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He rereke te momo ventilator e whakamahia ana mo nga momo mate rereke. Ko te tikanga, ka whakamahia te ventilator aunoa-taumata kotahi mo nga turoro me te hongi; te ventilator aratau ST-taumata e rua mo nga mate o te paru. Mena he manawanui raru paanui, he mea tika pea kia whakamahi Bilevel ventilator. He rereke te momo ventilator e whakamahia ana mo nga momo mate rereke. He maha nga waahanga o ventilator kore-whakaekea. Ko enei e whai ake nei e whakaahua ana i te ahuatanga o te ventilator. Ka taea e koe te whiriwhiri i te kaitohu kaore i whakaekea e rite ana ki a koe ake ano.

Kei roto i te kaitoro te ahua CPAP, S, T, S / T, penei:

1. Huarahi CPAP o te ventilator: te aratau pngai hurihuri pai

CPAP: Te Aratau Whakauru Utu Tihini Kino-Whakahaumaru Whakauru Utu Tuarua, He manawanui te manawa o te manawanui, he raru ano te hihiri i te awangawanga me nga waahanga tangohanga hei awhina i te manawanui ki te whakatuwhera i te huarahi. Kei te whakamahia i te nuinga mo nga turoro me te OS apnea e aukati ana i te moe moe, te manawa ohorere, me te awhina noa mai i te maarama. Kaore he whiu, kaore he huringa, ko te tinana o te tangata te manawa, ka toha te pehanga ki te awangawanga tonu, me te tauhohenga o te waahanga whakaawe me te waahanga whakahauora. Ko te manawa o te awhina (ko te pehanga o te pehanga he 0) + te pehanga o te pehanga he tikanga hou-kore whakaekea. Ko nga paanga o te ahupūngao he rite ki te PEEP (he pai te mutunga o te pehanga): whakarei ake i te toenga o nga toenga mahi, whakapai ake i te ture; whakaiti whakaiti i te kohi mana, whakapai ake i te pana; mau tonu i te huarahi tuwhera o runga.

2. Te ahua o te ventilator:

Ko te aratau o te aukaha aukaha te aratau manawa tuuturu --- Te aratau manawa tuuturu, ma te manawanui te manawa kukuti ka taea ranei te kukume i te kaitohu ki te whakaputa i te aukatinga, ka taea e te kaiwhakawae anake te IPAP me te EPAP, ka maataki e te manawanui te huringa o te manawa me te ōwehenga whakahihuri / wa hihiri. Mana motuhake Mo nga turoro e whai manawa ana i te manawa tuuturu ranei o nga turoro me te apnea moe pokapū. Ko te whakahoahoa manawa koi: Ko te huringa o te manawa me te manawa o te manawa o te manawanui kia tino taangihia. Mena ka mutu te manawa o te manawa o te manawanui, ka mutu ano te mahinga o te ventilator. Te mana pehanga (te pehanga tonu): tiakina te IPAP (whakaaweihi i te puhipuhi rererangi takoha) te pehanga ki runga i te manawa hihiri, me te mau tonu i te EPAP (te puhoi hiko o te rerewe) te pehanga ki runga i te manawa whakawehe mana whakahaere, a he aratau kore-whakaeke noa noa.

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3. Te aratau T o te huringa.

aratau hāmamaa wā T Te aratau mana Wā - Te aratau mana whakahaere i te wa, kaore i te manawa te manawa o te manawanui kaore ranei e taea te kukume i te kaitohu ki te whakaputa motuhake, ka whakawhiwhia e te kaiwhakawao te manawa ki te manawa o te manawanui, e whakarato ana i te IPAP (te puhipuhi whakaaweihi i nga waahanga o te hau hurihuri), EPAP (tangohanga ara hiko Te nekehanga Poto), BPM, Ti (wā hihiri / ōwehenga wā heke). Ka whakamahia tenei tikanga ma te maakuta kaore i te manawa koha, he ngoikore ranei te kaha ki te manawa. Te weto i te waa: Ka mahi te huringa i te auraki tatūkē kaore e honohono me te manawa ohorere o te manawanui. Te mana pehanga (te pehanga tonu): Kia mau tonu he IPAP (he whakahaumaha whakaawe i te ahuru o te raru) ki te puhipuhi whakaawe, me te pupuri i te EPAP (te puhoi hiko o te hau) i runga i te manawa o te manawa Whakatau haere te wa: te tango i te manawa, te paheketanga pehanga, kaua- aratau whakaekea kaore i whakamahia.

4. Ko te momo S / T o te huringa.

autonomous/time ventilation mode S/T Spontaneous/Timed automatic switching mode --- Spontaneous/Timed automatic switching mode. When the patient's breathing cycle is less than the period corresponding to the backup ventilation frequency, it is in S mode; when the patient's breathing cycle is greater than the backup ventilation frequency, it is in T mode. Automatic switching point: the period corresponding to the backup ventilation frequency such as: BPM=10 times/min, breathing cycle=60 seconds/10=6 seconds, then the ventilator waits for 6 seconds, if the patient can trigger the ventilator within 6 seconds, the ventilator It is S working mode, otherwise it is T mode. This mode is the most commonly used and is used for various patients. a. The spontaneous breathing triggers when the spontaneous breathing frequency>preset frequency of the ventilator. The ventilator and the patient's breathing frequency are fully synchronized. The pressure control flow rate is switched. b. The spontaneous breathing frequency<time of the ventilator preset frequency. The ventilator triggers in advance. The set frequency working pressure control time switching assist/control breathing + pressure control is a commonly used non-invasive mode.


Post time: Jul-14-2020