Servo I vs PB 840

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Permalink Reply by ric mandanas on February 11, 2009 at 2:02pm

Hamad Hospital got around 15 Servo I and 1 PB840 for demo. Presently we're comparing the performance of 3 ventilators actively being used here. Drager XL, Servo I, and Avea. Im tossed up between Sevo I and Drager.

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Permalink Reply by Prem on February 13, 2009 at 2:04pm

Hi Ric,

Thanks for the Responce.

Keep Up The Good Work.

Prem.

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Permalink Reply by Dona on February 11, 2009 at 2:36pm

Hello,
We have ServoI and PB 840. In My opinion, the 840 is the better of the 2. 840, also offers the NIV mode which allows for mask ventilation. The servoI, is easy to work with, but patients always seem "air hungry". It is really hard to adjust flow. I would go with the 840.
Dona

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Permalink Reply by ellen on February 13, 2009 at 9:40am

Hi. We are using PB840 and it is actually user friendly. Not so much fuss. All our ICUs are using it. We have few units of Evita XL just because of the autoflow and APRV features. Evita - 6 units, PB840-every ICU beds.

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Permalink Reply by Hijab Alanizi on February 17, 2009 at 4:21pm

here is a comparison spreedsheets, i started quiet long time ago.

Attachments:

• Mechanical Vent (Hijab).xls, 40 KB

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Permalink Reply by Prem on February 28, 2009 at 4:14pm

Greetings!

Nice work .Thanks for the Info.

Regards.

Prem.

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Permalink Reply by Mark on March 6, 2009 at 10:13am

Hi,

Our hospital has 45 conventional ventilators: 32 Avea, 8 PB 840, 5 Servo i.

Speaking only for the RTs in my department (currently 80+), the Servo i vents are ALWAYS the last 5 vents chosen when our census nears maximum. The perceived issues with the vent are seemingly continuous nuisance alarms, air-hungry patients (as mentioned above), and most of all: asynchrony with the vent!

The Servo seems to be fine with relatively uncomplicated patients such as post-op, afebrile, low VE patients. Adjusting flow, I:E, Ti, are indeed sometimes non-intuitive, and a bit of wandering through sub-menus is required. Seems a shame, but not a single one of our RTs favor the Servo.

I feel with the Avea and the Drager you already have the 2 best overall vents available. While the Servo has some really cool tools, if I can't reduce work of breathing and meet my patient's needs, including synchrony and a quiet ICU environment, then those tools become irrelevant!

Good luck!

Mark

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Permalink Reply by matthew lipsey on April 9, 2009 at 8:24am

840's are to me considered to be a very friendly piece of equipment. You can also add programs for your needs. If you want neo mode you can have that or even Bi-Level. I love the Bi-Level portion of our equipment because most of my patients respond better to Bi-Level than conventional ventilation. The ventilator is easily maintained and less equipment costs compared to the servos or other ventilators. You can either order disposable exp filters or reusable filters. Too much to write but I hope you get my point

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Permalink Reply by Ahmad on April 9, 2009 at 9:27am

Dear friends

I feel that servo i much better,

Why ??

Regarding Design
servo i more flexible, it can be placed easily on a pendent system, also has some transport options

Clinically
Servo i using Ultrasonic Flowmeter technology, which you can not find it in any other ventilator, this flowmeter makes new measurement every 4 ms (in one second you have 250 measurements) so its very fast and accurate

your setting will determine the inspiratory flow that will be delivered to the patient. also servo i has feature called (flow adapted volume control) which means, in all volume control modes if Servo i senses that the patient is pulling more air it will increases the inspiratory flow to give him what he needs. so it strange to see patient on servo i has flow starvation or (air hungry)
Also it has lung protection mechanisms, lung recruitment tools,

it easy to upgrade servo i (in 5-10 min) you don not to change any thing, just insert PC card and download the upgrade and you try its option before buying it, it is not that easy in any other ventilator you have to change some boards and circuits

Finally,,

Servo i MRI compatible PB840 has not
Servo i has Et CO2 PB840 has not
Servo i has Heliox PB840 has not
Servo i modular system PB840 not
Servo i has US flowmeter PB840 has not
Servo i easy to upgrade ???????
Servo i has Automode PB840 has not
Servo i has NAVA PB840 has not


Thank you

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Permalink Reply by G L E N N on June 10, 2011 at 8:41am

Ahmad,
I think your very knowledgeable with this vent ( servo I ) can you give me more info about the PRVC MODE? Is it better to use the PRVC mode on ARDS PROTOCOL?
Thanks

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Permalink Reply by Efren Dancel Ganal on June 14, 2011 at 12:11pm

Hi,

 I agree with Mr. Ahmad,servo i is a clinician friendly with compact package.

Regarding air hunger, you have to set your parameters and alarms properly.

Go with NAVA ventilation for better synchrony (for appropriate patient). 

We use servo-i and drager in our department.

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Permalink Reply by Kim Hefner on March 12, 2012 at 7:15pm

I have to agree with Ahmad. Here we use the Servo-i and find it to be a very patient adaptable vent. We are a long-tern acute care facility with paitents that other hospitals have found hard to wean. We use the PRVC mode with a set protocol for weaning vent patients.

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