2. You could ventilate a patient
What if?
Without the risk of barotrauma
Without the risk of infections
Without a facemask
Without sedation
You could ventilate a patient
Increase cardiac output
Facilitate secretion clearance
Provide an active expiratory phase
Exercise musculature, promoting strengthening
And at the same time

3. Introducing Biphasic Cuirass Ventilation (BCV)

4. Introducing Biphasic Cuirass Ventilation (BCV)

5. BCV intro
The Hayek RTX is a ventilator, high frequency chest wall oscillator, and assisted-cough device all in one. It allows us to deliver all three modes of ventilation without changing the patient interface.
Can be used with positive pressure ventilation to improve clinical outcomes.
The only means of cardio-pulmonary support that functions in a truly physiologic way, increasing cardiac output.

6. BCV Identification
BCV
Why?
Who?
Where?
When?

7. Physiological and Natural
Why?
BCV
Non-invasive
Complete Ventilation
Cost Effectiveness
Physiological and Natural
Decreased Mortality
No risk of VAP

8. Why? Improvements in gas exchange Reduced work of breathing
Actively controls both phases of the respiratory cycle.
Provides even ventilation
Maintain respiratory muscles
Cardiac output improved
Reduces end tidal PCO2
Why?
Improvements in gas exchange
Reduced work of breathing
No risk of infections or barotraumas

9. BCV Who? Acute Respiratory Failure COPD and Asthma
Neuromuscular
(SMA, ALS, etc.)
Head and Spinal injuries
Cystic Fibrosis and those who require chest PT
Problems with weaning from PPV
And many more…
Who?

10. Who? Acute Respiratory Failure COPD Reduced Mortality
Reduced ICU admissions
Reduced hospital length of stay
Neuromuscular
(SMA, ALS, CF, etc)
Helps maintain the respiratory muscles
Provides physiotherapy and cough assistance
Provides an efficient method of weaning from PPV
Acute Respiratory Failure
No risk for VAP or barotraumas
No requirement for sedation
Facilitates the clearance of secretions

11. Where?
BCV
Emergency Room
Hospital
ICU/VRU
Transportation
Homecare

12. Where? Factors to Consider
BCV can be applied successfully outside of the ICU/VRU setting.
Outside of the ICU, cost efficiency is related to prevention of ICU admission.
Staff training is achieved effectively in terms of ease of use.
Allows for continuation of treatment for patients in the hospital, at home, in transport, and in emergency situations.
BCV can begin to provide treatment for patients before their condition deteriorates and hospitalization is required.
Is simple to use and comfortable for the patient.

13. When?
Early
Protocols
Recognition
Demand

14. Quick Comparison Alveolar Ventilation
BCV
Alveolar Ventilation
Decrease in intrathoracic pressure
Increase in Cardiac Output
Increase in Venous Return
Increase in renal function
Increased FRC
Positive Pressure Ventilation
Airways through interface
Increase in intrathoracic pressure
Decrease in Cardiac Output
Decrease in Venous Return
Decrease in renal perfusion
Follow the path of least resistance

15. Quick Comparison PATH OF LEAST RESISTANCE
Positive Pressure Ventilation
PATH OF LEAST RESISTANCE

16. Quick Comparison BAROTRAUMA Positive Pressure Ventilation
PATH OF LEAST RESISTANCE
BAROTRAUMA

17. Quick Comparison
BCV

18. BCV Modalities
BCV generates both inspiratory and expiratory pressures to produce 4 unique modalities of use, each with their own variation of benefits.
The combination of the modalities is based on the needs of the patient

19. BCV Modalities CNEP Mode
This mode of support uses CNEP which is applied to the thorax to expand lungs evenly for ventilation. This mode can be easily adjusted/manipulated to suit the individual patient’s requirements. The level is then adjusted until the work of breathing decreases. This will be noted with decreased retractions, use of expiratory muscles, metabolic acidosis, stable or falling CO2 and improved oxygenation. Used in conditions with increased work of breathing, small airways disease, V/Q mismatching and patients who may tire easily post extubation.

20. BCV Modalities Control Mode
In control mode, positive and negative pressures are applied, along with a controlled I:E ratio, to actively control inhalation and exhalation. This allows for the provision of full ventilator support. A mandatory respiratory rate is set and delivered. The patients do not fight against the mandatory breaths, as BCV utilizes the patient's own thorax to effect respiration. This is a unique function which only BCV has; It mimics physiological respiration.

21. BCV Modalities
Secretion Clearance (Vibration Mode + Cough Assist Mode)
Vibration Mode (High Frequency Chest Wall Oscillation)
Using frequencies of Cycles Per Minute, positive and negative pressures are applied to effectively expand and truly oscillate the chest wall and lungs to facilitate mobilization of secretions.

22. BCV Modalities
Secretion Clearance (Vibration Mode + Cough Assist Mode)
Vibration Mode (High Frequency Chest Wall Oscillation)
Using frequencies of Cycles Per Minute, positive and negative pressures are applied to effectively expand and truly oscillate the chest wall and lungs to facilitate mobilization of secretions.
Cough Assist Mode
To finish the secretion clearance phase, a cough assist mode mimics a huff cough to force up secretions. Using an I:E Ratio with an extended inspiration and sharp expiration, BCV facilitates mobilization and removal of pulmonary secretions