V1.0 2003 10

1.0 2003-10-1 I

... I 1... 1 1.1... 1 1.1.1 CRT Cathode-Ray Tube... 1 1.1.2 TFT Thin-Film Technology... 2 1.1.3 EL Electro luminescence... 2 1.1.4 LED Light Emitting Diode... 3 1.2... 4 1.3... 6 Pulse Oxygen Saturation... 6 2... 9 2.1 ECG Electrocardiograph... 9 2.1.1... 9 2.1.2... 9 2.1.3... 10 I

2.1.4... 10 2.1.5... 13 2.1.6 ECG... 15 2.1.7... 17 2.2 RESP respiration... 18 2.2.1... 18 2.2.2... 18 2.2.3... 19 2.3 TEMP temperature... 20 2.3.1... 20 2.3.2... 20 2.3.3... 20 2.3.4... 21 2.4 SpO2 Pulse Oxygen Saturation 22 2.4.1 SpO2... 22 2.4.2... 23 2.4.3... 25 2.4.4... 25 2.5 NIBP Non-Invasive Blood Pressure. 26 2.5.1... 26 2.5.2... 27 II

2.5.3... 27 2.5.4... 28 2.5.5 NIBP... 28 2.5.6... 30 2.5.7... 31 2.6 REC Recorder... 32 3... 34 3.1 IBP Invasive Blood Pressure... 34 3.1.1... 34 3.1.2... 34 3.1.3... 35 3.1.4... 36 3.2 CO Cardiac Output... 37 3.2.1... 37 3.2.2... 37 3.2.3... 38 3.2.4 CO... 38 3.2.5... 39 3.3 EtCO 2(Endtidal CO 2 )... 40 3.3.1... 40 III

3.3.2... 41 3.3.3... 42 3.3.4... 42 3.3.5 CO2... 43 3.4 AG Anaesthesia Gas... 43 3.4.1... 43 3.4.2... 46 3.4.3... 47 3.4.4... 47 3.4.5... 47 4... 49 4.1... 49 4.1.1... 49 4.1.2... 50 4.2... 54... 56 IV

1 1.1 1.1.1 CRT Cathode-Ray Tube CRT ( ) (Electron gun) (Deflection coils) (Shadow mask) (phosphor) (R G B) (Electron gun) (Deflection coils) 1

MEC-509B PM-5000 CRT 1.1.2 TFT Thin-Film Technology TFT TFT 26 1600 PM-9000 PM-6000 PM-8000 TFT 1.1.3 EL Electro luminescence EL EL EL EL 2

EL MEC-509 + EL 1.1.4 LED Light Emitting Diode LED LED PM-600 LED 3

1.2 SN Series Number 0.25/0.5/1/2/Auto u t NIBP NIBP * NIBP 4

@ *** ** * 93/42/EEC CF F 5

1.3 ECG Electrocardiogram Arr Arrhythmia PVCs Premature Ventricular Contraction ASY Asystole VTA/VFIB / Ventricular tachycardia/ventricular Fibrillation ROT R on T RUN run CPT Couplet VPB Ventricular Premature beat BGM Bigeminy TGM Trigeminy TAC Tachycardia BRD Bradycardia PNC Pacer not captured PNP Pacer not paced MIS Missed beat OxyCRG Oxygen Cardio-respirogram RESP Respiration RR Respiration Rate Apnea SPO2 Pulse Oxygen Saturation Pulse NIBP Noninvasive Blood Pressure SYS/NS Systolic pressure MEAN/NM mean pressure DIA/ND Diastolic pressure TEMP Temperature TD Temperature Difference IBP Invasive Blood Pressure 6

CVP central venous pressure PA Pulmonary arterial pressure LAP left atrial pressure RAP Right atrial pressure ART Arterial ICP Intracranial Pressure CO Cardiac Output TB Temperature of Blood TI Temperature of Injectate C.O. Cardiac Output CI Cardiac Index SV Stroke Volume SVI Stroke Volume Index SVR Systemic Vascular Resistance SVRI Systemic Vascular Resistance Index PVR Pulmonary Vascular Resistance PVRI Pulmonary Vascular Resistance Index LCW Left Cardiac Work LCWI Left Cardiac Work Index LVSW Left Ventricular Stroke Work LVSWI Left Ventricular Stroke Work Index RCW Right Cardiac Work RCWI Right Cardiac Work Index RVSW Right Ventricular Stroke Work RVSWI Right Ventricular Stroke Work Index BSA Body Surface Area ETCO2 End-tidal CO2 CO2 7

