英国百斯6500麻醉呼吸机.ppt

● Tide Volume 20-1500ml 吸入/呼出潮气量 ● Minute Volume 分钟通气量 ● Respiration Rate 呼吸频率 ● I:E Ratio 吸呼比 CONTROL MANDATORYVENTILATION控制指令通气- CMV CMV - 定容控制通气 Volume Control 容量控制 Time cycled 以时间为周期 Pressure Limitation 设定吸入压力限度 I : E, frequency Inspiratory flow all set by operator 操作者设定吸呼比,呼吸频率和吸入气流量 CMV（定容控制指令通气 - 定容模式） CMV with 25% Pause – 吸气相暂停 CMV with 0% and 25% Pause PRESSURE CONTROL VENTILATION压力控制通气PCV Chenhong 06/03 PCV - 压力控制通气（定压） Pressure generator 压力控制 Time cycled 以时间为周期 Inspiratory pressure set quickly achieved 设定吸入压力, 并快速达到 Maintained throughout inspiration 吸气相维持设定的压力 I : E, frequency inspiratory flow all set by operator 操作者设定吸呼比,呼吸频率和吸入气流量 INSPIRATORY FLOW 吸入气流量 Main difference between PCV other modes PCV 与其他模式之间的主要区别 Flow pattern is decelerating waveform 吸入流量的调节, 可使压力波上升速度减缓 Flow varies with changing compliance resistance to meet patient demand 吸入流量随着顺应性和阻力的变化而变化以满足病人的需求 Reduced ‘Pendelluft effect’ 减小“PENDELLUFT 效应 BENEFITS OF PCV使用PCV的受益 Direct control allows lower peak airway pressures 直接控制压力以便获得较低的气道平均压力 Meets patient inspiratory flow demand 满足病人对吸入气流的需求 Prevents overinflation barotrauma 防止给气过多和压力损伤 More even gas distribution 气体分布更均匀 Improves recruitment stabilisation of closed alveolar units 改善术后恢复，稳定关闭的肺泡 PCV INVERSE RATIOPCV 和反比呼吸 Best known for its use with inverse ratio - particularly in ITU - ARDS IRDS 在使用反比呼吸时常用, 特别是在ITU-ARDS 和IRDS Longer inspiratory times with low pressures help open stabilise collapsed units 较长的吸入时间及较低的压力有助于打开和稳定塌陷的肺泡 Shorter expiratory times can lead to gas trapping / auto – PEEP 较短的呼出时间可以导致气体存留/自动PEEP的形成 Viewed by some as possible alternative to ventilation with set PEEP 有时可视为另外一种带设定PEEP的通气方法 POSSIBLE APPLICATIONS可能适用的适应症 Paediatrics 儿童 Unilateral lung pathology 单侧肺部病变 Severe ARDS IRDS