呼吸治疗最佳湿化重点分析.pptVIP

* Vanderbuiult University Nashville 正在做 临床操作指南CPG - $250,000 1st * Slide 2 - MR850 湿化系统 本系统由MR850湿化器主机座，MR290湿化水罐和RT系列呼吸管道共同组成， 设计思想是提供最佳的湿度和最少的冷凝。 低温干燥的医用气体 (15°C, 0.5mg/L) 从呼吸机流动到湿化器，吸收水罐内被加热的水释放出来的水蒸气和热量，然后离开水罐。这时候的气体己被水蒸气饱和并沿着管道流动，为防止冷凝水释出在管道内，管道内的加热丝给这些气体进行着轻微的加热。 最后，这些气体流经一段不加热的死空间时稍微地降低了一点温度，到达患者时正好是 37°C 饱和气(44 mg/L)。 下面让我们逐个看看它们是怎样工作的。 * Nasal High Flow Overview As an overview, Nasal High Flow allows you to comfortably and effectively deliver high flows of blended oxygen to your hypoxemic patients. with mild to moderate respiratory distress. What makes Nasal High Flow possible is the introduction of Optimal Humidity, which is considered to be 37°C and 44 mg/L. This level of humidity enables you to deliver high flows of an oxygen blend comfortably through the wide bore Optiflow? nasal cannula. The delivery of high flows provides four key benefits to your patients: You can accurately deliver up to 100% oxygen, washout the anatomical dead space of the upper airway, deliver low levels of positive airway pressure throughout the entire respiratory cycle, and while maintaining the mucociliary clearance mechanism of the mucosa. We will now go into each of these points in more detail. * Where does NHF Fit in the Care Continuum? If we look at the respiratory care continuum, what you can see is that Nasal High Flow fits in between Noninvasive Ventilation and Face Mask Oxygen Therapy. In fact, Face Mask oxygen therapy may no longer be necessary due to the ability for Nasal High flow to deliver high flows using a nasal cannula. The reason NHF fits in between these two therapies is a direct result of the benefits the therapy provides which we will be discussing shortly. * Optimal Humidity It is through the delivery of optimal humidification, using Fisher Paykel Healthcares world-leading humidification technology, that we are able deliver high flows of an oxygen blend directly into the nares comfortably to patients. This optimal level of humidity, 37 ?C, 44 mg