压力支持及自主模式-史正星.ppt

Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 * | 50 可变压力支持 变化的幅度及监测 压力变化的范围是有限的 压力只能在高压报警（ paw ）及Peep之间变化 监测值: Vt spon mean, Vti spon mean, Vte spon mean Variable Pressure SupportTechnical Summary Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 * | Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 * | 压力支持及CPAP模式下的自主呼吸 1. 传统的压力支持 PSV 2. 比例压力支持 PPS 3. 可变压力支持 VPS 4. CPAP模式下的自主呼吸 持续气道正压通气(CPAP)按需气流（Demand Flow） 和持续气流（Continuous Flow） Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 * | CPAP意味着自主呼吸在Peep水平上进行，呼吸机并不帮助患者呼吸。 两种技术理念: 按需气流（Demand-flow） 和持续气流 Continuous flow） 按需气流: 患者触发吸气时，吸气阀门才打开– 由于气流的延迟输送，可能导致患者需额外做功。(但对于现代的呼吸机来说，这个功很小，几乎可以忽略不计) 持续气流: 只要患者一出现吸气努力，立即给予送气。 Thank you foryour attention. * * * * 1) 3) 2) 4) * 1) 4) 2) 3) 3) * 1) 4) 2) 3) 1) 3) * 1) 2) 3) 1) 2) 3) * 1) 4) 5) 4) 3) 3) 2) 2) * 2) 3) 4) 1) 2) 3) 4) 1) Only for advanced trainers * * * * 1) 2) * * 1) 2) 3) 1) 2) 4) * 1) 2) 3) 1) 2) 3) * 1) 2) 3) 1) 3) * 1) 2) * * 1) 2) 3) 1) 2) 2) 3) 3) 4) * 1) 2) 1) 2) * * * 1) 4) 2) 3) * Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous breathing with Pressure Support and CPAP | Draeger Academy AP | Sep. 2011 Spontaneous bre