Philips Wisp Manuale utente

Pediatric nasal mask

Wisp

Caregiver

guide

Support for families

The Wisp pediatric mask has a fun, child-friendly girae print and soft, fabric materials. We

have created a fantasy world featuring our cartoon girae character, Jacky, who interacts with

his friends Sami the Seal and Tucker the Turtle. The purpose of this playful theme is to help

ease the child into therapy and make him or her comfortable with the mask.

Caregivers can access demonstration videos to help them use the mask, while the child can

enjoy the Jacky Girae adventure cartoon.

DreamMapper* (www.dreammapper.com)

is a mobile and web application that keeps

you actively informed about the child’s

therapy. You can nd information on

things like mask t and therapy hours,

and watch demonstration videos and

Jacky’s animated cartoon.

The animated cartoon and demonstration

videos can also be accessed on the

Philips Respironics YouTube channel,

philips.to/wisppediatric.

*To see which therapy devices are compatible with DreamMapper, visit www.dreammapper.com/compatible.

Dear parents and caregivers,

We are glad that this guide has reached you. We know that managing and navigating a

child’s therapy can be daunting at times. There are a lot of new things to learn

–

a mask, a

machine, supplies, and practically a whole dictionary of new terminology! It is our hope that

this guidebook will answer many of your questions and explain the information in a clear

and concise way. It is a support tool to help you, the caregiver, feel more comfortable using

and maintaining the child’s new mask and supplies.

This guide is not intended to replace the Instructions for Use packaged with the child’s

mask and equipment. The Instructions for Use contain many important safety warnings

and instructions that should be read and followed. This guide expands on the information

found there and provides additional details to address some of the questions that

caregivers may have.

Any problems encountered during treatment should be discussed with the child’s doctor.

We hope that this guide will help ease the transition into non-invasive ventilation therapy.

Sincerely,

Cyndi White, MSc, RRT-NPS, AE-C, CPFT, FAARC

Megan King, Global Product Manager, Philips Respironics

Introduction to

Non-invasive ventilation

• If you are reading this guide, there is a good chance that the child may need

non-invasive ventilation (NIV) now or in the near future.

• The type of NIV therapy received depends on the child’s specic condition

and individual needs. The child’s physician will evaluate and determine the

proper treatment.

• Therapy will be given through a small machine that will be used to help

support the child’s breathing (refer to the image below).

Benets

• NIV helps to keep the child’s airway open and

prevent it from collapsing or becoming obstructed.

• Preventing obstruction and airway collapse

allows the child to get more oxygen which is

important for their brain and growing body.

• NIV uses two levels of pressure to help support

air in and out of the lungs and remove waste

through eectively breathing in and out.

• The “back-up rate” is a set breathing rate that keeps the child’s breathing at

a certain number of breaths per minute. This feature will activate only if the

child’s breathing falls below the set rate.

Learn your way around the

Wisp pediatric mask

The frame rests against the

face and holds the cushion

in place on the mask.

The tubing management

loop is an optional feature

that enables the tube to

be positioned over the

head and away from the

front of the body.

The tube wrap is an

optional part that

enhances the girae-

print theme.

The headgear wraps

around the head

and attaches to the

frame. It holds the

mask in place and

keeps it stable.

The cushion, which is

available in dierent

sizes, ts over the nose

to deliver therapy.

The headgear clips allow

the mask to be removed

without readjusting the

headgear tabs each time.

The quick release tabs

on the elbow allow the

child to be temporarily

disconnected from the

machine, such as to use

the bathroom in the

middle of the night.

The elbow and tube

connect the mask to

the hose on the therapy

device. The tube provides

extra length for the child

to change positions

while sleeping.

Spotlight on the

Leak Correction Dial

The innovative Leak Correction Dial on the child’s Wisp pediatric mask

enables you to x small leaks. It should always be positioned straight down,

as if pointing at the 6 on a clock, when the child puts on the mask. The mask

should be tting properly and without leaks at the time the child goes to bed.

The Leak Correction Dial can be turned to the right or left if leaks occur while

the child is sleeping to readjust the t of the cushion on the face. Turning

the Leak Correction Dial widens the angle of the front of the frame, gently

nudging the cushion closer to the face.

