呼吸机波形分析推荐.pptVIP

Air Leak Volume (ml) Time (sec) Air Leak * Air Leak Volume (ml) Pressure (cm H2O) Air Leak * Air Leak Inspiration Expiration Volume (ml) Flow (L/min) Air Leak in mL Normal Abnormal * Thanks * 【更多精品】狂点? 感谢阅读 * * * * Waveform Monitoring of the Mechanically Ventilated Patient Tim Op’t Holt, Ed.D., R.R.T. Professor Cardiorespiratory Care University of South Alabama How ventilator works? * Basic Concepts Resistance = Pressure / Flow Compliance = ΔVolume / ΔPressure Flow = Volume / Time * Objectives Describe the volume, pressure and flow versus time scalars. Describe the use of scalars in the management of the mechanically ventilated patient. Describe the flow-volume and pressure-volume loops as they are used in the mechanically ventilated patient. Describe how loops are used to diagnose and manage problems in patients receiving mechanical ventilation * Monitoring Techniques Used During Mechanical Ventilation Ventilator waveforms pressure, volume and flow vs time scalars flow-volume and pressure volume loops Allows analysis of auto-PEEP, bronchodilator response, hyper- expansion, adequacy of flow, ventilator sensitivity, compliance, and leaks * Ventilator Waveforms Scalars Volume versus time Pressure versus time Flow versus time Loops Flow-Volume Pressure -Volume * Flow versus Time ACCELERATING DECELERATING SINE SQUARE * Volume vs Time Inspiration Expiration Time (sec) Volume (ml) Inspiratory Tidal Volume TI * Pressure versus Time Inspiration Expiration Paw (cm H2O) Time (sec) } TI Peak Inspiratory Pressure PIP PEEP TE * Pressure-Volume Loop Controlled Assisted Spontaneous Vol (ml) Paw (cm H2O) I: Inspiration E: Expiration I E E E I I * Flow-Volume Loop Volume (ml) PEFR FRC Inspiration Expiration Flow (L/min) PIFR VT * Pathological Conditions Air trapping and auto-PEEP * Air Trapping Inspiration Expiration Normal Patient Time (sec) Flow (L/min) Air Trapping Auto-PEEP } * Air Trappin