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光常
5 years ago
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1 北療療

2 理離理

3 理行 CO 2

4 理 CO 2 CO 2

5 理廓降廓肋肋廓肋廓

6 理 (Compliance C) (C L ) 廓 (C W ) 易度 C = V V / P (Elastance E) 廓力 E = 1 / C

7 理流量 (F) 力度 ( P) 路兩力 ( P = P1-P2 P2) 流 P = F R ( 力 ) 力數 1 mmhg = 1.36 cmh2o 1 kpa = 7.5 mmhg 1 ATM = 760 mmhg = 1034 cmh2o

8 理 Paw P Al P pl 肋 P bs

9 ( ) (Egan s s p ) 197) P L ( )=P A -P Pl 力 ( ) P W ( )= P Pl -P bs 廓力 P rs ( )= P L + P W =P A -P bs ( ) (MV p30) P L ( )=P A -P Pl 力 ( ) P W ( )=P A -P bs 廓力 P TA ( ) = P awo -P A 力 P rs P bs rs ( )= P TA + P W =( =(P awo awo -P A )+(P A -P bs bs )=P awo -

10 力理力 Raw Raw = Paw P Al / F ( 流量 ) 力 R L R L = Paw P pl / F ( 流量 ) 廓力 R cw R cw = Ppl P bs / F ( 流量 ) 力 Rrs Rrs = Paw P bs / F ( 流量 )

11 理流量力 Lamina Flow 流流 P = F R ( 力 ) Terbulent Flow 流亂流 ( Reynold 參數 ) P = F R 2 ( 力 ) P = F R 3 數亂流流狀數 2000 亂流亂流亂流

12 理 Reynold 參數 Re (D µ ρ / η D cm mu µ 流 cm/s cm/s rho ρ 度 g/ml g/ml eta η 度 g/s g/s cm ( 流 ) 易亂流

13 理理 Volume and capacity

14 理

15 理力度 P TA (transairway pressure ) = Pawo - P A = Paw - P A 力流量力 P (transthoracic pressure ) = P A - P bs = P TT TT = transthoracic P w =P pl -P bs 廓力

16 理力度 P (transpulmonary pressure ) = P A - P pl = P TP 力降 P pl P A 來 P P

17 理力度 P TR (transrespiratory pressure ) = Pawo Pbs P TR =P A -P bs ( ) 力 Pawo 力數 transthoracic pressure transairway pressure 兩力廓力力力力 P TR = Pawo - P bs P TT P TA = P A - P bs Pawo - P A

18 量臨

20 參數類力力

21 P TA P W Prs=P TA P W 流量力力力力力力力流量力力

22 力不 R C 不 R C 來

23 力力不力 ( R ) ( ( C ) ) 力 R C 不 R C 來力力 ( R ) ) ( ( C ) ) 流量力 R C 不 R C 不來

24 參數什什參數什參數 Trigger 參數 Limit 參數 Cycle 參數 Baseline 參數

25 Cycle Cycle ycle- ( ) 立 Cycle variable 參數 Volume Cycle 量 Pressure Cycle - ex. IPPB, Pressure limit 不 Time Cycle - Flow Cycle 流量量 ex PS mode

26 流量 F F (L/min) Time (sec) = Volume( Liters) 力流量力 F F (L/min) R (cmh2o/lsec) = P(cmH2O)

27 Mode 力

28 行離不練

29 泌 3. 度力 4. f / u CxR

30 流量 ( 靈 2.4L / min ) ) 力 CPAP 異 CPAP ( PEEP ) 流量

31 1. 流量 2. 精度略 3. 度流量漏度 IPAP IPAP EPAP

32 1. 2. 漏 3. 不 4. 臨狀 PEEP PEEP 4cmH2O 5. Pulse Oximeter 狀

33 1. 塞 ( Obstructive Sleep Apnea ) 2. ( ( Obesity induced hypoventilation ) ) 不易易塞 3. 廓 ( Kyphoscoliosis ) 神 M.G. M.G.

34 4. 塞不良 8.

35 1.Hemodynamic unstable 率不 4. 泌不良 5. 識不塞不 8. 9.

36 力力不度不 5. 漏刺

37 assist / control / 量兩都度來若

39 A/C mode 量易量 1. 不易力易塞力力 ( barotrauma ) 易 2. sensitivity sensitivity 流量 ( autocycle )

40 Pressure Control( 力 ) 力力數流量度來 PS mode PC SIMV+PS mode

42 1. 力力不力 2. 流量易塞量不易

43 量兩 ( pressure ) F() ) sensitivity 行 ( ( ideally 60-90L / min ) )

44 離練不不

45 力離不勞累練度數力不力練

49 PS pressure level 5 10 cmh2o 離,, 2. 不 3. PS mode 離 4. PS 數量

50 PS 力力力離不數力度力數流都練力

52 PS 1. 參數令行 2. 練 3. 神療行 4. 行數 25 量 10 L / min

53 1. 易塞 2. 數 ( backup rate) 3. 度

54 PS 1. PS 2. High Pressure Limit 流量降流量 25 25

55 PRVC (pressure regulated volume support) Mandatory breath VT Ti RR Automatic P insp adjustment to meet the level of VT settings < P.limit 5cmH2O

57 VS (volume support) Spontaneous breath VT Automatic P insp adjustment to meet the level of VT settings < P.limit 5cmH2O Inspiratory cycle off (%)

59 VAPS (volume assured pressure support) VT Peak flow Pressure support High pressure limit

60 力力量力量不流量

61 力量更

62 見 8400sti or 6400st T-Bird Bear ae Servo 300A VELA Servoi Evita 4

63 離離 Weaning Indices

64 理狀見見離

65 狀 1. ( ) 2. (BP, HR, RR, BT), 3. ( 力量復 ) 4.Check Breathing Sound CxR ABG and Lab data

66 ( ). 1. Mandatory or Spontaneous mode 2. 力 RR RR 20 / min PC 20 or PS 20 mode and FiO2 1.0 check endo BS BS CxR vital sign FiO2 ABG

67 ( ). To check the demand of minute ventilation(vt and RR ) peak flow PIP Pplat Pplat PEEP and sensitivity To check the compliance and resistance 3. A/C PC PC SMIV+PS PS

68 ( ). 見量塞

69 ( ). 見力流不降

70 ( ). 見不良力力不狀刺量狀

71 ( ). 見泌

72 ( ). 見不路漏路塞漏濾力塞量

73 ( ). 見漏力不漏塞

74 見

75 參數 Pressure = F RF Volume = F Time ( ) Time = F / Volume Flow = Volume / Time

76 Audio alarm Flash alarm