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+

Chirolog SV-

X C-A +
Chirana , C T
,
, .
, , ,
, .
, ,
. ,
.

- !

,
.

. 3-4

.


, - . ,
, , .
.

:


.
,
.

0

-
:
) .
.
) , , .
) , - , .

): ,
3 , ,
. .
-, HELP = . ,
, (
) . , ,
.

): ,
). , .

): .

I.
, ,
- :

CMV (IPPV)

CMV + SIGH

CMV - pressure control (PC)

SPC

SCMV

SIMV

SIMV s pressure support (PS-SIMV)

PS - pressure support - (AV )

EMMV

APRV (BIPAP)

CPAP

MSV -
"SIGH"
PEEP.
(p) 0 30 % Ti -
.
.
. 12
PEEP.
II.

, .


. - -
.
, .

, .
, ,
, .
, FiO2 = 0,21.
,
.

, (
). ,
, .

-
2 .

, , , .
, ,
,
.
.


1- 02
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13- ()
14-

:
(),
.
.
,
FiO2.

. . ,
, .
.
.
. .
.

. . ,
,
. , PEEP,
PEEP.
,
, .
, (Vt, MV, Pmax, PEEP
) , .
I. (
) rCMV rP
C - ,
.
rCMV rPC ,
rCMV, rPC
1 I- .
,
.
,
. 2 - 10 , , .
() ,

(). ,
, ,
( )
.
.

1
-

SV- Alfa

O2
2 ..

:
2005 2 .
.
- ,
.
.
, ,
.

.
, , , ..
.

. (),
.
, ,
, 2.
7 kPa 10 kPa.
7 kPa 1
0 kPa, , .

, .
: ,
,

.
( )
,
.
, , -
.

.

SV - Alfa

SV Alfa

SV Alfa

5 ,
.
.
.
,
,
.
.
,
,
, .

.

2
P
2
(300-600kP),
3 ( ).
.

, .
,
, "8088/86" ... ... Booting floppy....
, , .
:
STLA KLVESU ( )

"m", .

, ENTER 2 START

"SC", ENTER .


, ESC START,
.
, 10 WARNING,
, , .
, , WARNING, .. II-
( - ),
, . ,
, , MV (
MV 0,5 ). " WARNING" . 40
.
:
,
. .
,
: " ",
, . ,
.
SCMV
f, .
Vt, P/t
(/). , , , ,
. ,
. , ,
.

, ,
. - ,
, .

,
.

"ALARM" "Trig" ( ) .
ALARM (). ,

, "Trig" ().
.
: , , ,
12 ,
6. . ,
, .
.
CMV. , CMV (IPPV
). SIMV.
APRV, APRV (BIPAP CPAP), , CM
V pressure control, .. .
S, pressure support
, .. .
"MANUAL",
software ,
EMMV.
START.

,
,
START .

,
START , ,
.
2 START ???
, , ,
, .
, , - ? , .
, .


. ALARM
. -
40 .
.
.
Pmax Pmin
.
MVmax MVmin
.
2max O2min
.
.
5 . SELECT,
, . ,
ENTER, . ,
, , SELECT
ENTER. .
"" SELECT ,
, (
).
ESC
.
, "F1,F2,F3",
.

F1 ST-BY, .. standby 1 . F2
,
. F3

<BS - ,
. (
).
"+" "-" -
.

. "0" "9" ".".
.
, , .
,
.

m - . INPUT (
) .

Vt - . INPUT Vt
.

f - . INPUT
.

fsimv - INPUT
SIMV.

rig - . INPUT
.

Ti% - %- .
INPUT %i .

Tp - . INPUT
.

Ppc - ( ).
INPUT
.

PEEP - . INPU
T .

Pps - (
SIMV). INPUT
.

4
()
, , .
()
, ,
.

Vt


Ti, Te, MV

P/t

Vt

, ,
. .
(default) .
(,
), .
- .
Ti , Te MV.
Paw, MV, O2%, C R.
P/t .
, , .
,
, , 10
kPa ..
Vt, ,
Vtcor.
Vtcor Vt
, .1
.
,
,
.

