405 Savina Ventilator 405/ Page 1 of 11

Description
The Draeger Savina is an electronically and pneumatically powered, microprocessor controlled;
time-cycled, pressure-limited, volume-constant ventilator designed for pediatric and adult
patients with tidal volumes > 50ml. The Internal Turbine Powered Blower can be used without
a compressed air source. The Internal Battery will function ~2 hours when fully charged.

Indications
Available Modes of Ventilation:

• CMV – Continuous Mandatory Ventilation

• CMV assist w/IRV or PLV

• CMV w/Autoflow

• SIMV w/PLV (pressure limited ventilation)

• SIMV w/or w/out Autoflow

• CPAP

• PSV

• PCV+

• NIV (leak compensation)

• APNEA Ventilation

See Section 400 Mechanical Ventilators for standard procedure, orders, house formula and
complications. See manufacturers manual of operation for complete description of controls and
alarms.

Performance Characteristics
• Frequency – 2 to 80 bpm

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• Tinsp - 0.2 to 10 s
• Vt - 0.05 to 2.0 L
• Inspiratory Pressure, Pinsp - 0 to 99 cmH20
• FI02 - 21 to 100 vol% (+/-3 vol.%)
• PEEP – 0-35 cmH20

• Trigger Sensitivity 1 to 15 l/min

∗ WARNING: Flow trigger can be turned off in CMV mode:

DO NOT TURN OFF FLOWTRIGGERING—THIS COULD RESULT
IN LOCKING PATIENT OUT FROM TRIGGERING A BREATH

• Pressure assist ΔPsupp. – 0-35 cmH20 (relative to PEEP)

• Flow Acceleration (FlowAcc) – 5 to 200 cmH20/s

Screen Operating Controls:

Waveforms – for selecting display of pressure or flow waveforms

Settings – Key for selecting the “Setting” screen page in order to set other ventilation
parameters

Alarms – Set and display alarm limits

Values - Selecting “measured values”

Config – Selecting configuration screen for system defaults, i.e. alarm volume or screen
brightness.

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Important operational considerations for this ventilator

Power switch and checking readiness for Operation

Power on – Savina performs a power-on self test, which takes ~20 seconds to complete. This
must be performed immediately before using the ventilator on a patient. (refer to pg 46 in the
Savina manual).

Start up: must perform both flow and 02 calibrations.

Procedures

Monitoring
• Paw
• expiratory MV
• Fi02
• Inspiratory breathing gas temperature, T
• apnea
• breathing rate
• inspiratory VT
Has a central “turn & push” rotary dial knob for selecting and setting the options displayed
on the screen.
Select/set by turning dial knob
To confirm, press dial knob. (A parameter value only becomes effective when confirmed by
pressing the dial knob). If parameter change is not confirmed, the ventilator will default to
previous setting.

Power switch and checking readiness for Operation

Power on – Savina performs a power-on self test, which takes ~20 seconds to complete.

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Alarm Messages/Conditions
For a detailed description of alarms see the operators’ manual.

Alarm In the event of an alarm the red or yellow LED will begin to flash. An alarm message
will be displayed in the right hand corner of the top line of the screen. A warning message
will appear and remain displayed until the clinician remedies the reason for alarm. Once a
fault has been remedied, the audible alarm will switch off and the warning message will
disappear from the screen.

Silencing Audible Alarms (2 minutes) Press >Alarm Silence< Yellow indicator LED will
light up. If cause of alarm has not been remedied, the audible alarm will sound again.

Expiratory Valve:
No intrinsic peep measurement available.

Battery – display:

• No AC line power

• Supply from an external battery ext. is lit green

• Internal battery fully charged – vent can run for ~2 hours on internal battery when fully
charged. Or 3.5 When switching automatically to the internal battery. !! Int. battery
activated is displayed.

Press Alarm Reset key to acknowledge message. The message will continue to be
displayed as an advisory.

• Int is lit green

∗ *WARNING If “!!!Int. batt. almost discharge” appears, Savina could

stop at any moment. Immediately plug into AC power.

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Setting Ventilation Modes:

• To activate ventilation mode, hold the respective mode key for 3 seconds or press the key
briefly, press dial knob to confirm. If not confirmed in 15 seconds the previous settings
will remain in effect.

• If an attempt is made to exceed the standard range for certain parameters, confirmation
will be required by pressing the dial knob.

CMV, CMVAssist – Continuous Mandatory Ventilation

Volume-Controlled ventilation w/fixed mandatory Ve.
Set CMV with:

• VT
• Inspiratory time Tinsp if plateau is on (Tinsp defaults to on when ventilator is powered on)
• Rate
• 02 Concentration
• PEEP

Supplements to CMV or SIMV Modes:

Pmax: pressure limit – Pressure spikes in CMV can be avoided by setting a pressure limit.

To set the Pmax, switch Pmax ON. Pmax is displayed as a dotted line.

Note: The ventilator will not allow the Pmax to be set higher than the pressure alarm limit.

Autoflow: an option available on our Savina. Dual Mode performs the same as the Draeger XL’s.
Inspiratory flow is decelerated and the set VT is delivered at minimum Paw based on patients measured
lung compliance if Autoflow is active, Pmax is automatically set to 5cmH20 below the Paw and cannot
be adjusted.

If Autoflow is not active, set pressure limit with Pinsp key

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When setting the pressure limit, assess that VT is still delivered, this will trigger: “Tidal volume
low alarm”.