INSCO2 Inspiratory CO2 AwRR Air-way Respiration Rate MainStream SideStream AG Anaesthesia Gas NDIR Non-dispersive, infra-red MAC Minimum Alveolar Concentration Enf Enflurane Iso Isoflurane Sev Sevoflurane Hal Halothane Des Desflurane N2O Et End-tidal Fi ( ) Fractional inspiratory 8

2 2.1 ECG Electrocardiograph 2.1.1 2.1.2 1 2 P V1 V5 V6 V1 V2 V3 V4 V5 V6 3 AVR AVL AVF 9

2.1.3 RA R LA L LL F RL N V C 2.1.4 QRS 1 RA LA R L V C RL LL N F 2 10

5V 3 ECG S-T >85 db >105dB >105 db >105dB 11

>105 db 4 ECG 5 5 6 24 12

7 8 9 10 ECG ECG 2.1.5 1 3 ECG 3 3 5 RL ECG 13

2 S-T ECG S-T S-T ON ECG PACE ON S-T S-T 3 SpO2 ECG SpO2 SpO2 4 ECG 3 AVR AVL AVF V 5 5 14

5 ECG 3 MENU 6 ECG ECG AUTO ECG 7 ECG ECG ECG 2.1.6 ECG 1 2 3 15

ECG 4 ECG ECG 16

2.1.7 ASY Asystole 4 QRS VTA/ VFIB RUN CPT Ventricular tachycardia / / Ventricular fibrillation run couplet 4 5 R-R 600ms 3 5 2 BGM Bigeminy TGM Trigeminy ROT R on T R on T VPB TAC BRD Ventricular Premature beat Tachycardia Bradycardia <100 RR 1/3, 1.25 R-R R T 5 QRS RR 500ms 5 QRS RR 1.5s 17

MIS missed beat PNP PNC pacer paced not pacer not captured 18 100 / RR 1.75 100 / 1 RR 1.75 QRS RR 1.75 QRS 2.2 RESP respiration 2.2.1 RA LL RA LL 2.2.2

RA LL 2.2.3 1 RESP 0.25 0.5 1 2 3 4 5 / 19

2.3 TEMP temperature 2.3.1 2.3.2 10 2.3.3 1 0.1~ 0.3 20

0.1~ 0.3 2 97 TEMP 36.1 97 =32+ *9/5 t=(f-32) 5 9 2.3.4 1 2 21

2.4 SpO2 Pulse Oxygen Saturation 2.4.1 SpO2 1 200mmHg 2 3 4 (HbO2) (Hb) (600 700nm)HbO2 Hb 22

(800 1000nm) 660nm 940nm SpO2 2.4.2 1 ( ) 2 23

3 4 5 COHb (MetHb) SpO2 6 7 SpO2 8 9 24

10 11 SpO2 SpO2 2.4.3 1 SpO2 4 8 16 4 8 16 SpO2 SpO2 SpO2 4 2 ECG 2.4.4 1 25

2 3 2.5 NIBP Non-Invasive Blood Pressure 2.5.1 26

2.5.2 1 2 3 4 5 2.5.3 <-> 40 50 50 80 2 27

/ / 10--19cm 18--26cm 8 cm 10.6 cm 1 25--35cm 14 cm 2 33--47cm 17 cm 1.5 m 3 m 46--66cm 21 cm 2.5.4 1 2 4 ( ) 45 2.5.5 NIBP 1 ( ) 0.9mmHg(0.10kPa) 28

0.9mmHg(0.10kPa) 2 3 4 5 6 7 8, 9 40bpm( / ) 240bpm( / ) 10 270mmHg 11 50-60mmHg 2 12 29

