人工呼吸器のグラフィックモニター - JSEPTIC

1 JSEPTIC CE ICU CE 1 3 1 1-1 ? 1-2 1-3 2 2-1 2-2 VCV 2-3 PCV 2-4 3 3-1 PCV 3-2 3-3 2 1 1. 2 1-1 1-2 1 2 3 4 1-2

2 1-3 2 2-1 Y CPU cmH2O cmH2O, mbar, hPa) 2-2-1 VCV Volume Control Ventilation VCV PEEP A B C D E F cmH2O cmH2O, mbar, hPa) 2-2-1 VCV Volume Control Ventilation VCV 3-3-1 2 PEEP A F :PEEP A-B: C-D: B-C: D-E: E-F.

3 PEEP 2-2-2 VCV cmH2O PEEP PEEP 20 25 35 40 20 25 20 20 20 40 20 20 COPD 35 40 35 35 ARDS L/min Volume Control Ventilation VCV 2-2-2 VCV VCV L/min VCV PCV VCV VCV L 2-2-3 VCV Volume Control Ventilation VCV Time Time Time 2-3 VCV Pressure Control Ventilation PCV PEEP (cmH2O)

4 2-3-1 PCV L/min Pressure Control Ventilation PCV 2-3-2 PCV VCV PCV Pressure Control Ventilation PCV L Pressure Control Ventilation PCV 2-3-3 PCV 2-3 PCV Time Time Time Time 2-4 3 Volume Cycle : VCV Time Cycle : PCV Flow Cycle : PS 2-4 Volume Cycle Time Cycle Flow Cycle VCV PCV PSV Flow Cycle PSV E 25% 10% 25% 50% 6 VCV VCV PCV PCV VCV PCV 6 VCV VCV PCV PCV VCV PCV 1.

5 2 3-1 PCV L/min L/min 3-1 PCV 3-1 PCV L/min auto PEEP PaCO2 3-2-1 auto PEEP 3-2-1 auto PEEP VCV PCV VCV PCV 3-2-2 VCV PCV 3-2-3 3-3-1 A B C D E F cmH2O cmH2O/L/sec mL/cmH2O PEEP

6 PEEP VCV PCV PCV 3-3-2 cmH2O/L/ mL/cmH2O ARDS auto PEEP a b x 12s 24s !! !! 3-3-3 3-3-4 VCV PCV SpO2 3 1 PCV 3 L/min L/min L/min 3-1 PCV 0 3 1.

7 500ml 30L/min PEEP 5cmH2O 40cmH2O 22cmH2O Q1 mL/cmH2O 36 cmH2O/L/sec sec min 2. 20cmH2O PEEP 5cmH2O 25cmH2O 19cmH2O 388ml Q2 mL/cmH2O PCV Clinical Engineering 2010. Emergency Care 2013