Tutorial 11 Pressure Support Part 4: Cycling to Expiration (Esens) скачать в хорошем качестве

Tutorial 11 Pressure Support Part 4: Cycling to Expiration (Esens)

This is the fourth and final tutorial on Pressure Support Ventilation. As you may recall, PS is an unusual mode of ventilation because it is flow cycled - that is - the ventilator cycles to expiration at a specific, user set, percentage of peak flow. The default expiratory sensitivity is usually around 25%. Expiratory dys-synchrony is frequently missed by bedside clinicians who have not been schooled in waveform analysis. This tutorial covers everything you need to know. @ccmtutorials www.ccmtutorials.org Contents: 00:00 Beginning and Introduction 00:40 Review of Previous Tutorial 00:55 Overview of This Tutorial 01:40 Pressure Support and Control of Flow Cycling (different ventilators) 02:20 Expiratory Sensitivity - what is it? 02:20 The Patient Continues to Inspire While The Ventilator Cycles Off 04:40 Waveform of Expiratory Dyssynchrony when flow stops too early 05:50 The Patient Expires While The Ventilator Is Still Delivering A Breath 06:10 Waveform Where Flow Continues During Exhalation 07:10 Managing Expiratory Dys-Synchrony 08:32 Clinical Scenario - Liam Recovering from ARDS 09:17 Liam Waveform 11:00 Volume Time Curves 12:00 Liam Resolution 12:40 Clinical Scenario - Brian COPD 13:20 Brian Waveform 14:50 Brian Resolution 15:35 Review of this Tutorial 16:30 Preview of Next Tutorial Series - Hypoxia