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Apnea-flow alarm

Apnea-flow alarm
Manifestations
  • Non-moving ventilator bellows or piston
  • No patient respiratory motion
Potential causes
  • Patient factors
    • Patient apnea (no respiratory effort)
  • Equipment factors
    • False alarm
      • High threshold (neonate)
      • Malfunctioning flow sensor (moisture, burnt out filament)
    • Exhaled gas exiting breathing system before flowmeter
      • Large cuff leak (no exhaled gas into breathing system)
      • Lower airway suction (gastric tube in trachea, tracheal/bronchial suction)
    • Breathing system leak or disconnection
    • Breathing system obstruction
    • Airway (ETT or LMA) obstruction
    • Ventilator turned off or cycling failure malfunction
Suggested responses
  • Determine whether patient ventilation is occurring (examine chest, auscultate lungs, check CO2 waveform and respiratory monitors, check SpO2)
  • Look for breathing circuit disconnection or obstruction
  • Verify that ventilator is operating
  • Switch to manual ventilation
  • If necessary, ventilate with manual resuscitation device connected to oxygen
ETT: endotracheal tube; LMA: laryngeal mask airway; CO2: carbon dioxide; SpO2: pulse oximetry.
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