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to use the Vox and oxygen therapy all
you have to do is first go to the
therapy screen once you're in the
therapy screen simply look for the
oxygen icon located here once you're in
the oxygen screen you'll notice three
different presets again that's gonna
mirror exactly what you saw and the
ventilation presets the only thing
that's different in oxygen is that
unlike where the ventilator is always
running so you always have an active
preset in oxygen you have to start or
stop the oxygen concentrator and choose
between one of the three presets so here
I've got preset one preset two preset
three just like ventilation I can
customize those names but I also have
the start button here that's going to
let me know that any one of these
presets I have to start before the
auction is active you also know the
auction is not active because you're not
seeing an O for the therapy icon
indicator and the status bar now if
you're looking at the three different
presets here you can see that boxin uses
three different sources of oxygen on the
first side preset number one you can see
we're using three liters per minute of
oxygen of pulse dose on the internal Oh
two concentrator so boxin has its own
built-in internal oxygen concentrator
capable of delivering up to six liters
per minute of oxygen again what's unique
about the Vox and system is the oxygen
direct the oxygen direct system ensures
that oxygen is delivered in the first
two-thirds of the patients breath when
the patient needs it most that is made
possible by using the Ventech one
circuit with the oxygen tube included
preset two you can see it says Oh to
bleed and this is an example of us using
an external low-pressure oxygen source
you can see there's no setting so it's
not letting us know how much oxygen is
coming in from the low-pressure source
to set the amount of oxygen you receive
from a low pressure source you actually
have to do that on the low pressure
source that you're using so if you're
using an external oxygen concentrator
set your oxygen at the external oxygen
concentrator the third preset here you
can see it says 75%
FIO - this is an example of boxing using
an external high-pressure oxygen source
so if you need more than six liters per
minute of oxygen which is about 40% fio2
you can connect to an external
high-pressure source to add additional
oxygen so if I want to adjust any of
these settings just like what I did with
ventilation I'm gonna go to the settings
in alarm icon here I tap the settings in
alarm icon and my traditional settings
that you're gonna be used to seeing with
oxygen can be found here again first
thing I can do I can change the name of
any of these presets my presets can be
selected preset one preset two and
preset three once I've selected the name
that I want I need to then select my
oxygen source
so again boxin has three different
sources of oxygen that can be found
simply by clicking the edit button
external high-pressure internal Oh two
concentrator or low-pressure Oh - in
this example I'm just going to keep it
with the external high-pressure I'll
click accept and I'll scroll down again
if I want to change the delivery mode I
can so fio2 means I'm delivering a
continuous burst of oxygen to the
patient but I can change that from fio2
to pulsed dose again boxin is the first
system that allows you to effectively
use a pulsed dose system while in
ventilation mode typically what happens
when you're running a ventilator and an
oxygen concentrator impulse dose when
the ventilator triggers the oxygen
concentrator typically triggers at a
different time that results and
ventilation breath and then a couple
microseconds later and oxygen breath
what happens then is that oxygen doesn't
get delivered at the right time it gets
delivered and the last third of the
patients breath or most importantly it
gets delivered during exhalation when it
really doesn't help the patient so boxin
is the first system where ventilation
and action can work together so in this
case and only can I run the oxygen
direct system while using internal
oxygen concentrator I can also run
boxing with external high-pressure
impulse dose that allows me to conserve
oxygen I'm going to keep it right now in
continuous fio2 mode if I want to adjust
how much oxygen the patient is receiving
you can see here it's currently set at
seventy-five percent let's say that
patient needs more oxygen and I want to
increase that amount to eighty-five
percent all I'd have to do is hit the
edit button here I would type in 85 I
click accept and the setting has been
changed but it hasn't been implemented
yet to implement that setting change I'd
have to actually hit the start button
and run the oxygen in this case I don't
have an external source connected I'm
going to exit out and I'm back to my
screen now let's demonstrate using the
Vox an internal oxygen concentrator we
just configured an external
high-pressure source it's great to have
an emergency but what if I just need to
go across town if I'm just going across
town and my patient doesn't need that
much oxygen right now I have it set at
three liters per minute Kalakh Siachen
to activate that setting all I have to
do is hit start it's going to say verify
circuit configuration and press ok to
begin pre use test in this case I've
already set up and run my pre used test
previously so I've got my oxygen tube
connected you can see I've got the
oxygen on it says now active and I am
delivering based on the therapy
indicator oxygen with ventilation at 3
liters per minute of oxygen now let's
say I'm starting to move a little bit
and I need a little more oxygen right
now we're at 3 liters per minute I want
to increase that to 4 liters per minute
of option to do that all I have to do is
go to the settings and alarm icon here I
scroll down oxygen source internal o2
concentrator oxygen delivery mode pulse
dose that's my only option when I'm
delivering oxygen from the internal
oxygen concentrator is to use the boxin
oxygen direct system which is delivering
it in pulse DOS mode but down here my Oh
to flow equivalent I can change that
from 3 let's say we want to change it to
5 liters per minute I type in 5 I exit
out and as you can see here the setting
has been changed implemented I can also
see what my calculated fio2 is so right
now based on this patient based on the
breath settings and how the patient's
breathing I'm actually delivering a
little bit beyond the 40% I'm actually
at about 50% now we're
connected to a real patient but
generally speaking boxing would be
delivering about 40% fio2 for the
average adult male patient the next step
is if my patient really needs a lot of
oxygen so let's say I want to do a
section treatment or let's say I'm
really out of breath I can activate the
o2 flush so right now in the upper right
hand corner you can see that six liters
per minute that's going to let me know
that my Oh to flush is going to use the
internal oxygen concentrator if I'm
connected to a external source that's
gonna have a little fio2 RIT in there
and let me know it's going to pull from
the external high-pressure source if I'm
running the internal oxygen concentrator
I hit the o2 flush that's going to
deliver six liters per minute that's the
most it can do if I'm running oxygen and
flush and connected to an external
source of oxygen so I can deliver a
hundred percent oxygen it's gonna do a
complete flush at 100% fio2 so I'll go
ahead and run that flush now you can see
it's got a little countdown timer that's
gonna run the o2 flush for a period of
time you'll see the countdown timer go
when it completes the o2 flush will
automatically stop in this case action
will revert back to the 5 liters per
minute of oxygen I wasn't running the
internal concentrator it would just run
it for three minutes and then revert
back to not running the internal oxygen
cough strip so now let's say I want to
stop the o2 flush all I have to do is go
up to the stop o to flush icon here and
hit the stop o to flush if I hit here
nothing will happen because I am in the
o2 flush mode to stop the o2 flush
simply hit the stop o to flush and
oxygen will stop
you
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