呼吸模式介绍 ∞川大基 区 West China Hospital, Sichuan University
West China Hospital, Sichuan University 呼吸模式介绍
呼吸模式介绍 ◆如何开始吸气 ◆吸气如何进行 ◆如何结束吸气 ◆优点 ◆缺点 ∞川大基 区 West China Hospital, Sichuan University
West China Hospital, Sichuan University 呼吸模式介绍 ◆如何开始吸气 ◆吸气如何进行 ◆如何结束吸气 ◆优点 ◆缺点
呼吸模式 ◆VCV ◆PRVC/ autoflow/v+ ◆PCV ◆VS/+ ◆S|MV ◆ Automode ◆S|MV+PS∨ ◆VAPs/PA ◆PS∨ ◆MRV ◆CPAP ◆ASV ◆B|PAP ◆PAV+/PPS ◆APRV ∞川大基 区 West China Hospital, Sichuan University
West China Hospital, Sichuan University 呼吸模式 ◆VCV ◆PCV ◆SIMV ◆SIMV + PSV ◆PSV ◆CPAP ◆BIPAP ◆APRV ◆PRVC/autoflow/VV+ ◆VS/VV+ ◆Automode ◆VAPS/PA ◆MRV ◆ASV ◆PAV+/PPS ◆…
选择不同机械通气模式 ◆改善气体交换 ◆增加患者舒适性 ◆加速自主呼吸的恢复 ∞川大基 区 West China Hospital, Sichuan University
West China Hospital, Sichuan University 选择不同机械通气模式 ◆改善气体交换 ◆增加患者舒适性 ◆加速自主呼吸的恢复
机械通气的常用模式 Esteban(1992) Esteban(1996) Esteban(1998) VCV 55% 47% 53% PCV 1% 5% SIMV 26% 6% 8% SIMV+PSV 8% 25% 15% PSV 8% 15% 4% 其他模式2% 7% 15% aLModes of machanical ventilaton and weaning. A natonal survey of Spanish hospitals. Chest 1994: 106: 1188-1193: 2. Esteban A, Anzueb A, venation embayed in the Intensive Care Units? An international uilization review. Am J Respir Crit Care Med 2000: 161: 1450-1458: 3. Esteban A, Wm中5f9用U册 Retes in adult patents receiving mechanical ventlafc.MA2002274535
West China Hospital, Sichuan University 机械通气的常用模式 Esteban (1992) Esteban (1996) Esteban (1998) VCV 55% 47% 53% PCV 1% – 5% SIMV 26% 6% 8% SIMV + PSV 8% 25% 15% PSV 8% 15% 4% 其他模式 2% 7% 15% 1. Esteban A, Alia I, Ibanez J, et al. Modes of mechanical ventilation and weaning. A national survey of Spanish hospitals. C hest 1994; 106: 1188-1193; 2. Esteban A, Anzueto A, Alia I, et al. How is mechanical ventilation employed in the Intensive Care Units? An international utilization review. Am J Respir Crit Care Med 2000; 161: 1450-1458; 3. Esteban A, Anzueto A, Frutos F, et al. Characteristics and outcomes in adult patients receiving mechanical ventilation. JAMA 2002; 287: 345-355