Cough+Assist+Jan+08医疗器械PPT.ppt

CoughAssist?;;;;咳嗽功能减弱 ;评估咳嗽;;Assisted Cough: Evaluate Cough 1;;? 吸气相、呼气相同时辅助;肺容量补偿 : 优点;Glosso pharyngial breathing, Frog;Resuscitator, Ambu?;Intermittent Positive Pressure Breathing (IPPB), Bird;Home Volume Ventilator, Air Stacking;Mechanical Insufflation-Exsufflation (MI-E), CoughAssist;Airway Clearance Techniques Devices ; 负压抽吸 物理治疗或护士工作量 病人痛苦; 临床优势 适应症与禁忌症 设置与操作 ;What is CoughAssist?;An old device….;目标人群;咳嗽呼出峰流速的下降可导致病人无法有效清除气道分泌物甚至是咳嗽 PCF 160 LPM (Bach JR et Al, Chest 1996)160 LPM is the minimum PCF value needed to clear airway secretions from central airways PCF 240 – 270 LPM (ATS Consensus statement 2004 / Bach JR et Al, Chest 2003) 在急性呼吸系统感染的情况下PCF160 LPM 并不能保证足以清除气道分泌物，因为在此状况下呼吸肌功能可能急剧下降导致PCF降至160 LPM以下. 最大呼气压 45-60 cmH2O (40-50 % theory) ATS Consensus statement 2004; G Lopes et al. Eur Respir J 2000; 16: 37s 被动肺活量 1.5-2 L (30-50% theory) JR Bach et al. Chest, 1996; 2000; G Lopes et al. Eur Respir J 2000; 16: 37s ;效用 / 优点;Mechanical In-Exsufflation: 禁忌症;操作;CoughAssist;参数指标;无创途径;CoughAssist常规治疗方法 ;Automatic model FRONT PANEL;Manuel model FRONT PANEL;Calibration;Always verify pressure gauge settings before starting each treatment!!;2000;2006;Conclusion