??O2??CO2 - PowerPoint PPT Presentation

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??O2??CO2

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Flow X Time = Volume Iron Lung Ventilators in the ICU ... – PowerPoint PPT presentation

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Title: ??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
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