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

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Presentation on theme: "REPRESENTACION GRAFICA DE CONDICIONES CLINICAS EN LAS CURVAS DE MONITOREO VENTILATORIO."— Presentation transcript:

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

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

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

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

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

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

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

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10 Flow Patterns ACCELERATING DECELERATING SINE SQUARE

11 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

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16 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

17 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

18 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

19 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

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

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

22 Modes of Ventilation on Scalar Graphics FLOW PRESSURE VOLUME

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

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

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

26 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)

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

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

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

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

31 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

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

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

34 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

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

36 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

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

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


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