,
. , , fap -
APRV, Tap% -
APRV PEEPap - PEEP APRV.
,
, ( , ). MV -
Vt f, Ti, Te - f Ti%. ,
Ti. 3/4
.
. ( SCMV),
O2%, Paw - ( - airway pressure)
, - MV.
C - R - .
,
5-10 %. R C ,

, .. , (, A
PNOE). .
, ,
, ( ) ,
. .
P/t , .. (
10 ). P/t .
Vt ( Vt) Vtcor .
P/t , NEBULIZATOR "
" - NEB , 10 kPa,
10 kPa .. Vtcor
"T",
, .

5

1. ,

,
.
.

- , .
, (
) , .
. , , .. , ,
. .


(
)

.
.

- . ,
. ,
( , ,
) (4 )
ENTER, SELECT.
( , ). ,
ESC () QUIT ENTER.

- "par", "alarm" "sc.par" ,


, ,
ENTER SELECT,
. .
() "par" ( ) ,
.
() "sc.par"
. ,
. .
() "ALARM"
,

( ).
(EDITACIA)
,
( ).
Default ( )
,
,
, ,
.

70-80. " ", ..
, ,
.

, ( - .. ,
) ,
.
. .

,
.
. ,
. (
) ,
.
, ENTER SELECT
().
ENTER
. . , , ..
,
START (2 STAR).

:
ENTER,
START (2 START), ,
, ESC,
.

.
, ,
.
, -

- . - .
, , . ,
, ,
.
, - ,
, .
:
SCMV . , , INPUT Vt Vt
, , 100 , ENTER,
ESC. SCMV , ,
, .
, , ,
. , , . Mvmax
, , .
, -
, .
,
last last.

2.

VT (Vt) tidal volume ( )

f -

Ti% - (,
Ti% = 33 Ti:Te = 1:2, Ti% = 50 Ti:Te = 1:1.

Tp - (time of poinspiration pause) -


Trig - ( , )

fsimv - SIMV

Pps - (pressure of pressure support) - ,


PS, .. ,
( Pmax.

Ppc -(pressure of pressure control) - ,


(-V), (
Pmax)

fap -
, .. APRV.
12 .

Tap% -
APRV (., %=50,
= ).

- RV

V -

Finsp -

Ti - (!! is (
) i
, i .
f, Ti% Tp. Ti:Te . i (total) = Ti
s+Tp.

Te - ( f Ti%).

1 - RV (
)

2 - , APRV (

).

w - (airway pressure)

2% - () 2

- (compliance)

R - (resistance)

- "" -

NEBULIZATOR - ,

10kPa - , (10 kPa)

Pmax -

Pmin -

Vmax -

MVmin -

2mx -

2min -

f -


"alarm" ().

2% , ,

( ).
MV Paw.

6

.
, , SV
.

.
SELECT
SETUP

SELECT

"SELECT".


,
( = ).
Quit
.
. ,
, .

,
. ,
,
= .

, SELECT 4 "", ..
. , .
, , , ,
, . ,
. ,
.
. ,
.
quit - "". , QUIT
ENTER ( SELECT), ,
.
- , . QUIT
SELECT (ENTER) - . ,
. SELECT.
, .. MENU SELECT. MENU
, .
,
.

HELP - .
HELP ENT
ER (SELECT). HELP.
,
. ,
. HELP ESC.
, -
.

NEBUL -
SELECT




.
N
EBUL ENTER (SELECT).
,
,
,
.
"N
EBUL", ,
.
ENTER (SELECT) NEBUL

. , NEBU
L

.
ST-BY - stand by
ST-BY ENTER (SELECT). , P/t
. ENTER (S
ELECT) . ,
,
,
.
ST-BY .
60 ,
. ENTER (SE
LECT). , ESC.
ST-BY F1.

TREND


MV, Vt, C, R Pw
24 .
TREND


.
TREND ENTER (SELECT).

:

Quit - , ESC.

