Sunday, December 1, 2013

Mechanical Ventilation Ventilator is a mechanical tool that is useful function and aims to provide

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Mechanical Ventilation Ventilator is a mechanical tool that is useful function and aims to provide breathing assistance patients by providing a positive air pressure in the lungs through an artificial airway and also an auxiliary engine that is used to help breath some or all of the process vents to maintain oxygenation. Ventilator is electrical equipment and require a power source. Some ventilators, provide back-up batteries, but batteries are not designed for long term use. Ventilator is a method of support / assistance (life - support). The point is that if the ventilator stops working then the patient will die. Therefore, the manual resuscitation should be available as Ambu bag at the bedside of patients on ventilators, because if the ventilator stops working can be directly performed manually ventilated. Purpose Ventilator Installation Indications There are several things that make the purpose and benefits of the use of mechanical ventilation and also some criteria for patients who need immediate ventilator. Purpose Ventilator, among others, are as follows: Reduce the work of breathing. Increasing the level of patient comfort. Giving MV accurate. Address the imbalance of ventilation and perfusion. O2 network to guarantee adequate conductivity.
And here is the installation of mechanical ventilation indication criteria Patients With Failed Breath. Patients with respiratory propane heater distress, respiratory propane heater failure, stopping breathing (apnea) or hypoxemia that is not resolved with the administration of oxygen is an indication of mechanical ventilation. Ideally the patient has received intubation and mechanical ventilation installation before an actual failure occurs breath. Respiratory distress due to the inadequate ventilation and or oxygenation. The process can be lung damage (such as pneumonia) as well as respiratory muscle weakness chest (air pump failure due to muscular dystrophy). Cardiac insufficiency. Not all patients with mechanical ventilation had a primary respiratory disorder. In patients with cardiogenic propane heater shock and CHF, an increased need for blood flow to the respiratory system (as a result of increased work of breath and oxygen consumption) can lead to cardiac collapse. Provision of mechanical ventilation to reduce the workload of the respiratory system that also reduced the workload of the heart. Neurological dysfunction. Patients with a GCS of 8 or less at risk of recurrent apnoe also get mechanical propane heater ventilation. Besides mechanical ventilation also serves to maintain the patient's airway and allows the provision propane heater of hyperventilation on the client with increased intra-cranial pressure. Surgery. Operation that requires the use of anesthetics and sedatives greatly helped by the existence of this tool. The risk of respiratory failure during operation due to the influence of sedative drugs can already be handled by the presence propane heater of mechanical ventilation. Mechanical Ventilation Installation Criteria According Pontopidan (2003), one needs to obtain mechanical ventilatory support (ventilator) if: Respiratory rate more than 35 times per minute. The results of blood gas analysis with O2 mask PaO 2 less than 70 mmHg. PaCO2 over 60 mmHg AaDO2 with O2 100% the result of more than 350 mmHg. Vital capasity of less than 15 ml / kg. Mode Classification Type Mechanical Ventilation Mechanical ventilation is based on the way the tool support ventilation, the ventilator two general categories is negative pressure and positive pressure. Based on its mechanism of positive pressure mechanical ventilator can be divided into four types: Volume cycled ventilators. Volume cycled ventilator is a type most commonly used in the critical care unit room. These are basic principles requires ventilator cyclusnya by volume. Machine stops working and when it reaches its expiration occurs the specified volume. Advantages volume cycled ventilator propane heater is a change in the patient's pulmonary complaints while providing a consistent tidal volume. This type of ventilator widely used for adult patients with pulmonary disorders in general. However, this type is not recommended for patients with respiratory disorders propane heater caused by narrowing of the field of lung (atelectasis, pulmonary edema). This is because the volume cycled administration on the lung pressure is not controlled, so the pressure is excessive worry if there will be volutrauma. While the use is not recommended in infants, because propane heater babies alveoli are still very vulnerable to pressure, so it has a high risk for the occurrence of volutrauma. Pressure cycled ventilator Ventilator The basic principle of this type is cyclusnya using pressure. Machine stops working propane heater and when it reaches its expiration occurs predetermined pressure. At this point pressure, the valve is closed inspiration and expiration occurs passively. Losses on this type when there are changes in pulmonary complaints, the volume propane heater of air that is justified,

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