13 14 15 2.5.6 1 2 NIBP 30

5 3 NIBP START START 4 NIBP NS NM ND NS NM ND NS NM ND NS NIBP SYS NM NIBP MAP ND NIBP DIA 2.5.7 1 31

2 2.6 REC Recorder 1 2 32

1 2 3 33

3 3.1 IBP Invasive Blood Pressure 3.1.1 50mmHg 3.1.2 1 34

2 3 4 5 IBP IBP 6 IBP 1,2 7 3.1.3 1 2 3 4 5 35

6 5 20mmHg 7 1 0.3cm 3.1.4 1 ART, PA, CVP, RAP, LAP, ICP IBP CVP, 0~40mmHg ART 120/80 mmhg 40 mmhg IBP IBP P1 P2 IBP 2 IBP ART PA CVP RAP LAP ICP P1 P2 P1/P2-10 ~ 300 (mmhg) IBP 36

IBP P1 P2 IBP IBP 3.2 CO Cardiac Output 3.2.1 3.2.2 1 2 5% 5% 37

3 3.2.3 1 5% 2 0 27 CO 3 10 4 5 4 13.5 CO 6 35 70 3.2.4 CO 1 CO 0.5 20L/min 4 8L/min 2 CO START 4 4 13.5 38

3.2.5 1 CO CO.CONST CO.CONST CO.CONST Injectate Temp Injectate Volume 2 CO START 4 4 13.5 CO 0 27 39

3.3 EtCO 2(Endtidal CO 2 ) 3.3.1 MainStream CO2 SideStream (EtCO2) (Inspired Minimum CO2:InsCO2) Air Way Respiration Rate: AWRR, CO2 CO2 (EtCO2) INS: AWRR: ( ) 35 45mmHg 4.6 6KPa 40

CO2 3.3.2 CO2 CO2 4.3um CO2 CO2 CO2 CO2 CO2 (mmhg) = CO2 (%) * Pamp( ) CO2 (Autorun) 31 CO2 45S 90S 5S 10S 10S 41

CO2 CO2 3.3.3 1 2 3 4 5 CO2 6 7 3.3.4 1 2 3 4 5 42

3.3.5 CO2 1 2 3 CO2 CO2 4, 5 CO2 IR CO2 6 CO2 ( ) 7 8 3.4 AG Anaesthesia Gas 3.4.1 43

NDIR Non-dispersive, infra-red 4.3 [CO2] 3.9 [N2O] 8-12 [ ] 0 0 44

O2 O2 O2 45

3.4.2 1 INS/ Et CO2 N2O O2 AA Enflurane [Enf] (Isoflurane[Iso]) Sevoflurane[Sev] Halothane[Hal] Desflurane[Des] MAC( ) BAL( AwRR O2 / 5 N2O CO2 / O2 2 MAC Minimum Alveolar Concentration MAC 1 50% 4 CO2 N2O O2 CO2 46

3.4.3 1 2 O2 CO2 N2O 3 4 3.4.4 1 2 MAC 3 N2O/O2 4 5 3.4.5 1 30 ISO 10 Full 2 120ml/min 100ml/min 70 ml/min 3 47

4 5 6 48

4 4.1 4.1.1 1 +3V 3 2 49

3 ( ) ( ) NIBP 4.1.2 4.1.2.1 oxycrg oxycrg 1 oxycrg (Oxygen Cardio-respirogram) 50

oxycrg oxycrg 1 2 4 oxycrg oxycrg 2 4.1.2.2 51

4.1.2.3 MINDRAY 4.1.2.4 15 52

MINDRAY 1. 2. AMOUNT VOLUME CONC WEIGHT DOSE/MIN DOSE/HR DOSE/WT/MIN DOSE/WT/HR RATE DURATION TOTAL DOSE TOTAL VOL = / CONC = Amount/Volume = / RATE = Dose/Conc 53

= Dose = RATE Conc = TOTAL DOSE=Dose Duration = TOTAL VOL=Rate Duration 3. 4.2 1 MINDRAY OK 2 NIBP NIBP RESP 54

RESP RESP MENU RESP 55

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