MV, Vt, C, R, Pw - ,
ENTER (SELECT).
. 24
.
,
.
"nul" ENTER (SELECT).
TREND , ESC.

Setup -

SELECT

SETUP

SETUP

SELECT SETUP,
. SETUP ENTER (SELE
CT). 4 :

SETUP

SC.PAR ( )

PAR o (
)

ALARM o ( Paw, MV, O2%.

SC.PAR, PAR ALARM .


SETUP,
, . , ( )
QUIT - . ENTER (SELECT) SETUP
SELECT.
LAST.
LAST -
,
, -
, .
LAST ENTER (SELECT),
, . ,
, START 2 .
:

LAST

ENTER

2 START
, , ,
.

AUTO -

AUTO

INPUT m

AUTO

AUTO, ENTER (SELECT). AUTO


(QUIT "m"). "m" ENTER (SE
LECT). INPUT ()
. "m".
INPUT
. .
,
( ). ,
.
INPUT ,
, .
"m" - , "kg" ( AUTO).
, (30 - 120).
, (, 70),

.. 70 kg.
, .. , (
) ( ).
( ) ,
. , . ,
( ),
.
( "m") .
,
. , ,
, ENTER (SELECT),
, 2 START.
INPUT.
"m" 8 5 (.. 85 ).
, ENTER (SELECT), , 2 STAR
T. I
NPUT. ,
. (
).
AUTO . ENTER (SELECT) 2 STA
RT. .
. U
, "m". ,
.
E-MODE

SELECT

E-MODE

E-MODE

E-MODE.
. ENTER (SELECT)
E-MODE, ..
.
.
.
MSV,
PS APRV.
. E-MODE
. E-MODE, ESC.
E -MODE F3.

START
SETUP. START ENTER (
SELECT). START, : QUIT - ,
, RUN - .
START. ,
.
.
E-ALARM
Pw, MV, 2%. E-ALAR
M ENTER (SELECT), ALARM,
. , , MVmax ENTER (SELECT).
INPUT MVmax.
( "m" ). ENTER (SELECT)
, 2 START.

E-ALARM.
E-BASIC .
() "PAR" ( ), "MOD"
SCMV. . E-BASIC E
NTER (SELECT).


, ..
,
. SCMV: Vt, f, Ti%, Tp, Trig, PEEP.
, E
NTER, INPUT ,
. , ,

ENTER (SELECT) ESC .
Vt . ENTER (
SELECT), () "PAR" Vt , ,
Vt.
2 START,
Vt, .
( ENTER (SELECT)
START.

SELECT .
TEST . .
ESC .
ESC ( - ).
SELECT SELECT TEST-ENTER
:
, . MARTINA 005.011A
,
ENTER
O2, 9
E default , D
, +
, E
, OK, .

OK, 7 . ,
. TEST
software.
/ /.

14 28 .
O2
.
, .
.
SV,
. SV
, . SV
, ,
.
.
! :
.
OPTI .

BELL -
- II- , . . 12.
, , 2
5-30 .-1 Vt,
,
( 100 )
II-
. (
) "WARNING"
PREKROCIL PEEP PREKROCIL P ( ).
, .
( ),
BELL, "WARNING".
. SELECT,
BELL, ENTER (SELECT). ESC.
.
.
O2off , ( )
O2, .
O2. ,
, O2 %O2 , , O2off
ENTER. O2 OFF , -
, , .
, ,
. ,
, O2 off
.
, .. O2off, " O2", ..
, O2 200
O2.
a/cm . "a". Pa/cm

(/), "cH2O", SV .
SV START,
, . SV
, .

- rback - (return from backup


)
volume control, . SCMV, SIMV
. V ,
rCMV
. , ,
.
.
, pressure control PS, SP
C, APRV , .
apnoe, MV . ., rPC, ..

, .
:
rback PREKROCIL / / , ..
-
. " ", . .
,
, !!!
w,
.
,
.

7


. , , ,
.

, (). ,
,
. ,
.
.
, 4 - , , , .

