機(jī)械通氣的模式ppt課件(參考版)
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【正文】 32:692) PAV+ 90% Patient brain Physician brain Information Response PAV+ is a simple mode The physician just sets the % of support, FIO2 and PEEP and the ventilator is responsible for the synchrony D. Geopoulos, Intensive Care Med. 2022 Jul 8. D. Geopoulos, Intensive Care Med. 2022 Jul 8. Alveolar Ventilation Oxy. Tp Rate Pinsp Ti Te PF FiO2 PEEP Vt CMV SIMV PCV PSV Conventional FiO2 PEEP MV Automatic Automatic ventilation ?Pinsp ?RRIMV ?Pinsp ?RRIMV ?Pinsp ?RRIMV ? Pinsp ? RRIMV (PmaxPEEP)*Cdyn 5 b/min 20/RCexp 2*Vd Adaptive Support Ventilation Pmax Trigger IBW (Kg) FiO2 PEEP MinVol Controls Alarms Controls in ASV Sultzer, Anesthesiology, 2022 Petter, Anesth Analgesia, 2022 012345M a ni pu l a t i on s( n)P S V S w i t c he s( n)H i gh P re s s ureA l a rm s ( n)C on t rolA S VHow good is ASV? Operator/ventilator activity Tasseaux, CCM 2022 Patient fort How good is ASV? ASV: only 100 ASV: only 34 89 ASV: which patient? Prospective study: 7 months period 1349 days of invasive ventilation Arnal JM. Intensive Care Med 2022。7(3) e500 SV300 0 Termination Delay Time (s) Automatic Pressure Support Cyclingoff Threshold Adjustment ? (B) Low Inspiratory Effort (30 L/min) Du HL, Amato MBP, Yamada Y. Respiratory Care Clinics North America 2022。 P F i s p e a k i n s p i r a t o r y f l o w r a t e R e s p i r o n i c s B i P A P V i s i o n V a r i a b l e . B r e a t h c y c l e s o f f i f p a t i e n t f l o w w a v e f o r m c r o s s e s t h e o f f s e t f l o w s h a p e s i g n a l , i f p a t i e n t f l o w c r o s s e s t h e S E T ( s p o n t a n e o u s e x p i r a t o r y t h r e s h o l d ) o r p a t i e n t f l o w c h a n g e s d i r e c t i o n 現(xiàn)代呼吸機(jī)的可調(diào) Esens Ven t il a t o r Ra n g e o f F lo w Cy clin g T h resh o ld Ha m il to n Galileo 5 % 7 0 % o f p eak in s p irato r y f lo w P u r it an B en n ett 8 4 0 1 % 80 % o f p eak in s p irato r y f lo w C ar d io p u l m o n ar y C o r p . Ven t u r i 5 % 8 0 % o f p eak in s p irato r y f lo w P u l m o n e t i c L T V 1 0 0 0 1 0 % 4 0 % o f p eak i n s p irato r y f lo w S i e m e n s S e r v o i 0 % 4 0 % o f p eak in s p irato r y f lo w Esens設(shè)置過高 , Flowsensor fail Respir Care 2022 Jul。 , a n d ? a r e c o n s t a n t s 。 n e o n a t e s ) P u r i t a n B e n n e t t 7 2 0 0 5 L / m i n S i e m e n s S e r v o 3 0 0 5 % o f p
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