课件：呼吸机波形分析.ppt

４、SIMV + Pressure Support Pressure support：常附着于SIMV 模式，增大自主呼吸的能力 ，而不受指 令呼吸的影响 观察： Flow-time curve：自主呼吸的形态呈 递减波decelerating （非正弦波 rounded-shape ） Pressure-time curve ：吸气期，设定 PS水平保持不变，以及存在微小负折回 ５、SIMV+PS+PEEP flow-time 和 volume-time Curves与SIMV+PS模式相似 Pressure-time curves 的 基线抬高，表示加了 PEEP Combined Time Curves pressure and volume-time curves:A/C pressure and volume-time curves:SIMV pressure and volume-time curves:CPAP pressure and volume-time curves:PS pressure and volume-time curves:PC Pressure and Flow-time curves:A/C Pressure and Flow-time curves:SIMV Pressure and Flow-time curves:PC * * Flow is defined as a volume of gas moved or displaced in a specific time period and is usually measured in liters per minute (Lpm). On the flow versus time curve, the horizontal axis represents time, and the vertical axis represents inspiratory and expiratory flow. Inspiratory time is measured from the beginning of inspiration to the beginning of exhalation (A to B). Expiratory time is measured from the beginning of exhalation to the beginning of the next inspiration (B to C). The peak inspiratory flow is the highest flow rate achieved during inspiration (D). The peak expiratory flow rate is the highest flow rate achieved during exhalation (E). NOTE: Some ventilators do not measure flow at the patient wye. Instead, inspiratory flow is measured at the gas supply flow sensor, and expiratory flow is measured at the exhalation flow sensor. * Volume is defined as a quantity of gas in liters. This is a typical volume-time curve. The upslope (A) indicates inspiratory volume, while the downslope (B) indicates expiratory volume. Inspiratory time (I time) is measured from the beginning of inspiration to the beginning of exhalation. Expiratory time (E time) is measured from the beginning of exhalation to the beginning of inspiration. Expiratory time is usually longer than inspiratory time. NOTE: In this example, the patient has exhaled fully after 1.75 seconds and 3.75 seconds.