新机械通气.pptVIP

NEWER VENTILATORS WHAT MAKES THEM DIFFERENT ? John Newhart CRTT. RCP. PURITAN BENNETT MA-1 Puritan Bennett MA-1 First released August 1967. Simple to use Basic IMV system (non-sync). Bellows spirometer for exhaled gas measurement. SIEMENS 900 C SIEMENS 900 B/C 900 B available in the USA early 70’s.. Time limited and minute volume preset. Patient or time cycled or SIMV. Expiratory flow monitoring. BEAR I Built in SIMV. Monitoring of tidal and minute volume. Pneumatically and electrically powered, electrically controlled volume limited. Time or patient cycled, control or assist/control modes. PURITAN BENNETT 7200 Released 1983 First widely accepted microprocessor controlled ventilator in USA. Software upgradable. Newer Generation Ventilators TRANSPORT VENTILATORSEARLY MODEL PULMONETIC LTV 1000 PULMONETIC LTV Compact lightweight 12.6 lbs. Ability to transport more critical patients. Internal battery. Volume Control, Pressure Control and Pressure Support. Volume and pressure alarms and monitoring. Changes in Ventilators Include... More sophisticated hardware. More compact size. Multiple high speed microprocessors. Backup battery systems. Graphical User Interface (GUI). An ever expanding list of modalities. New Hardware Proportional control valves Active Exhalation valves Battery backup Miniature blower Proportional Control Valves One or two valves (O2, Air, or both) proportionally open or close to control the flow of gas to the patient circuit. Responsible for FIO2, Flow rate, Flow waveform. Microprocessor controlled. Each valve is controllable from 1,000-4,000 steps. Two Proportional Valve SystemNPB 7200-840, DRAGER E2-4, SERVO 300 Single Proportional SystemHamilton Veolar, Bird 6400-8400st Pneumatics Chassis (PB 840) Blower with Intragral Digital Blender Active Exhalation Valves The inspiratory and expiratory valves are active during inspiration to maximize the reproducibility of inspiratory and expiratory events. These valves are critical in new