SELECT

E-ALARM

Input
pmax

E-ALARM
Input pmax


( )

7.1.

INPUT
.
Pmax. SELECT, SETUP.
E-ALARM. ALARM,
Pmax INPUT Pmax.
, " INPUT"
, , ()
, . - ENTER (SELE
CT). () "ALARM" Pmax. ,
Pmax ( Paw). 2 ST
ART, ENTER (SELECT)
(ALARM), , , , MVmin, ENTER,
INPUT MVmin. ENTER
O2max , , MVmax. ,
2x START.

.
INPUT , ,
MVmax, - ENTER .
, , , Pmin, ENTER .
3 .
, ,
.
120 , "
" (mute-), .
40 , ..
,
, .
!!!
, ,
( ) ,
. ,
, ()
, , , .
, ,
,
.
, " ",
40 .

MV

. MVmax ,
MV. II- ( - WARNIN
G).
REKRO
CIL MV ( ).
, .
- ..
. ,

. 15 ,
,
. ,

, .
, .. "
".

Pmax.
Pmax Pmin , Pmax
, . ,
Pmax ,
, Vt, Pm
ax. , Pmax 1,5-2 kPa,
.
, ,
MV ( ). (default) Pmax
4 kPa.
. ,
Pmax 7 kPa
10 kPa
. , Pmax
Vt, , Pmax
Vt. P/t "",
.
Paw. Pmax 0,5 kPa
Paw . , . MV
, ..
, MV MV
max +20% MVmin - 20 % . Vt f
MV. , ,
MV = 10

MVmax = 10,6
MVmin = 9,5/
. MV
. , , MVmin
, MVmin 3 /
, .
O2. 5 % .
, , ,
.
, , , .
. ,
Pmax
.


(basic-
), , ,
.
- (, ). :
SCMV SPC. PC,
PC. (Ppc, PEEP)
2 START. SPC . ,
, , ., Ppc, Ppc,
ENTER SPC
Ppc. START .
.
, - .

8

.
,
. -
. .
- ,
.
, ,
.

.
- ( -).
- SCMV (IPPV), ..
. ,
, SCMV.
(, APRV)
, ,
. , ,
( ). SCMV
!!! (rCMV) - ,
, . SCMV, SIMV, EMMV.
, , ,
rPC ( ).
I- , .. ,
, , .. rCMV rPC.
, ,
. , CMV SIMV, EMMV,
.

.
.
:
CMV, PC.
CMV PC , SCMV SPC.
SCMV SPC CMV PC. ,
, f. ,
, , f.
SCMV .
Oe E-MODE .
EMMV, ENTER(SELECT ) 2x START. EM
MV, . .
rCMV.
,
rCMV. EMMV
, 2x START. ,
rCMV EMMV.
.
,

.

, ,
, ,
, MV
.
8.1.
( )
- :

CMV (IPPV) continuous mechanical ventilation (intermittend positive pressure ventilation)-


CMV + PEEP (CPPV) CMV + posit.end expir. pressure

SCMV (AV) sychronized CMV -


( )

SCMV + PEEP

PC - pressure control CMV ( - CMV)

PC + PEEP

SPC - synchronized CMV - , -


CMV ( )

SPC + PEEP
4 (
" ", ).

8.1.1.
SCMV SCMV+PEEP
: , .
: SCMV,
, .
: Vt, f, Ti%, Tp, PEEP, TRIG. SCMV SC
MV PEEP . .
SCMV :

SELECT, SETUP, E-MODE E-MODE,


SCMV, ENTER (SELECT). , (
) "PAR" , "MOD" SMV.
E-BASIC, ENTER (SELECT),
SCMV. ,
, ENTER (SELECT) INPUT
, .
ENTER .
ENTER (SELECT) 2x START.
SCMV. ,
PEEP, SCMV PEEP.

. F3, E-MO
DE . SCMV F2.
, . 1.

, SCMV. SCMV,
ENTER (SELECT) 2x START.
SCMV
.

, SCMV ,
. ,
Vt. Vt, INPUT Vt. ,
ENTER 2x START. .

