: SARS (RAPHAEL) 5 SCMV SIMV+PCV PSIMV+ SPONT : 1
1.1 20 4050 Bennett PR-1A Bird mark 6070 Bennett MAEngstrom200 Servo900 (PEEP)(CPAP)(IMV) (SIMV) T 80 Servo900cBennett7200Bennett7200aeBear1000 Bear1000T/se 1958 1971 SH HVJ880 2
SC KTH 1.2 2.1 -TV TV MV- 3 1 2 3 3
2.2 3.1 (1) (2) 4
5% 60 3.1 ExpMinvol( Pmean ) VTE Insp Flow Oxygen( fspont ) PEEP/CPAP( MV Spont / ) TI( Rcexp ) 5
I:E(/ Auto PEEP ) Ppeak Rinsp FTotal Cstat /// 3.2 3 6
Mode 100 5cmH2O 20 SCMV+ Control Alarm (4) 3.2. 5 1SCMV I:E(/) 7
2PCV I:E( /) / 3 SIMV Synchronized Intermittent Mandatory Ventilation (f) TV () IPPV() IPPV IPPV 25% IPPV, IPPV 10 / 6 1.5 6 1.5 IPPV 6 IPPV TVf MV SIMV TV PaCO2 4PSIMV PSIMV PCV 5SPONT 3.3. 1IPPV Intermittent Positive Pressure Ventilation, ( CMV) 8
(2) SIPPV IPPV SIMV MMV SIPPV (3) IMV ( Intermittent Mandatory Ventilation) IPPV,+IPPV IMV (f) TV,() IPPV IMV (4) MMV (Minute Mandatory Ventilation) (MV minute Ventilation) MV< MV, MV MV IPPV MV PaCO2 MMV MMV MMV (TVs) MMV MV 9
MMV MMV (5) CPAP (Continuous Positive Airway Pressure Ventilation) > (PEEP) (FRC),PaO2 CPAP CPAP CPAP CPAP SIMVMMVPSV (6) PEEP (Positive End-expiratory Pressure Ventilation) (PEEP) PEEP CO2 (FRC) PEEP (ARDS) Fi O2 PEEP PEEP (COPD) PEEP C O2 PEEP PEEP Fi O2 PEEP 10
2.5cmH2O (Fi O20.50.6,Pa O2 70mmHg) CVP 10cmH2O 46cmH2O PEEP (7) PSV (Pressure Support Ventilation), 25% I/E (TV) PSV <20cmH2O TV >30cmH2O TV IPPV Pa C O2 PSV (0.490.98kPa) (SIMV) (TV)(MV), PSV PSV (TV)(MV)(TV) SIMVMMV (8) PCV (Pressure Controlled Ventilation) 11
PCV PCV - (TV) IPPV - (ARDS) (COPD)/ (TV) PCV (TV)- (TV)(MV) PCV (TV) (9) BiPAP (Bi-level Positive Airway Pressure) (10) HFV (High Frequency Ventilation) 4 (>60 /min) HFV HFV ARDS HFV HFPPV 60 / HFJV, 12
(Venturi) HFOV 500~3000 / 20~80% 4.1 (1) 21%100% (2) (3) 3235() Y 30 (4) 13
(5) (6) 4.2 4.1 4.2.1 4.2.1.1 (1) 30 5000~10000 (2) 14
4.2.1.2 (1) (2) (3) (4) (5) 4.2.3. 4.1 15
4.2 () 4.3 () 4.4 16
4.5, PEEP PEEP 17
4.6 18
A alveolar gas A-aDO2 alveolar-arterial oxygen difference - AAV adaptive assisted ventilation AMV assisted mechanical ventilation APRV airway pressure release ventilation ARDS adult respiratory distress syndrome acute respiratory distress syndrome ASB assisted spontaneous breathing BiPAP bi-level positive airway pressure CL lung compliance CMV controlled mechanical ventilation CPAP continuous positive airway pressure CPPB continuous positive pressure breathing CPPV continuous positive pressure ventilation EIP end-inspiratory pause EMMV extended mandatory minute ventilation EPAP expiratory positive airway pressure ETCO2 end tidal CO2 FaCO2 alveolar CO2 concentration FAO2 alveolar O2 concentration FECO2 expired CO2 concentration FEO2 expired O2 concentration FRC functional residual capacity FVC forced vital capacity HFV high frequency ventilation HFJV high frequency jet ventilation HFPPV high frequency positive pressure ventilation HFOV high frequency oscillation ventilation IAV intermittent assisted ventilation ICU intensive care unit IDV intermittent demand ventilation I/E inspiratory time/expiratory time / IMV intermittent mandatory ventilation IP inspiratory pressure 19
IPPB intermittent positive pressure breathing IIPV intermittent positive pressure ventilation IRDS idiopathic respiratory distress syndrome MAP mean airway pressure MAP mean arterial pressure MBC maximal breathing capacity MEFR maximal expiratory flow rate MEFV maximal expiratory flow-volume curve / MEP maximal expiratory pressure MIF maximal inspiratory flow MIFV maximal inspiratory flow-volume curve / MIP maximal inspiratory pressure MMV minute mandatory ventilation MV minute ventilation MVV maximal voluntary ventilation NEEP negative end-expiratory pressure OHP oxygen therapy at high pressure Paw average in airway pressure PB barometric pressure PEF peak expiratory flow PEEP positive end-expiratory pressure PEFR peak expiratory flow rate PIF peak inspiratory flow PIP peak inspiratory pressure PL transpulmonary pressure PNPB positive negative pressure breathing PRVC pressure regulated volume control ventilation PSV pressure support ventilation RCU respiratory care unit SIMV synchronized intermittent mandatory ventilation SIPPV synchronized intermittent positive pressure ventilation TLC total lung capacity TVVT tidal volume VE minute volume of ventilation ZEEP zero end-expiratory pressure 20