呼吸机波形分析课件_11.pptVIP

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 Volume vs Time Pressure versus Time Pressure-Volume Loop Flow-Volume Loop Pathological Conditions Air trapping and auto-PEEP Air Trapping Air Trapping Pathological Conditions Increased airway resistance Increased Airway Resistance Pathological Conditions Response to Bronchodilator Response to Bronchodilator Pathological Conditions Overdistension Overdistension Pathological Conditions Inadequate Inspiratory Flow (Air Hungary) Inadequate Inspiratory Flow Inadequate Inspiratory Flow Pathological Conditions Inadequate Sensitivity Inadequate Sensitivity Pathological Conditions Decreased Compliance DECREASED COMPLIANCE Lung Compliance Changes and the P-V Loop Pathological Conditions Air Leak Air Leak Air Lea