Trigger - asistor

TRIG. Trig ,
. 100 500 Pa.
,
. , Trig
.
SCMV
//, ,
, . "f",
,
f Vt CMV. - MV
Vt f. , ,
,
SCMV.
, CMV Vt. ,
MV min ,
. . Vt*f=8 /, MVmin
7 - 7,5 .
SCMV PEEP, PEEP :
1. ,
PEEP, ENTER (SELECT) INPUT PEEP.
PEEP , ENTER(SELECT) 2 START.
PEEP .
2. PEEP .
PEEP, OKNO INPUT PEEP. PEEP ,
ENTER (SELECT) .
- ,
.
, , , ,
PEEP. , , 2,
PEEP=0 . ( PEEP = 0,2 ).
8.1.2.
SPC SPC + PEEP - pressure control (,
).
"" ,
,
. Ppc (
pressure control), .. ,
, .
, .
. .
, Vt .
Paw .
C R ( ). Ppc ,
, 2 kPa, ,
, R C Vt MV.
Ppc 7 kPa
Vt MV. , :
, CMV Paw=2,3 kPa.
PC, Ppc=2,2kPa SPC. ,
MV . Vt MV , Ppc,
Ti%, f PEEP.

!!!
, Ppc , Pmax,
Pmax Paw Ppc Pmax. Pmax
. , Ppc,
, Pmax , Ppc.
, , Pmax 0,5kPa
Ppc.
PC PEEP, P, ..
Pinsp PEEP, Vt MV. ,
Ppc PEEP, Vt MV.
,
MV
.
: , .
: (, ),
.
: f, PEEP, Ti%, Ppc, Trig. .
. Ppc 2kP
a.
SPC :
1. SELECT, SETUP, E-MODE, SPC,
ENTER (SELECT). () "AR" , "MOD"
SPC. E-BASIC, ENTER (SELECT)
SPC.
, , ENTER (SELECT), I
NPUT , .
ENTER (SELECT) .
2x START.
SPC. ,
PEEP, SPC+PEEP.
2. . F
3, E-MODE . SPC
F2. , .
1.
3. , , SPC 2
x START. , Ppc "default", ..
Ppc=2kPa .

.
4. "" SPC, PC, ENTER 2
START. , Ppc
" ", .. Ppc=2 , .
, ,
.
5. , SPC, ,
. , Ppc,
Ppc. INPUT pc. , ENTE
R (SELECT) . ,
SPC.
Trigger -
SCM. , SPC
MV, I-
rPC , PC.
SPC
//, , ..
"f"

, f
. MV
.
,
SPC. ,
. , Mvmin
, .
. Vt*f=8/ SPC, MV
7 - 7,5 .
8.1.3 CMV S ( )

Vt 2- 100
CMV.
SCMV (SIGH), 50-100
CMV. - SC
MV. SIGH F3.
E-MODE. CMV-S, ENTER (SELECT) 2x
START. ( CMV) SIGH.
, SCMV, SIGH
100- 2-
Vt. , ,
.

9

- a:

SIMV ( () - )

SIMV - p (SIMV pressure support , ..


)

SIMV + PEEP

SIMV - P + PEEP ( )

PS - pressure support ( )

PS + PEEP

EMMV ( )

EMMV + PEEP

APRV (BIPAP) - CPAP


9 .
, ,

- .
SIMV.
- SIMV,
SIMV-p pressure support. SIMV
.
.
.
9.1.
SIMV ( )
: , - .
: , fsimv
,
.
: Vt, f, Ti%, Tp, Trig, PEEP, fsimv, Pps
. SIMV .
SIMV :

SELECT, SETUP, E-MODE, SIMV-p,


ENTER E-BASIC . ,
( "PAR"), ENTER.
INPUT , .
ENTER (SELECT) 2x START .

: SIMV ( ) Pps 0 .

, F3, E-MODE .
SPC F2 , , . 1.

. SIMV, SETUP,
() "PAR" SIMV.

