??O2??CO2

1
???????????
???? ???? ???
2
??
??
??
???
????
?????
??O2??CO2
3
Flow X Time Volume
Time
Flow Rate
Volume
4
? ?
5
Iron Lung Ventilators in the ICU
6
????
7

• ?????????

8
?????

• ????
• ??
• ????

9
????

• CMV(A/C) SIMV
  PSV/CPAP
• ?????? ?????? ????

10

• ???? VS ????(?????)
• CMV(A/C) SIMV
  PSV/CPAP
• VC?PC PC-SIMV?VC-SIMV PSV

11
????

• ????? ????? ?????
• ??? ????(????) ????
• ???? ????

12
???????

• ???????????????
• ?????
• ???????????????????????????????

13
??????

• CMV(A/C) VC? PC
• SIMV PC-SIMV?VC-SIMV
• PSV/CPAP PSV?CPAP

14
CMV(A/C) VC

• ????(VC)??????????,?
• ????
• ????????????????

15
?????????

• ?????????????????,????????,????????
• ????????,FLOW5060L/?,????PSV PC

16
CMV(A/C) PC

• ????(PC)????????????
• ???????????????????

17
30
?????????????
Optimal
P
aw
Sec
cmH
0
2
1
2
3
4
5
6
Too Long
-10
Patient is starting to exhale prematurely.
18
????????
60
P
aw
SEC
cmH
0
2
1
2
3
4
5
6
-20
120
No flow as pressure rises
.
V
SEC
120
1
2
3
4
5
6
LPM
??????
19
????(PC)?????

• ????????????,??????????,?????????
• ??????,???????
• ???????????,????????

20
??

• ??????????????????,???????????
• ????????????????,???????
• ???????????,?????????????????

21
??????

• CMV(A/C) VC? PC
• SIMV PC-SIMV?VC-SIMV
• PSV/CPAP PSV?CPAP

22
????????(SIMV)

• SIMV???????????,??PSV??
• SIMV???????P-SIMVPSV
• SIMV??????????????,??????

23
??????

• CMV(A/C) VC? PC
• SIMV PC-SIMV?VC-SIMV
• PSV/CPAP PSV?CPAP

24
??????(PSV)

• ???????????????????,
• ????
• ?????????
• ?????????????????,??
• ???????????,???????

25
??????????????
VAPS
CPAP
PAV
SIMV
ILV
BIPAP
APRV
ASB
SPONT
MMV
PLV
PRVC
PS
CMV
PCV
VCV
IPPV
26
????????

• ????????(??CO2,??O2)
• ??????
• ????????????
• ????,?????

27
??????????

• ???
• 1?????????(COPD)
• ??????ARDS
• 2?????????
• 3???????????
• 4????????????

28
??????????

• ???
• ??????
• ??????
• ????????????
• ???????

29
??????????

• ???
• ????
• ???????
• ??

30
??????
31
??????????

• ????????---??????????????????,??????????
• ????????????????
• ????????????????---???

32
??????????

• ?????????????????????
• ??????????????????????

33
???????????

• BipAp???
• ?????(?????PSV?
• ??????)

34
???????????

• ?????,??????????
• ????
• ???????PSV,?????
• PSV10cmH2O,PEEP5cmH2O
• ?????,????,?????
• ????????
• ????????????,???
• ?????????

35
???????

• ???????????
• ???????,??????
• ?PEEP
• ????????????????
• ????????????????
• ?????

36
Thank you
puqibin_at_hotmail.com