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呼吸机使用参数(国外英文资料)
呼吸机使用参数
A ventilator setting and regulation 1, respiratory frequency: 8-18 / min, is generally 12 / min.. Exceptions to COPD and ARDS. 2, tidal volume: 8-15ml/kg weight, according to clinical and blood gas analysis of the results of appropriate adjustments. 3, inspiratory / expiratory ratio: inspiratory time will generally be set at 1, inspiratory / expiratory ratio should be 1:2-2.5, restriction for 1:1-1.5 disease, cardiac insufficiency is 1:1.5, ARDS is suitable for 1.5-2:1 (it is inversely proportional to breathing, expiratory time is 1). 4 inspiratory flow rate (Flow): adults generally 30-70ml/min. Quiet, sleep can reduce the flow rate; fever, irritability, convulsions and other circumstances, to improve the flow rate. 5, inhalation oxygen concentration (FiO2): long time oxygen generally not more than 50%-60%. 6, trigger sensitivity adjustment: usually 0.098-0.294kPa (1-3cmH2O), according to the patients own inspiratory force size adjustment. The traffic trigger is 3-6L/min. 7, inspiratory pause time: General 0-0.6s, not more than 1s. 8, PEEP regulation: when FiO260%, PaO28.00kPa (60cmH2O) should add PEEP. Clinically, the PEEP value is usually 0.29-1.18kPa (3-12 cmH2O), rarely more than 1.47kPa (15 cmH2O).9, and the alarm parameters are adjusted: different ventilator alarm parameters are different, according to the principle of both safe and quiet. Pressure alarm: mainly used for monitoring of the patients airway pressure, under normal circumstances, the high-pressure limit is set in the normal airway pressure (peak pressure) on 0.49-0.98 kPa (5-10 cmH2O), low voltage limit set the minimum pressure level can keep breathing. FiO2: 10%-20%. tidal volume can be higher or lower than the actual set of FiO2: high level alarm setting is the same as that set by TV and MV; low level alarm limit can maintain the minimum TV and MV level of patients life. PEEP or CPAP alarm: general use of PEEP or CPAP level prevail. Two, all kinds of alarm ventilator and the significance
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