,
, , fsimv, Tp .
INPUT
ENTER (SELECT) .
SIMV Trig=100Pa,

, .
, . ,
, ,
, - fsimv (
) .
, fsimv=3,
.
fsimv=5 (default ).
9.2.
SIMV-p ( ()
)
: , .
: , SIMV,
.
: Vt, f, Ti%, Tp, Trig, PEEP, fsimv, Pps. .
. SIMV-p
:

, SIMV - SELECT, SETUP, E-MODE,


SIMV-p, E-BASIC
. , ENTER (SELECT) 2x ST
ART.

F3, E-MODE, SIMV-p F2


, . 1.

SIMV-p
, , INPUT
.
ENTER (SELECT) 2x START.
SIMV SIMV-p , SIMV,
, .. ,
SIMV-p ,
PS -pressure support.
Pps, ..
. , ..
Vt. Trig . Pps
.
SIMV-p
, SIMV.
9.3.
PS (pressure support - )
,
,
.
, ,
25% , .
, Vt ,
(C R) . Pps
, Vt ( C R) .
: , - .
: , Pps,
.
: f, Trig, Pps, PEEP.
PS :

SELECT, SETUP, E-MODE PS E-BASI

C , ,
.

F3, E-MODE , . 1.

PS, SETUP, () "PAR"


PS. O
, INPUT .
NTER (SELECT) 2 START .

PS ,
,
.

( , ,
, - )
,
0,7 - 1 kPa
.
.
9.4.
EMMV (extended mandatory minute volume -
).
,
MV ,
MV ,
MV
MV. ,
,
, ()
(SV).
Vt.
!!!
, ,
MV, MV,
Vt f.
MV
0,5 /.
: , MAN.
: ,
.
: Vt, f, Ti%, Tp, Trig, PEEP, !! MV !!
EMMV :
1. SELECT, SETUP, E-MODE - EMMV E-BASIC
, ,
, ENTER 2x START .
2. F3, E-MODE, EMMV ,
. 1.
3. MAN, SETUP, () "par"
EMMV. O
, INPUT .
ENTER (SELECT) 2 START EMMV.

4. EMMV
. , EMMV
MV , , .
EMMV, ,
. ,
. EMMV (
- ) , CMV.
0,5 /
MV.
9.5.
APRV (BIPAP) (airway pressure release ventilation biphasic positive airway pressure)
, .
APRV
, .
, ,
PEEP PEEPap.
fap
Tap% (
Ta1 Ta2 ).
: , .
: ,
PEEP PEEPap, fap Tap% default -
.
: f, Trig, PEEP, PEEPap, fap, Tap%.
:

SELECT, SETUP, E-MODE, APRV, E-BASIC


INPUT
. ENTER(SELECT) 2
x START.

F3, E-MODE, APRV , . 1.

, APRV, SETUP, (
) "PAR" APRV. O
.
ENTER(SELECT) 2x START .

, APRV,
, , ,
. APRV , ..
, .
Trig 100Pa.
APRV , ,
,
40%
. .

10

- :

CPAP -

MSV -
,
. CPAP (continuou
s positive airway pressure) - .
-
MSV (monitored spontaneous ventilation) . -
, ,
.
10.1.
CPAP ( )

,
,
E-MODE CPAP PS.
CPAP ?
: PS.
: , PS
: , PS.
PS, .
Trig 100Pa, Pps PEEP
, CPAP. ENTER
2x START.
CPAP. PS, PEEP
, Pps,
.
(PS=PEEP).
, Paw 0,5 kPa
PEEP=Pps. ,
.
P/t. ,
.
10.2.
MSV ( )

, , ,
PS.
,
, .., ,
, .
,
, ( , Vt MV).

.
MSV?
: PS.
: PS.

: PS.
PS, .
Trig 100 , PS = 0
= 0. ENTER 2 START.
, , Pps=0,2-0,3kPa.
PS ,
,
. ,
,
.

, SC
MV PS, .

11


-
. , , -
,
.
, , ,
, .
,
.