Care and maintenance

• Wash the mask parts in warm water with liquid dishwashing soap, like what

you might use when hand-washing your dishes. Do not clean the mask with

bleach, alcohol, solutions containing bleach or alcohol, or solutions

containing conditioners or moisturizers.

• Hand wash the non-fabric parts (the cushion and tubing) daily.

• Hand wash the fabric parts and lay them out to dry once each week.

• Use the headgear clips to put the mask on and take it o. This helps to

protect the integrity of the stretchy fabric parts.

Troubleshooting

Many troubleshooting questions can be answered by the instructional

videos posted on www.dreammapper.com, www.sleepapnea.com, and

the Philips Respironics YouTube channel at philips.to/wisppediatric.

Finding the right size

• When a mask is selected for the child, the respiratory therapist, nurse, or

sleep technician may use a sizing gauge to help select the best cushion or

mask size to t the child.

• This includes placing the mask or cushion on the child’s face to evaluate t

when he or she is in the clinic, hospital, or sleep lab.

• The cushion should t the width of the nose without blocking the nostrils. If

the child is on the line between sizes, the smaller size is usually tried rst,

then the bigger size if needed.

• If the child is having problems with discomfort from the mask, or if it seems

too big or small, let your respiratory therapist or doctor know so they can

look into alternative sizes and resources for you.

Comfort tips

• If the child has a preference for a certain sleeping position, consider this

when choosing placement of the therapy device.

• The most common mistake is overtightening the headgear. It should t

loosely and comfortably. If the skin bulges around the mask or if red marks

appear, loosen the headgear.

• Headgear clips are optional. If you prefer, you can thread the straps directly

through the frame slots to attach the headgear.

• The quick release elbow allows the mask to be temporarily disconnected

from the tubing without the child having to remove the mask. The elbow can

be quickly clicked back into place when the child returns to bed.

• Use of the optional tubing management loop moves the tube away from the

front of the body and reroutes it over the child’s head. You will not be able

to use the quick release feature to disconnect the mask from the tube if it is

looped over the head.

• When removing the headgear, it can be pulled up over the head either

headgear rst or frame rst, according to the child’s preference. Children may

accept the process more easily if the headgear is done rst, pulling the mask

away from the face instead of over it.

Q&A

What conditions is non-invasive ventilation (NIV) used to treat?

• Non-invasive ventilation is used to assist with breathing air in and out of the lungs.

• NIV is often used for patients who have developed problems with breathing, such as

due to asthma, pneumonia, or an accident.

• In other situations, children who have chronic respiratory conditions or muscle

weakness use NIV to help them breathe at home. Many of these children have

neuromuscular disorders, such as muscular dystrophy or muscular atrophy.1

• Continuous positive airway pressure (CPAP) might be used by patients at night

to treat breathing conditions related to sleep, such as sleep apnea. People with

sleep apnea have periodic pauses in breathing, which disrupts their sleep

throughout the night.

What are the consequences if these conditions are left untreated?

• If any of the above conditions are left untreated, the child will not breathe eectively.

• This may result in the child not getting enough oxygen into the body and/or not

suciently getting rid of carbon dioxide and wastes that are eliminated when the child

breathes out. If these wastes are not properly eliminated during normal breathing, it

can result in a buildup of acid in the child’s blood.2

• The child may also have a lower energy level and a decreased ability to think clearly,

perform well in school, and participate in normal everyday activities.

• Any of these conditions can be dangerous if left untreated.

How does NIV work?

NIV works by opening the airway while providing an inhalation pressure and “back-up

rate” to assist with the child’s breathing.

How does the pressure go into the lungs?

• The air goes into the lungs through a special mask that either covers the child’s nose

or covers both the nose and mouth.

• The mask is held in place by headgear with straps that are designed to work

specically with each type of mask.

• Sometimes the air coming through the machine is heated in order to make it warm

and dewy.

How will treatment help?

• Treatment will help the child breathe more eectively and will prevent further

complications of not being able to breathe or get enough oxygen.2

• Sometimes children may need some time to adjust to wearing the mask. It can

be helpful to make a game out of it and slowly introduce wearing the mask.

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