Servo呼吸模式及监测功能详解.ppt

* The previous exhalation always sets the stage for the following inhalation. A high expiratory resistance will impose a load which will constitute an internal trigger threshold. A weak effort in this situation may not reach the trigger threshold set on the ventilator. The Time Constant Controller Valve? of the Servo-i will guarantee that there will be a very low resistance to the exhalation. This in turn will favour triggering, as hyperinflation is minimized, resulting in a situation where a consistent patient effort will be consistently rewarded. The superior speed in sensing and controlling will likewise give immediate unloading during laboured breathing. Depending on the situation, the work performed by the patient can be tailored by the degree of support and very important, by adapting the rise time to patient conditions. A very short rise time may deliver a semi controlled breath while with a tailored rise time the Servo-i will give superior response to patient demand. * Pressure Control In Pressure Control and Pressure Support modes, the pressure is constant with a decelerating flow. The flow curve during Pressure Control ventilation can vary greatly depending, for example, on the patient’s resistance. The pressure remains the same during the entire inspiration. The higher the inspiration pressure level, the more gas flows into the patient. The patient’s airway pressure also influences gas flow. If the resistance increases during the treatment, less gas flows to the patient. Gas flows into the lungs at a constant pressure during inspiration. The flow is largest at the start of inspiration (when resistance in the lungs is lowest). The more the lungs are filled the higher the resistance becomes. Since the pressure is constant, the more the lungs are filled the more the flow decreases; this is known as a decelerating flow. The flow is large at the beginning of the expiration, since the pressure in the lungs is at its highest. * The previou