapts the inspiratory oxygen to the necessary level, which contributes to reducing oxygen-induced complications.