(精编)【体外膜肺ECMO精品课件】 Mechanical Ventilation教学课件.pptVIP

4. Other modes of mechanical ventilation - CPAP - simply means Continous Positive Airway Pressure, the patient breathes spontaneously - BIPAP - Bi-Level Positive Airway Pressure - APRV - Airway Pressure Release Ventilation - SIMV - Synchronized Intermittent Mandatory Ventilation, different levels of control and assistance - ASV - Adaptive Support Ventilation 4. Novel modes of improving gas exchange - high frequency ventilation - 60-600/min - partial liquid ventilation - uses perfluorocarbon mixed with oxygen - ECMO - ExtraCorporeal Membrane Oxygenation - ECCO2R - ExtraCorporeal CO2 Removal ? are intended to keep the lung rest to avoid further damage Mechanical Ventilation 1. indications for mechanical ventilation 2. haemodynamic consequences of positive-pressure ventilation 3. design and function of ventilators 4. the different modes of mechanical ventilation 5. how to set the respiratory parameters 6. ventilator-induced lung injury (VILI) 7. lung-protective ventilatory strategy 8. weaning from mechanical ventilation 5. How to set the respiratory parameters - correct hypoxaemia - acceptable PaCO2 - pH of the arterial blood - permissive hypercapnia! - do not allow dynamic hyperinflation - patient comfort - do not allow fighting the ventilator - do not destroy the lung! Mechanical Ventilation 1. indications for mechanical ventilation 2. haemodynamic consequences of positive-pressure ventilation 3. design and function of ventilators 4. the different modes of mechanical ventilation 5. how to set the respiratory parameters 6. ventilator-induced lung injury (VILI) 7. lung-protective ventilatory strategy 8. weaning from mechanical ventilation 6. Ventilator Induced Lung Injury (VILI) mechanical ventilation itself can damage the lung - high pressure - high volume - repetitive opening and closing of the alveoli 6. Ventilator Induced Lung Injury (VILI) - volotrauma (high volume injury): alveolar damage caused by high volume, with or without high pressure (1974 We