(精选)Basics and principles of mechanical ventilation教学课件.pptVIP

Basics principles of mechanical ventilation;Basics principles of ventilation; Ventilator: The Machine delivers O2 removes Co2 with out harming the patient. The Ventilator should have capacity of delivering a consistent tidal volume under all adverse conditions of lung disease.; Mechanical Ventilation: The process / method by applying (intermittent) positive airway pressure supplementation of Inspired O2 to achieve desirable oxygenation.;GOALS of Mechanical Ventilation: Good ventilation (known by pa Co2) Oxygenation (by pa O2). Alveolar recruitment by peep Lowest O2 supplement. Synchrony between patient Ventilation. Safe ? No Negative hemodynamic effect No Barotraumas No auto PEEP;Classification of Mechanical ventilation: Positive / Negative pressure ventilation. Partial / full ventilation. Invasive / Non invasive ventilation. ;Components of ventilator;; PCV VCV Vt. Variable set PIP SET lesser variable more Plateau pressure Set Variable Inspiratory flow decelerating type fixed flow type sinusoidal/square Inspiratory time set set Respiratory rate Set Set Barotrauma Less More Leak compensation +for minor leak nil Patients acceptance good - ;Limit Variable: Setting that cant be exceeded during inspiration Type : Pressure limit- [psv] volume limit Flow limit ;Cycle variable: Method of termination of inspiration, I.e. changing over from inspiration to expiration. Types: Volume cycle Pressure cycle Time cycle flow cycle. ;Vt;Normal resistance Un intubated patient ; 0.6 - 2.4 cm H20 / L / Sec, . at 0.5L /sec Intubated patient; 6cm H20