Troubleshooting:

• Increase pressure limit

• Increase Tinsp

• Increase FlowAcc

Flow Acceleration (FlowAcc): Gives the clinician the ability to change the way Pressure and Flow
increases at the start of inspiration. FlowAcc and Tinsp can be adjusted to shape airway pressure
waveform to better match patients needs.

• Press Settings Key, turn dial knob to select value for –FlowAcc-, press dial knob, turn dial
knob to set value.
• The higher the value the steeper pressure and flow increases. Range 5-200cmH20/s. (default is
35 cmH20/s)

Trigger: Trigger level range can be adjusted by pressing Settings key. Confirm w/dial knob. The lower
the value the more sensitive activation of ventilatory support the ventilator will be for the patient to
trigger a breath.

Sigh: or intermittent PEEP. The sigh function increases EEP by the set intermittent PEEP for 2 ventilator
breaths every 3 minutes.

• Is only active in CMV & CMV-assist modes.

• Used to treat atelectasis.

Pressure Plateau: When the Savina is powered on, Pressure Plateau will default to ON.

When Plateau is on:

Tinsp is active allowing clinician to adjust inspiratory time.

If Plateau is turned off:

Savina cycles to exhalation at completion of Vt delivery.

SIMV, SIMV/PS Synchronized Intermittent Mandatory Ventilation with or without Pressure Support

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Set SIMV/PS with:

• VT
• Inspriratory Time
• Rate
• O2 Concentration
• PEEP
• Optional PSUP to augment patient spontaneous breathing efforts.
• Trigger (cannot be inactive)
• Flow Acc
• Autoflow option (ON/OFF)
• Pmax
• Apnea Ventilation is an additional option accessible in the >Settings< menu (Defaults: VT
500ml)

PCV+ (BIPAP), PCV+ / PS (BIPAP / PS)

Biphasic Positive Airway Pressure/ Pressure Support

PCV+ parameters:

• Inspiratory Time >Tinsp<

• Rate
• Fi02
• Pinsp
• PEEP
• Trigger
• FlowAcc
• ΔPsupp.above PEEP

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CPAP, CPAP/PS
Continuous Positive Airway Pressure/ Pressure Support

CPAP parameters:

• PEEP
• Fi02
• Additional settings for CPAP/PS
• ΔPsup above PEEP
• FlowAcc (for Psup)
• Trigger

Apnea Ventilation
Automatically changes to CMV if patient becomes apneic. Apnea Ventilation may be activated
in the following modes:

• SIMV
• SIMV/PSUP
• SIMV/PS/AutoFlow (option)
• SIMV/AutoFlow (option)
• CPAP
• CPAP/PS
• PCV+
• PCV+/PS

If patient becomes apneic, Savina activates alarm after the set alarm time, activating SIMV with
these parameters:

• Vt – VTApnea
• Rate – fApnea
• I:E ratio of 1:2

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Setting apnea ventilation

Press Settings key to display screen page Settings 1/1. With apnea ventilation switched on, the
fields VTApnea and fApnea are visible. Turn dial knob to select.

Any spontaneous breaths occurring after Apnea ventilation is activated can be assisted with
PSUP.

NOTE: Apnea ventilation cannot be disarmed on the Savina.

If apnea occurs, vent will automatically switch to Volume Control ventilation.

Non-invasive Ventilation (NIV)

∗ NEVER to be used on an intubated patient

• At startup, Savina is always in Tube mode

• All modes of ventilation can be used in Mask/NIV mode
• Select Standby Key, press Reset to activate Mask/NIV mode
• Select Mask/NIV, press dial knob to confirm.
• To set ventilator parameters, proceed as in Tube mode.
• Tinsp – in addition to setting the inspiratory time, Tinsp also is used to set the maximum
duration of the pressure supported spontaneous breaths. Range = 0.2 to 10s.

Automatic leakage compensation for triggering

Savina compensates for leaks up to 25 L/min.

Automatic compensation of set VT

Savina determines the presence of a leak, it will compensate lost volume up to 100% of
measured minute ventilation

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Monitoring in the “Mask/NIV” mode

In the event of very large leaks, the following alarms may be switched off to avoid
artifacts:

• MV – minute volume lower alarm limit

• VTi – inspiratory tidal volume upper alarm limit
• TApnea – apnea monitoring upper alarm limit
• Setting TDisconnect

In Mask/NIV mode a delay from 0-60 seconds can be set for the Airway pressure low
alarm. In the event of a disconnection, the activation of the alarm is then delayed by the time
set.

To prevent settings from being modified from unauthorized users:

Press Lock key. The yellow LED will display. Settings are now protected against any changes.
Press Lock again and settings can now be changed.

Standby:
Saves current settings while patient is on a transport.

1. To activate, press Standby for 3 seconds

2. Press Alarm Reset to silence alarm.

Pressing Standby again will resume ventilation.

Equipment Needed
• Savina Ventilator

• Fisher & Paykel Heated Wire Circuit, bacteria filters.

• Humidifier/Humidifier Chamber & Sterile H20 bag.

Discontinuation
Discard all disposables from ventilator, temperature probe placed in dirty bin in back of 4e to be
sterilized.

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Wipe entire ventilator down with hospital germicidal wipes, do not use wipes on screen.

Wipe screen with Asepti-HB to preserve the integrity of the screen.

Dress clean Savina with clean circuit. Store in 4F34 or in store room between SPD and CPD

Charting
All documentation is to be done on the SFGH RCS Cardiopulmonary Flowsheet or the ICIP
documentation system.

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