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Senin, 21 Februari 2011

Classification and Settings Ventilator




Ventilator Classification
1.       Characteristics Inspiration
a.       Constant Flow Generator
b.      Non-constant Flow Generator
c.       Constant Pressure Generator
2.       Exchange Cycle Phase-Ekspirasi Inspiration
a.       Time cycled ventilator
b.      Volume cycled Ventilator
c.       Pressure cycled Ventilator
3.       Microprosessor-Controlled Ventilator
a.       Machines can be modified / arranged according to the desired function
b.      Microprosessor allowing ventilator settings tsb

Ventilator Settings
Depending on the type of respiratory failure, partial or total ventilation support
1.         Total Ventilation Support: (CMV, AC, PCV) generally:
a.         RR 10-12 x / min
b.         TV 80-10 ml / kg to prevent: high PAW, Volu or Barotrauma
2.         Partial Support Ventilation
a.         Usually low SIMV <8 x / '
b.         Tidal volume of 6-10 ml / kg, with or without PS
c.          Patients breathing spontaneously with SIMV must overcome resistance from the ETT, valve, ventilator breathing circuit
d.         ETT small (<7.0-7.5) should be avoided
e.         The use of simultaneous SIMV PS 5-15 cmH2O to overcome resistance of the ETT & circuit
f.          The addition of PS 5-8 cmH2O during positive ventilation and gas exchange to maintain PRC