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Jumat, 18 Februari 2011

Lid CPAP (Cuntinuous positive airway pressure)


Lid CPAP (Cuntinuous positive airway pressure)
- Provide a positive pressure into the airway to open the alveoli, improving functional residual capacity, and improve oksigeneration
- is indicated for patients breathing spontaneously with an experienced hiposekmia due to atelectasis
ADVANTAGES:
Provide positive pressure ventilator without installation
ADVANTAGES:
- The possibility of vomiting with aspiration, which can be prevented by way of gastric decompression
- Not convenient for patients, erythema, skin abrasions around the depressed area (nose, cheeks, chin)
- Decrease in cardiac output and hypotension because of positive pressure in the thoracic

LID REBREATHING

INTERFACE WITH BAG LID REBREATHING
- Provide O2 with a flow of 8-12 L / min with a concentration of 40-60%
- Design rebreathing face shield similar to a simple face shield, with the addition of O2 reservoir bag
-Air inspiration partly mixed with air expression, 1 / 3 part ekshalasi volume into the bag, 2 / 3 part ekshalasi volume through the holes on the side
ADVANTAGES:
Saving Oxygen ekshalasi of anatomic dead space
LOSSES:
- Flow rate is not fit to lead back to CO2 inhalation
- Patients are not free to eat, drink, or cough
DANGER:
- There was an aspiration if vomiting
- Emphysema subcutaneous tissue into the eye at high O2 flow
- Necrosis due to mounting face that is too tight lid
MAINTENANCE:
- Advance the patient is cleaned and dried every 2 hours
- Fume face replaced / cleaned every 8 hours
- If there is water in the bag, it must be emptied
How to Install
- Explain the procedure in patients
- Connect the hose O2 on humidifier with low flow
- The contents of O2 into the bag by closing the hole between the pouch with a lid
- Adjust straps so that the lid closes tightly and comfortably, if necessary, wear gauze pads in a depressed area
- Adjust the flow of O2 so that the bag will be filled in expiratory time and inspiration time nearly bud