机械通气的模式演示幻灯片.pptVIP

;机械通气的模式New Modes on VentilatorsWhat, Why, How;Mode: 模式;VC， PC;流速（Flow）;IMV， SIMV;压力支持(Pressure Support)容量支持(Volome Support);MMV/DMMV+SIMV+PSV;Dual Target, Dual Mode;PRVC;;容量支持VS;新模式的目的;Ventilator Induced Lung Injury;临床研究结果;通气/血流比ventilation/perfusion;保持病人-呼吸机同步;Current Opinion in Critical Care 2002, 8:51–57;Current Opinion in Critical Care 2005, 11:63–68;Christian Putensen;Synchrony : patient and ventilator;呼吸功WOB;双重目标模式的应用;双重目标模式的评价;压力目标+自主呼吸支持;Bi-Level;APRV;Putensen AJRCCM 2001; 164:43;APRV;APRV;其它新的功能;TC,气道阻力与流速的关系;PS的局限性;TC/ATC;ATC;NBP840;Dr?ger Evita 4;TC的优点;TC/ATC并不能:;Haberthur ICM 1999;25:514;Does the tube-compensation function of two modern mechanicalventilators provide effective work of breathing relief?;Animal Lab on Synchrony;Asia Vent Forum @ Shanghai TCI ;TC 100%, ETT 6.5mm;;Automatic Leak Compensation;漏气补偿 Leak compensation, ALC;压力上升时间与吸气终止;Risetime/Pressure slope, Esens;Ti in PSV;以往呼吸机的固定Esens;现代呼吸机的可调Esens;Esens设置过高, Flowsensor fail;Respir Care 2001 Jul;46(7):666-77Evaluation of inspiratory rise time and inspiration termination criteria in new-generation mechanical ventilators: a lung model study.Chatmongkolchart S, Williams P, Hess DR, Kacmarek RM.;自动压力上升时间与吸气终止e500;Automatic system on a COPD Patient;Ventilator with a fixed 5% Flow Cycle Threshold on a COPD Patient;? (A) High Inspiratory Effort (60 L/min) ;? (B) Low Inspiratory Effort (30 L/min) ;PAV与PPS;PAV;PAV-压力曲线的综合;辅助比例要小于100%;设置VA,FA有三法:;PPS;PPS;PPS;PPS的优点和局限性;PS与PPS的差别;PAV+ is a simple modeIt provides the best way to improve patient-ventilator synchrony;Potential advantages of PAV+;;;PAV+ 90%;Patient brain;;D. Georgopoulos, Intensive Care Med. 2008 Jul 8.;Alveolar Ventilation;?Pinsp ?RRIMV;Pmax;Sultzer, Anesthesiology, 2001 Petter, Anesth Analgesia, 2003 ;Tasseaux, CCM 2000;ASV: which patient?;NAVA;NAVA;NAVA;NAVA level;SmartCare的控制机理;SmartCare 如何工作？ ;SmartCare 如何工作？;有关Draeger自动脱机系统多中心测试的论文摘要 结论: ?基于计算机技术的专家型系统不仅安全, 而且与传统脱机方法比较, 能显著缩短机械??气时间和ICU滞留时间.“ 发表于2004年柏林ESICM.;