系统复习总论6b班外科学icu.pptxVIP

危重病医学; ;重症医学科/重症监测治疗室/加护病房/深切治疗病房; ＩＣＵ的发展史; ; ; ; ;ICU的分类/模式;危重病医学的发展;危重病医学的发展;;; ;; ;ICU 的主要功能:;ICU;Monitoring 监测;马凡氏综合症(Marfan’s syndrome); ;心脏移植术后病人; ;;Information system of patients;;PACS 或DICOM图像标签 ;;Hemodynamic monitoring:血流动力学监测;Hemodynamic monitoring:;Noninvasive Hemodynamic Monitoring无创血流动力学监测;三导联和五导联心电图;EKG;NIBP无创血压;Indications for Arterial Blood Pressure有创血压监测指征;INVASIVE BLOOD PRESSURE MONITORING (IBP):有创血压监测;CENTRAL VENOUS PRESSURE (CVP) AND PULMONARY ARTERY (PA) MONITORING:中心静脉压和肺动脉压监测;CVP AND PA MONITORING; Central Venous Pressure Monitoring;CVP gives an estimate of the intravascular volume status and is an interplay of the: (1) circulating blood volume (2) venous tone and (3) right ventricular function. ;;NORMAL CVP MEASUREMENTS;Indications for central venous catheter placement放置中心静脉导管指征;Chronic drug administration Inadequate peripheral IV access Rapid infusion of IV fluids Special Uses: insertion of PA catheters insertion of transvenous pacing wires haemodialysis/plasmapheresis;;POSITION OF PATIENT;All of Cardiac Physiology in a Nut Shell;PULMONARY ARTERY AND PULMONARYCAPILLARY WEDGE PRESSURE MONITORING肺动脉压肺毛细血管楔压;Swan-Ganz Catheter HISTORY;Indications For PAP PCWP Monitoring;锁骨下静脉穿刺Swan－Ganz导管置入;; INVASIVE HEMODYNAMIC  MONITORING;;Parameters measured;Using the Swan-Ganz catheter to diagnose…肺动脉导管用于诊断…;Respiratory Monitoring:呼吸监测;Respiratory Monitoring;Respiratory Monitoring Gas exchange:监测气体交换;ABGs血气分析;ABGs: Clinical applications:血气分析临床应用;Capnography二氧化碳描记图;PULSE OXIMETRY:脉搏血氧监测Spectrophotometry分光光度法; ;PULSE OXIMETRY: CLINICAL APPLICATIONS.临床应用;TEMPERATURE MONITORING: 体温监测;Sites for monitoring body temperature;Renal Function Monitoring肾功能监测;Renal Function Monitoring;Renal Function Monitoring;Life support: General;Life support: CVS心血管;早期目标导向性治疗(early goal-directed therapy，EGDT);sepsis: 早期目标???导治疗;Life support: 呼吸;Indications for Mechanical Ventilation机械通气指征;;;;;ECMO(extracorpore