( - ).
,
.
SCMV, SPC, EMMV
,
, .
(, ).
,
, ,
. , , , ENTER,
.
SELECT, SELECT, SETUP, , SELE
CT SETUP ENTER ( SETUP -
SETUP). , , (,
- , O2). ,
( ),
10 . HELP.
. "m",
INPUT "m". ,
- 65 ( - kg). , INPUT
, , ENTER 2x START.
CMV. ,
. , R C .
R C .
Tp - , INPUT Tp.
= 0 15% , ENTER.
R C. , Vt, Ti%
( ) .
, .
CMV, .
Pmax 3k, Vt 2
. , Pmax
" Vt" .
. P/t
I-
PREKROCIL P ( ).
Pmax .
, Vt 2 , , 1,5
. , Pmax,
, . ,

, .
. Vt
Pmax. Vt 1 , Pmax
6 kPa.
. MV,
MVmax,
II- ( - WARNING).
"PREKROCIL MV" ( MV).
MVmax MV.
.
, .
,
, , ,
40
.
!!!
" ",
40 ,
.
SCMV.
. , , ESC.
(pressure control)
, .

. , ,
- (, 1,5 ).
, Ppc- (pressure of pressure control), .. ,
, , Vt MV.
Vt MV .
Ppc
Vt MV (
, ). (
) .
Ppc , Paw SC
MV. , Vt MV. ,
- .
, PC.
SETUP E-BASIC ,
.
Ppc=2kPa. , ENTER 2x START.
PC .
Vt MV, , , ,
Ti%, Ppc ( ).
, PEEP, CMV (
). PEEP, PEEP .
,
, EMMV.
EMMV.

MAN.
B , , ,
90% 100% .

, ,
. ,
MV ,
MV ( MV).

E-MODE MAN EMMV


( ).
, MV , MV,
Vt f, . EMMV
.
(apno) (Vt
) , MV
.
, MV .
,
- ( ,
).
.
-, .

1981 ., ,
( ,
).
.
. 5 ,
.
, , , ,
. ,
.
,
5 .
, , , .

, ,
, . ,
.
, - .
,
, , - ,
(CP
AP, APRV, PS, MSV, EMMV), ,
, -
(SIMV, SCMV, SPC).
,
100Pa.
, , ,
(
).
100Pa,
500Pa. .
, ,
100Pa.
.
""
Trig .
" ".

10 .
HELP "m" ,
, ( , ).
.
SCMV ().

Trig=100 . PEEP PEEP=0,1 (


, PEEP - , =0,
).
, .
, Vt.
, .
MV (
MVmax MV).
, ,
( ).
!!!
, SCMV .
, ,
.

, , .

CMV - . 8.1.1. , Vt (. SPC),
- . 8.1.2.
, , (-
..), rCMV
rPC ( , ).
,
( ).
E-MODE PS.
Pps ( ) 1,8kPa (default 2
kPa). . , ENTER
2x START.
. ,
, 1,8kPa, ..
, Pps.
. Pps - ,
. PS
.
, r
PC, PC.
- .
E-MODE SIMV-p. ,
( )
Vt. Pps (pressure
of pressure support).
, , Pps
Pps=1kPa (default = 2kPa), PEEP 0,1kPa, Trig=100Pa, fsimv
=5, .. 5 ( Vt).
SIMV-p, ENTER 2x START.
, .
,
(5 )
Vt , .

. "", I-

rCMV.
SCMV ( ).
, , A
PRV. , , ,
() PEEP.
PEEP, - PEEPap. , APRV,
PEEP 0,7kPa PEEPap = 1,5kPa.
PEEP PEEPap 50%, .. 1:1, Trig=100Pa ( 100 ), "fap"
7/.
. .
. , P/t
, (
) (
).
FRC , -
.
, , rPC.
PC, .
SV.
, CPAP MSV.
CPAP MSV , .
PS. , PS Pps PEEP
, PEEP

Pps=PEEP (CPAP). , Pp
s=PEEP=0 (.. =0), ,
,
. MSV.
.
CPAP.
, SCMV.
E-MODE, PS.
PEEP=1kPa Pps=1kPa. .
CPAP.
, .
P/t ,
1kPa.
Paw 1,5kPa, Vt. , Paw
, CPAP
. P/t .
CPAP .
MV, apnoe ..
rPC.
, , MSV.
, CPAP , Pps=PEEP=0,1.
. ?

