Tuesday, June 30, 2009

GE Engstorm Carestation versus Drager Babylog review

Having been raised in the tradition of Sechrist, Bearcub Newport and VIP bird. Two hospitals have bought different mechanical ventilators recently. After using them in five patients each, here are my outcomes: GE carestation survival rate ZERO while Drager survival rate 75%.

Dragers vents are very user friendly. There are very few knobs to manipulate. The alarms sets in for a purpose.

The GE Carestation neonatal vent is part for a 3 in 1 machine that uses a software to convert the settings to a pressure vent. Its marketed as a ventilator needing no humidifier and uses only one size of tubings both from neonates to adults. It is so sophisticated that nobody could use it without setting off an alarm. My initial concern was really the tubings that are too big and is marketed as being able to compensate for the compliance of a neonates lung. its also marketed as a humidifier free respirator, eventually all my patients developed ET plugs. The alarms goes off for leaks that changes from10 to 60%, for a module that should be removed, for minute expiratory volumes. After reading the manual, the vent has settings that are not really possible when you are using the ventilator on a patient. take for example the RR, the brochure sets it from 3 to 120 but when I used it and wanted an RR of 70, the machine could not advance further for that setting even if you try to adjust the default. Maybe the carestation is a good adult ventilator, but as a ventilator for neonates, it still has to a lot to prove to me. Maybe it needs a good training program for end users because what is a sophisticated ventilator when nobody can use it.

Hands down its Drager.

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