《呼吸机波形分析》-精选课件(公开).ppt

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. At either point, an increase in respiratory rate would be acceptable and would not cause air trapping. * 气道压通常是在病人Y型管或接近Y型管位置测得。标准单位是cmH2O，缩写为Paw。压力时间曲线，横坐标代表时间，纵坐标代表压力。吸气相显示压力上升(A to B in t