1. Nitric Oxide Set-up for Patients on Ventilator

2. Injector Module Place the injector module
directly to ventilator on the
inspiratory limb of the ventilator
circuit, where the gas flow exits
the ventilator.
This is the same for any
ventilator.
Inspiratory
Injector Module

3. Sample line non- heated circuit set up
Is placed in line on
inspiratory limb, 6-12”
after the injector module
and 6-12” from patient.
Will need to cut
circuit and use blue
adaptor to add T-piece
for sample line. S A M P L E I N

4. Sample Line for heated circuit
Sample line placed on dry
side of heater 6-12” after
injector module .
Will need blue adaptor
to place in-line and T-piece
where sample line attach.
Sample Line

5. Nitric Machine Big white power button on back of Nitric. Touch Screen
To adjust NO level touch and turn knob.
Constant sample being measured for accuracy.
Photo from dartmed.dartmouth.edu
Sample measurement
NO Level
Delivery line

6. Connecting the Nitric tank
Remove the shrink wrap and red lock (push down on lock to remove.) Remove cap on tank and connect hose to tank (one hose for each tank.)

7. Turn tank on and purge line
Turn on tank: Turn tank on (open completely). When tank is off, dashes and the # Zero should be flashing. The dashes disappear when tank is on.

8. Delivery of Nitric Resuscitation Bag
Can bag with same amount of NO you can deliver in-line.
Must be hooked up to Oxygen source.
Attach Ambu bag to front of nitric where flow meter is located. Run flow meter at 15LPM.
Picture from dartmed.dartmouth.edu
NO dial
O2 line
Connect ambu

9. Nitric via Transport Ventilator
Sample Line
Injector Module

10. Common alarms and what to check
Low nitric oxide
Tank closed
Sample line blocked
Recalibrate
Make sure tank is on
Make sure sample line is not blocked

11. The big picture

12. When you are all done with Nitric
Turn off the gauge when Nitric is discontinued. You will see Dashes ( ) on the gauge when gas is completely off. No dashes and the tank is not off. Turn paper work in to Mike, also call mike and Cyndi when you turned it off.