Problem Solving Your Childs Home Ventilator (Astral) The .

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Problem Solving your ChildsHome Ventilator (Astral)the Astral Ventilator

Problem Solving your Childs Home Ventilator (Astral)You’re already a good problem solver. It’s something you do every day with all sorts of things. Troubleshooting the Astral will get easier with experience but here are some general points:1. Your child comes first. If you are having problems with equipment, always check your child is okayfirst. If they are okay then you have time to sort the problem. If they are not, then you may need tosupport them with your backup equipment (bag or second ventilator) until the problem is resolved.2. Your child comes second too. Occasionally what seems like a technical problem is due to a change inyour child. Are they okay?3. Be prepared: If you are having technical problems, check you have everything you need in case theproblem gets worse and/or you need to take your child to hospital.4. Safe learning: With experience you will recognise most problems and know how to fix them. Yourhealth team will help you safely learn.5. Be systematic: Some problems require you to carefully check things in a systematic way. Startingwith your child, the circuit, accessories and other parts of the setup, and then the ventilator. Then doa learn circuit. Does this resolve the problem? If you keep a diary or observation chart, write downdetails of problems and how you resolved them.6. Get help: Contact your health team or technical support. The more information you can give them,the better they can help. If there were alarms or error messages, write down the exact words (ortake a photo with your smartphone). Try to describe exactly what was happening. Sometimesdescribing what else was going on at the time and any recent changes in setup can be vital clues.Starship Respiratory ServiceLTV 7Rev 2021

Problem Solving your Childs VentilatorGeneral Problem Solving:a. Check the circuit setup – this is the most common cause of problems. Drain any water out ofthe circuit. If you use a double-limb circuit, check the circuit adaptor too.b. Do a ‘learn circuit’ (see section in booklet on how to do this). A learn circuit helps identifyproblems and re-calibrates. It also does internal checks. This may resolve the problem.c. Check you are doing things the right way – check your guides and/or with someone else.d. Try swapping to your alternative ventilator. If the problem is resolved, this suggests the otherventilator had an issue. If it persists, the problem may be elsewhere.Starship Respiratory ServiceLTV 7Rev 2021

Specific Astral Problem SolvingFault/issueSuggestionsCondensation in breathingcircuitSee ‘Troubleshooting the Humidifier’Learn circuit failedCheck the circuit is the right type and set up correctly.Check the circuit for leaks.Repeat the ‘learn circuit’ (try with circuit straight)If double-limb circuit, check the expiratory adaptor and the modulebeneath it – check the blue membrane and sensor are pushed down flushwith the enclosure.Learn circuit cautionThis may indicate the circuit being used is higher resistance than the Astralexpects. This is still safe to use but discuss with your health team.Circuit faultCheck the circuit for water, leaks or faults.Perform a learn circuit.If alarm persists, replace circuit do another learn circuit.Consider alternative ventilator/circuit.Contact your health team.Touch screen damaged orunresponsiveCheck on your child.Switch to alternative respiratory support.Try powering on/off the device.If you can’t do this normally then disconnect the mains power, press andhold both the green on/off button and the alarm mute button for at least10 seconds. After 10 seconds the alarm button will flash. Release thebuttons. It will power down and can then be restarted as usual.If this doesn’t resolve the problem, contact your health team.For further information see pages 65-72 of your Resmed Astral User Guide.Starship Respiratory ServiceLTV 7Rev 2021

Specific Astral Problem SolvingFault/issueSuggestionsBattery fault messagesCheck battery connections.If fault persists, contact your health team.Critical faultCheck on your child and transfer them to alternative ventilator ormanual bag.Contact your health team.Safety reset completeThe device detected a fault and was reset.Check your child is okay.If the alarm persists, switch to a back-up ventilator and return the devicefor service.Contact your health team.System faultCheck your child is okay.If the alarm persists, switch to a back-up ventilator and return the devicefor service.Contact your health team.Safety reset completeThe device detected a fault and was reset.Check your child is okay.If the alarm persists, switch to a back-up ventilator and return the devicefor service.Contact your health team.Error code XXXCheck on your child.Consider switching to alternative respiratory support.Contact your health team with the specific code.For further information see pages 65-72 of your Resmed Astral User Guide.Starship Respiratory ServiceLTV 7Rev 2021

Problem Solving OverviewApparent emergency health or technical problem: Check and maintain child’s safety Use alternative means of respiratory support and/or call for help as appropriate Consider whether this is a technical (equipment) or child health issue.Emergency child health issueEquipment / technical issue – troubleshooting Maintain child’s safety at all times. Maintain child’s safety at all times. Check correct setup and operation. Manage as appropriate (see guidelines). Note any alarm messages. Communicate with your health team. Re-do learn circuit if appropriate.Problem resolved Document event andProblem unresolved Consider child’s safety and comfort.actions taken toresolve it. Communicate withSafe & comfortable your health team. Document event andUnsafe or uncomfortable Switch to alternativeactions taken tomeans of supportresolve it.(bag and mask orCommunicate withback-up ventilator asyour health team.appropriate).Watch out for comfort and safetyissues. Re-checkCommunicate withyour health team. Document event andbackup andthe actions taken toemergencyresolve it.equipment. Watch for comfortand safety issues.Re-check backup andemergencyequipment. Starship Respiratory ServiceLTV 7Consider transfer tohospital Rev 2021

Starship Respiratory Service LTV 7 Rev 2021 Specific Astral Problem Solving Fault/issue Suggestions Battery fault messages Check battery connections. If fault persists, contact your health team. Critical fault Check on your child and transfer them to alternative ventilator

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