心肺交互作用.pptVIP

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2019-09-13 发布于江苏
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心肺交互作用.ppt

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心肺交互作用;Basic physiology of heart–lung interaction;Preload—Transmural pressure;;Ventricular afterload;LV afterload;RV afterload;Afterload：effect of lung inflation;Zones of the lung;Zones of the lung;Zones of the lung;Zones of the lung;Zones of the lung;Zones of the lung;The relation between lung volume and the pulmonary vascular resistance;Frank–Starling relationships between ventricular preload and stroke volume;Frank–Starling relationships between ventricular preload and stroke volume;Return function;Return function;Return function;the interaction of venous return curve (upper left) and cardiac function curve (upper right) define the ‘working’ cardiac output, venous return and right atrial pressure (Pra) values; For example;For example;Model of the circulation showing factors that influence systemic venous drainage;Effects of increase in airway pressure and volume;Cardiovascular effects of mechanical ventilation and application of PEEP;Effects of increase in airway pressure and volume;Hemodynamic monitoring—Blood pressure;Hemodynamic monitoring—CVP;Hemodynamic monitoring—CVP;Hemodynamic monitoring—CVP;Hemodynamic monitoring—CVP;;Diagnostic uses of ventilatory variation in vascular pressure waves-Respiratory variations in central venous pressure;Interaction of venous return and cardiac function curves with respiratory variations;Evaluation of respiratory function;Evaluation of respiratory function;Evaluation of respiratory function;Evaluation of respiratory function;Example of pulmonary artery occlusion pressure (Ppao), a reflection of left atrial pressure, and CVP in a patient on a pressure support of 6 cmH2O;Conclusion;Using heart–lung interactions to assess fluid responsiveness during mechanical ventilation;Respiratory variations in arterial pressure and stroke volume;Respiratory changes in airway and arterial pressures in a mechanically ventilated patient ;Using heart–lung interactions to assess fluid responsiveness during mechanical ventilation;U