Rational application of modern cardiopulmonary resuscitation ventilator.docVIP

 PAGE \* MERGEFORMAT 14 Rational application of modern cardiopulmonary resuscitation ventilator Abstract: In modern mechanical ventilation as an artificial alternative to an effective means of ventilatory function are becoming more widely used in cardiac arrest, respiratory arrest patient’s treatment. How to adapt to cardiopulmonary resuscitation (CPR) when the complex situation, truly rational use of ventilators is directly related to CPR’s success is undoubtedly the clinician must address a key issue.  1 CPR ventilation for cardiac arrest, respiratory arrest in patients with mechanical ventilation mode of choice which, at present there is no uniform implementation of standards at home and abroad. But to give the body full ventilatory support, and ensure proper gas exchange is a recognized this fundamental principle remains unchanged. For a long time, people used to use volume-controlled ventilation (V-CV) or pressure controlled ventilation (P-CV) mode of ventilation to carry out full CPR. Clinicians faced with the question is: in the end opt for a V-CV, or P-CV do? P-CV is a pressure preset ventilation (PPV), is to manage the airway pressure ventilation, when the suction pressure up to pre-stress levels, breathing stops, converted to breath, where airway pressure is an independent parameter, while the ventilation capacity (such as flow) is dependent changes, with the patient’s lung compliance and airway resistance-related. As the CPR chest cardiac massage and relaxation time can cause chest movements within the airway pressure changes rapidly, so that increased airway resistance and not a constant, if the default settings as usual pressure, it is difficult to guarantee an effective ventilation; if by raising the pressure preset level, although able to ensure proper ventilation, but is bound to greatly increase the chances of lung barotrauma, because when you change the face of CPR airway resistance, not always aspirated are subject to such a hi