(精编)Critical Monitoring教学课件.pptVIP

Mechanical graphics 0 15 30 35 Airway Pressure(cmH2O) 75 150 250 Volume(ml) Vt=145ml PEEP Dynamic compliance=Vt/(PIP-PEEP)=7.6 PIP=29 Exp Ins Tidal Volume Determination Cannon , AJRCCM , 2000. Population: PICU pts16yrs old(n=98) Ventilator circuit: -infant: n=70 ; 2.8± 2.3mos -pediatric: n=28 ; 7.3± 5.6 yrs Ventilator:SV300(Siemens) Pneumotach -placed between ETT vent circuit -CO2SMP Plus Monitor (Novametrix) Effective Vt = Vt at exp valve ﹣[circuit compliance ? (PIP-PEEP)] Results: Infant Circuit Vt(ml) p Exp valve Vt