REPRESENTACION GRAFICA DE CONDICIONES CLINICAS EN LAS CURVAS DE MONITOREO VENTILATORIO.

Slides:



Advertisements
Similar presentations
Neonatal Mechanical Ventilation
Advertisements

Patient – Ventilator Asynchrony
Pulmonary Mechanics and Graphics during Mechanical Ventilation
Ventilator Waveforms: Basic Interpretation and Analysis
The Map Between Lung Mechanics and Tissue Oxygenation The Map Between Lung Mechanics and Tissue Oxygenation.
CPAP/PSV.
Modes of Mechanical Ventilation
1 Pre-ICU Training CHEST Mechanical Ventilatory Support 2008/6/20.
Educational Resources
Introduction to Mechanical Ventilation
Trigger/Limit/Cycle/Baseline
 Before you can begin mechanical ventilation your ventilator must be correctly assembled ◦ Step 1: Assemble expiratory and inspiratory filters on the.
Interpretation of Ventilator Graphics
Ventilator Graphics: Not Just Pretty Lines
Initiation of Mechanical Ventilation
D. Sara Salarian,. Nov 2006 Kishore P. Critical Care Conference  Improve oxygenation  Increase/maintain minute ventilation and help CO 2 clearance 
Ventilator Settings in Pediatric Patients Wanida Paoin Thammasat Hospital,Thammasat University.
Department of Critical Care Medicine Kovai Medical Center and Hospital.
Mechanical Ventilation
SERVO-i VENTILATOR GRAPHICS
Principles of Mechanical Ventilation
CMV Mode Workshop.
AHP300 VENTILATOR Prepared by Caesar Rondina, EMTP, SCT, EMTP, CES
Chapter 42 Mechanical Ventilators
How a Breath is Delivered
Ventilator Waveforms: Basic Interpretation and Analysis
1 Life Products LP-6, LP 6 Plus and LP 10 Home Ventilator By Bryce Younger.
Selecting the Ventilator and the Mode
Advanced Pulmonary Mechanics during Mechanical Ventilation
1 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Chapter 19 Mechanical Ventilation of the Neonate and Pediatric Patient.
Thursday, April 20, 2017 Critical care units HIKMET QUBEILAT.
Dr Chaitanya Vemuri Int.Med M.D Trainee.  The choice of ventilator settings – guided by clearly defined therapeutic end points.  In most of cases :
Without reference, identify principles about volume/pressure and high frequency ventilators with at least 70 percent accuracy.
Exam 1 review. PV loop Note over distention Patient triggers Asynchrony RAW.
1 Respironics BiPAP-Vision. 2Classification Electrically powered – internal battery powers Vent Inoperative & audible alarms if AC power lost. Error code.
Basic Pulmonary Mechanics during Mechanical Ventilation
Basic Concepts in Adult Mechanical Ventilation
 Understand the different breath types with SIMV  Know the Phase variables of the different breath types: trigger/limit/cycle  Know the breath sequence.
Modes of Mechanical Ventilation. P OINTS OF D ISCUSSIONS Advanced Basics: Flow and Time Limit and cycling Rise Time Volume vs Pressure Control Mandatory.
BASICS OF WAVEFORM INTERPRETATION Michael Haines, MPH, RRT-NPS, AE-C
Ventilator Graphics Emeritus Professor Georgia State University
Mechanical Ventilation 1
ESSENTIALS OF VENTILATOR GRAPHICS
3 nd LECTURE VENTILATORS Part One. Ventilators One of the major life support systems. Ventilators take over the vital role of the respiratory muscles.
Mechanical Ventilation Graphical Assessment
Ventilatory Modes. Volume Controlled Mandatory Breath Gas is delivered at a constant flow until the set tidal volume is reached. Pressure rises to a.
Mechanical Ventilator
Ventilatory Modes Graphnet Ventilator.
NEW 3.0 SOFTWARE FOR SERVO-i AND SERVO-s Servo-i Ventilator
PRESSURE CONTROL VENTILATION
Mechanical Ventilation
CLINICAL UTILITY OF VENTILATOR GRAPHICS
Start with the airway pressure screen Step 1….determine the CPAP level This is the baseline position from which there is a downward deflection on, at.
Mechanical Ventilation Basic Modes
Mechanical Ventilation - Introduction
VENTILATOR BASICS AND GRAPHICS
Introduction to Basic Waveforms
Mechanical Ventilator 2
Mechanical Ventilation
F60 Advanced Modes 1 Flight Medical Confidential 1.
Advanced Modes of Mechanical Ventilation
Basic Concepts in Adult Mechanical Ventilation
Ventilators Tom Williams.
Adjusting comfort settings on Newport HT70 Series Ventilators
Even though this patient is undergoing positive-pressure mechanical ventilation, the first 4 breaths have a relatively negative pressure (ie, pressure.
The third breath has a negative deflection (ie, below PEEP) at the end of the mechanical breath (arrow A) associated with a flow increase (arrow B), indicating.
The peak flows (60 L/min) and flow patterns are the same for all the breaths. The peak flows (60 L/min) and flow patterns are the same for all the breaths.
During this tracing of 30 seconds, the ventilator displays that the patient rate is 16 breaths/min. During this tracing of 30 seconds, the ventilator displays.
Capire e interpretare le curve sul ventilatore
This tracing depicts 30 seconds of information.
Presentation transcript:

