呼吸机使用（Ventilator use）.docVIP

呼吸机使用（Ventilator use） Ventilator use Indications: 1., a serious adverse serious disturbance of ventilation ventilation 2. 3. neuromuscular paralysis 4. after cardiac surgery 5. increased intracranial pressure 6. neonatal tetanus using high doses of sedatives for respiratory support 7. asphyxia and CPR 9. for any reason to stop breathing or will stop. Two, contraindications: there is no absolute contraindication. Pulmonary bulla, pneumothorax, hypovolemic shock, myocardial infarction and other diseases should be applied to reduce the ventilation pressure and increase the frequency. Three, the basic types and performance of ventilators: 1. constant volume breathing machine: inhale into the expiration, is based on the amount of pre tidal flow and switch. 2. constant pressure breathing machine: inspiratory into expiratory, according to pre-set pressure peak and switch. (with different pressure, pressure limiting airway pressure reaches a certain value to air does not switch) 3. timing ventilators: the transition from inspiration to expiration is determined by the time parameter (inspiratory time). Since 80s, there have been timing, pressure limiting and constant flow ventilators. The ventilator retains the timing and sizing type can increase airway resistance and lung ventilation can still guarantee compliance decreased, and is due to peak pressure is restricted and is not easy to cause the advantages of barotrauma, inspiratory time, expiratory time, respiratory ratio, suction platform size, oxygen concentration can be regulation, also can provide IMV (IMV), CPAP (nasal continuous positive airway pressure ventilation, ventilation) is the most suitable for infants, newborns and infants. Four, commonly used mechanical ventilation 1. intermittent positive pressure breathing (intermittent, positive, pressure, ventilation, IPPV): the most basic way of ventilation. Positive pressure is generated by breathing into the lungs, and the bodys own pressure is exhaled. 2. breath pla