How to Use Flusso™ Products

Through prevention of circuit disconnection there are several benefits for both the patient and healthcare professionals. During patient transport the ventilation source is disconnected several times putting patients at risk for lung derecruitment or organisms entering into the breathing circuit.

How to Use Flusso™ Products

Flusso™ By Pass

3 Simple Steps

01. Vent port
As gas flows through the ventilator port, the By Pass port is sealed off

02. By Pass port
Active and attach transport ventilator or resuscitation bag to By Pass port

03. Cap ventilator port
Turn off main ventilator and disconnect it from ventilator port

Flusso™ TFI

3 Stages

01. Gas flows through main pathway from ventilator to patient

02. Activate Flusso™ TFI by compressing tabs and holding for 3 seconds Attach resuscitation bag or transport ventilator and turn on

03. Release tabs to allow gas to flow through Patient is ready for transport

How to Use Flusso™ for Patient Transport

Patient transport using Flusso™, heated wire circuit to transport ventilator

Patient transport using Flusso™, heated wire circuit to resuscitation bag

Patient transport using Flusso™ products, with HME to resuscitation bag

How to Use Flusso™ for HME Change

A typical HME change takes approximately 3 to 6 seconds to complete, here is an example of one. First without Flusso™, then with:

The Old Standard

The New Standard

During ventilator circuit disconnection there is the potential for lung derecruitment, staff exposure to airborne particles alongside the risk of organisms entering into the breathing circuit (it does not take long for any or all of these events to occur). Flusso™ eliminates the need for circuit disconnection during an HME change. Do Not leave two ventilation sources running at the same time.

How to Use Flusso™ for Lung Safe Ventilation

In every ICU around the world, Clinicians are trying to optimize and manage ventilated patients.
Even with all the advanced modes on today’s ventilators patients are still being disconnected (ventilation interrupted) for transition of therapy, ventilator maintenance and patient transport. Flusso™ can maintain PEEP for these situations. Flusso™ should be added to all Lung Safe Ventilation and Airborne Precaution Protocols.

What is the Flusso™ By Pass Adapter

Flusso™ TFI in Use

Clinical Studies

Circuit Disconnection
J Surg Res. 2010 Aug;162(2):250-7. doi: 10.1016/j.jss.2009.04.026. Epub 2009 May 18.
“Comparison of loss in lung volume with open versus in-line catheter endotracheal suctioning.”
Choong K1, Chatrkaw P, Frndova H, Cox PN.
Department of Critical Care Medicine, The Hospital for Sick Children, University of Toronto, Ontario, Canada.

Read more here.

Circuit Disconnection
J Surg Res. 2010 Aug;162(2):250-7. doi: 10.1016/j.jss.2009.04.026. Epub 2009 May 18.
“Loss of airway pressure during HFOV results in an extended loss of oxygenation: a retrospective animal study.”
Kubiak BD1, Albert SP, Gatto LA, Trikha G, El-Zammar O, Nieman GF.

Read more here.

Lung Derecruitment
Crit Care Med. 2013 Dec;41(12):e423-30. doi: 0.1097/CCM.0b013e3182986268.
“Repeated derecruitments accentuate lung injury during mechanical ventilation.”
Park HY1, Ha SY, Lee SH, Kim S, Chang KS, Jeon K, Um SW, Koh WJ, Suh GY, Chung MP, Han J, Kim H, Kwon OJ.

Read more here.

Circuit Disconnect
Can J Respir Ther.. 2020 Dec 8;56:86-91. doi: 10.29390/cjrt-2020-033. eCollection 2020.
“In vitro investigation of the Flusso™ Bypass adapter efficiency upon ventilator circuit disconnect in a clinical simulated environment”

Rym Mehri, Abubakar Alatrash, Nick Ogrodnik, Edgar A Matida, Frank Fiorenza
Department of Mechanical & Aerospace Engineering, Carleton University, Ottawa, ON, Canada,
Product Development, McArthur Medical Sales Inc., Rockton, ON, Canada.
Respiratory Therapy Department, University of Ottawa Heart Institute, Ottawa, ON, Canada.

Read more here.

Lung Derecruitment
Am J Respir Crit Care Med. 2018 Nov 1;198(9):1165-1176. doi: 10.1164/rccm.201801-0178OC.
“Abrupt Deflation after Sustained Inflation Causes Lung Injury”

Bhushan H Katira1 2 3 4, Doreen Engelberts1, Gail Otulakowski1, Regan E Giesinger5, Takeshi Yoshidasup>1 2 3 4, Martin Post1, Wolfgang M Kuebler6 7 8 9, Kim A Connelly8, Brian P Kavanagh1 2 3 4
1 Translational Medicine, The Research Institute.
2 Department of Critical Care Medicine.
3 Department of Anesthesiology, and.
4 Interdepartmental Division of Critical Care Medicine.
5 Division of Neonatology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Canada.
7 Department of Surgery, and.
8 Department of Physiology, University of Toronto, Toronto, Canada.
6 Keenan Research Centre for Biomedical Sciences, St. Michael’s Hospital, Toronto, Canada; and.
9 Institute of Physiology, Charité-Universitätsmedizin, Berlin, Germany

Read more here.