机械通气的演变PPT.pptVIP

机械通气的演变;历史回顾-Negative Pressure Ventilation (Iron Lung) that was wildly used during the polio epidemics in 50th;; “On August 25,1952, I was called in as anasthetist for consultation in the Epidemiological Hospital of Copenhagen Within the preceding three weeks there had been 31 patients bulbar poliomylitis treated in respirators-tank as well as cuirass. 27 had died .” Four patients were seen in the autopsy room that day. One of them –a 12-year-boy-had died in a respirator with a blood pressure of 160 and biocarbonate level in the serum far above the normal level. The lung did not appear to be sufficiently atelecttic to make adequate ventilation impossible She was a 12-year-old girl who paralysis of all four extremities. She had atelectasis of the lung and was gasping for air. Her temperature was 40.2C. She was cyanotic and sweating. A tracheotomy was done , a cuffed endotracheal tube put in, good suction, and 100mg Pentothal, her own respiration stopped and I found that I could now inflate her lung……….. ;历史回顾;机械通的流行病学;机械通气12小时病人的病死率，ICU建立前（U-Pen General Hospital Medical and Surgical Care Areas 1965.6-1968.8;1969 建立RICU后的机械通气病人病死率;成人急性呼吸衰竭机械通气的存活率-1979-1989;1992.1 Esdeban 对西班牙47个ICU机械通气模式和脱机方法进行了调查，290名病人机械通气时间大于24小时 ;Modes of Mechanical Ventilation and Weaning - A National Survey of Spanish Hospital;Modes of Mechanical Ventilation and Weaning - A National Survey of Spanish Hospital;How is the Mechanical Ventilation Employed in ICU ？;How is the Mechanical Ventilation Employed in ICU ？;How is the Mechanical Ventilation Employed in ICU ？常用的机械通气模式;How is the Mechanical Ventilation Employed in ICU ？常用的脱机模式;How is the Mechanical Ventilation Employed in ICU ？;How is the Mechanical Ventilation Employed in ICU ？常用的脱机模式;A/C 和 PSV 时呼吸机参数的设定;Mechanical Ventilation in Ontaroio; 1992-2000;Characteristics and Outcomes in Adult Patients Receiving Mechanical Ventilation-A 28-Day international Study;Characteristics and Outcomes in Adult Patients Receivin