REPRESENTACION GRAFICA DE CONDICIONES CLINICAS EN LAS CURVAS DE MONITOREO VENTILATORIO

Air Leak Inspiration Expiration Volume (ml) Flow(L/min) Air Leak in mL Normal Abnormal

Air Trapping Inspiration Expiration Volume (ml) Flow (L/min) Does not return to baseline Normal Abnormal

Increased Airway Resistance Inspiration Expiration Volume (ml) Flow (L/min) Decreased PEFR Normal Abnormal Scooped out pattern Scooped out pattern

Flow-Volume Loop Volume (ml) PEFR FRC Inspiration Expiration Flow (L/min) PIFR VTVT

Airway Secretions/ Water in the Circuit Inspiration Expiration Volume (ml) Flow (L/min) NormalAbnormal

Air Trapping Inspiration ExpirationNormalPatient Time (sec) Flow (L/min) Air Trapping Auto-PEEP }

Flow Patterns ACCELERATING DECELERATING SINE SQUARE

Inspiratory Flow Pattern Inspiration Expiration Time (sec) Flow (L/min) Beginning of inspiration exhalation valve closes Peak inspiratory flow rate PIFR Beginning of expiration exhalation valve opens Total cycle time TCT Inspiratory Time T I Expiratory Time T E

Assisted Mode (Pressure-Targeted Ventilation) Pressure Flow Volume (L/min) (cm H 2 O) (ml) Set PC level Time (sec) Time-Cycled Patient Triggered, Pressure Limited, Time Cycled Ventilation

Assisted Mode (Volume-Targeted Ventilation) Time (sec) Flow (L/m) Pressure (cm H 2 O) Volume (mL) Preset V T Volume Cycling Patient triggered, Flow limited, Volume cycled Ventilation

Controlled Mode (Pressure- Targeted Ventilation) Pressure Flow Volume (L/min) (cm H 2 O) (ml) Time (sec) Time- Time-CycledSet PC level Time Triggered, Pressure Limited, Time Cycled Ventilation

Controlled Mode (Volume-Targeted Ventilation) Preset V T Volume Cycling Dependent on C L & R aw Time (sec) Flow (L/m) Pressure (cm H 2 O) Volume (mL) Preset Peak Flow Time triggered, Flow limited, Volume cycled Ventilation

CPAP Time (sec) CPAP level Flow (L/m) Pressure (cm H 2 O) Volume (mL)

CPAP + PSV Set PS level CPAP level Time (sec) Flow (L/m) Pressure (cm H 2 O) Volume (mL) Flow Cycling

Modes of Ventilation on Scalar Graphics FLOW PRESSURE VOLUME

Spontaneous Breath Flow Pressure Volume Time (sec) (ml) (cm H 2 O) (L/min)

CPAP Flow Pressure Volume 0 5 Time (sec) (L/min) (cm H 2 O) (ml)

SIMV/PS Flow Pressure Volume Time (sec) (L/min) (cm H 2 O) (ml) Set PS level

Volume Ventilation Pressure Volume Volume Flow Preset Peak Flow Preset V t Dependent on C l & R aw Time (sec) (L/min) (cm H 2 O) (ml)

Pressure Control Ventilation Flow Pressure Volume ClClClCl ClClClCl Set PC level Time (sec) (L/min) (cm H 2 O) (ml)

Assist Control Flow Pressure Volume Time (sec) (L/min) (cm H 2 O) (ml)

CMV Flow Pressure Volume Time (sec) (L/min) (cm H 2 O) (ml)

I M V Flow Pressure Volume Time (sec) (L/min) (cm H 2 O) (ml)

PSV Time (sec) Flow (L/m) Pressure (cm H 2 O) Volume (mL) Flow Cycling Set PS level Patient Triggered, Flow Cycled, Pressure limited Mode

Pressure Flow Volume (L/min) (cm H 2 O) (ml) Set PC level Time (sec) SIMV Mode (Pressure-Targeted Ventilation) Spontaneous Breath

SIMV (Volume-Targeted Ventilation) Spontaneous Breaths Flow (L/m) Pressure (cm H 2 O) Volume (mL)

Pressure Flow Volume (L/min) (cm H 2 O) (ml) SIMV + PS (Pressure-Targeted Ventilation) PS Breath Set PS level Set PC level Time (sec) Time-Cycled Flow-Cycled

SIMV+PS (Volume-Targeted Ventilation) Flow Pressure Volume (L/min) (cm H 2 O) (ml) Set PS level PS Breath Flow-cycled

Pressure Flow Volume (L/min) (cm H 2 O) (ml) Set PC level Time (sec) SIMV + PS + CPAP (Pressure-Targeted Ventilation) Set PS level CPAP level

SIMV+PS + CPAP (Volume-Targeted Ventilation) Flow Pressure Volume (L/min) (cm H 2 O) (ml) Set PS level CPAP level

Spontaneous Breath Time (sec) Flow (L/m) Pressure (cm H 2 O) Volume (mL)