,
.
MSV
,
. MV,
(apnoe) tachypnoe Vt,
rPC.
, , , , ,
, .

, ,
, - (
), .
, , ,
.

12
(warning)
, ,
, , " ", , ,
.
, ,
, , (apnoe) ..
I- .
, ,
.
I-
rCMV rPC ,
, . , .
, PS , PS,
, rPC PC.
.
:
I. PREKROCIL P
- "
"
.
(WARNING) - II- ,
,
.
, .
, , ,
.
-
, , ,
.
, ENTER ENT
ER 2x START, .
.

, , .
.
I-
,
.
1. PREKROCIL P ( ) - ,
Pmax ,
Vt ( , Vt, Pmax
).
2. POKLESOL MV ( MV ) - ,
MV MVmin.
, , .. (
, ).
3. EXPIRACNY PRIETOK ( ) - ,
, .
( ).
4. APNOE ( ) - , ,
, ,
(
,

).
(WARNING) - II-
,
II- (WARNING).
1. PREKROCIL f ( f) -
, SIMV, .. (
).
2. PREKROCIL Te ( ) - ,
( - i%).
3. PREKROCIL PEEP ( ) - ,
. .., (
) ,
.
4. NETESNI PEEP ( ) - ,
, .
( - ).
5. PREKROCIL fsimv ( fsimv) - ,
SIMV ( - ).
6. PREKROCIL O2 ( O2) - ,
2 ( - % 2).
7. POKLESOL TLAK O2 ( 2) - , 2
200 kPa ( - 300 - 600 kP).
8. /PREKROCIL P/ -
Pmax 3 . Pmax
I. ,
.
9. PREKROCIL MV ( MV) - ,
MVmax ( -
MVmax).
.
-
.
1. NEKOREKTNE PARAMETRE ( ) - ,
.
2. CHYBA CMOS ( ) - ,
.
3. Odvodene parametre mimo rozsah ( ) - ,
() ( -
).
4. PEEPap - PEEP = < 0,4 kPa - , .
5. nad Pps al. Ppc ( Pps ) - Pps
( ).
, ENTER (SELECT).
:

, .
, p ,
.
, .
.
- .

, . paw
pmax, .
PEEP.
SV-+
.
: Vt.
, -
- : MV.
"OKRUH" ().
"" ,

, "".
., , MV .
, 15 . ,
ST-BY, ,
. ,
ST-BY F1, ,
, ..
.
.
, PEEP (),
, , : , ,
MV, SV , .
,
.
ST-BY
- .
:
!!! , ,
.
!!! , - ,
, PEEP , , ..
PEEP , 0,2-0,3 .
.
F1 - ST-BY.
sound off
, " " P-t .

13

.
rCMV rPC ().
,
-
rCMV.
: SPC .
. MV
rPC, .
, .. SPC,
" "
ENTER 2 START.
, . SPC. -
PS, SCMV ..
- .
.
, .

// rback (rbck - return from backup).

. ,
.
. .
Vt.
,
Vt .
, Vt MV.
Vt - 20% Vt. (
) 20% Vt (MV) , .
, , , , ,
. , MV,
, (
), Vt MV. -
Vt MV
, MV
Vt. ,
.
( ) Vt MV
, .
+-20% Vt, .
.

, LUER-.
, ,
" " .
. "
"
, .
, ,
, .

,
, ,
. ,
.
.
, ,
, , ,
,
.


SELECT "st-by" (standby) F1.
ENTER
"" 1 . ,
, .., ENTER
, .
.
standby
ET .
1 standby.
2 .
2 , .
, 2.
2 , %2 ,
. ,
15 , FiO2
.

-.
, , .
, ,
, -,
, ,
, .

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