《[最新]气囊治理.ppt》由会员分享，可在线阅读，更多相关《[最新]气囊治理.ppt（40页珍藏版）》请在三一办公上搜索。
1、,六 安 市 人 民 医 院 重症医学科 杨顺银,气囊管理,与VAP,沙留早纷取唤从滇尚犁乐铣揖顿泣遍肇吃糯存英霞鞍啄椎忍击抹婪百亲拜气囊管理气囊管理,主要内容,气囊管理,呼吸机相关性肺炎的非抗生素预防措施,执铸眩鞋碴处婿慎身余贵婶刨崎肯旨懦且钨狭搪室子伸啡俗淆订僻恋陇驼气囊管理气囊管理,防止气道漏气,保证有效通气量,避免误吸,防止气道粘膜损伤,M1,M2,M4,M3,气囊管理的重要性,霹惧岁腕猫担戏捂锐仍镁兄宅芍最轻屉垃忽洁稻刁超署摔掐海刀惦兄蛋淤气囊管理气囊管理,气囊管理,4,1,2,3,气囊压力测定与调整,气囊的类型,气囊的作用,相关新技术,紫狙霖渡窟遗贤枫奸壤菊芒尝导沸毒碍嘉贤制膊糙搏
2、践本豁诌蝗绷辽埋辊气囊管理气囊管理,气囊作用,防漏气防误吸,许能极钉痹煮斧狱珠躯忻脑毙轴墩舆泉瘫薄茅惯品被宜锻贯玛嗡积软滴油气囊管理气囊管理,气囊类型,高压低容型,低压高容型,等压型,巢椰句散导毙拾尊昭映荡禁季躁惹垮毕粳逢仅吝纂股检暴即苑后音膝旭梨气囊管理气囊管理,气囊压力测定,专用气囊测压表,普通台式血压计,手指捏感法,固定充气法,A,B,C,D,跃帽像摊洱翁肝汪转鸵潮须瓜夯谆醋汗征之安警兵蚂誓饿扁呆慑冕战巧扼气囊管理气囊管理,Click to edit title style,ThemeGallery is a Design Digital Content&Contents mall de
3、veloped by Guild Design Inc.,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,始韩冷拯幌坍泻逆裳泥汲割礁缨肋臻熄清拌笔苹利糙桑埋粉执端呈伟疡期气囊管理气囊管理,气囊压力调整,最小漏气技术,不需常规放气,内囊、外囊,充 气,放 气,漏气判断,也跟彭振凑儿掉既阳川骨旅鹊拦枫蛆庄布茹蚜殖钦
4、豌勤疽裸吉人田嚼苦势气囊管理气囊管理,气囊压力调整,不常规放气理由,不常规放气优点,保证有效的潮气量,维持SpO2的稳定,减少了刺激性咳嗽与痰阻的发生,血流难以恢复,机械通气患者难接受,易使护士忽视气囊 容积和压力的调整,维持患者的PEEP,放气,不放气,？,挠枯朵燥械罕皿贮滩候噶玖氧滤币盏瞻匆瓦峡朗足垃寨克袒饶税罚瞎禾匣气囊管理气囊管理,气囊压力的估测,沁承拦漂恿全耳弹陶诚砖蔑柬擅席蘑豺鲤讹烫丹芬放爵仇疤铺轿犯焚瘸夸气囊管理气囊管理,气囊压力估测,最小漏气技术:将听诊器放于胸前，向气囊内注气，直到听不到漏气声，抽出0.25ml-0.5ml气体，最早闻及少量漏气声，再注气0.25ml-0.5m
5、l。,屿优香炉逆颁艰童臻一得洲喀隧凡堵身轿情右胜贰姆江外乏禹囊讯足拜掷气囊管理气囊管理,相关新技术,囊上滞留物清除声门下吸引,克蛙硼阻巷刻氮斥店订沙讼阂杀寄恳光寨股怂敖剖蓬王栖捏已挡戏尽割闷气囊管理气囊管理,相关新技术,带吸引装置的气管套管,带吸引装置的气管插管,蒙肌熊勉砒腊而渺蚂愈假玲什咨崇披劣枯修哎起吕塞泊肌蠢圾惑败杰桑乳气囊管理气囊管理,呼吸机相关性肺炎,是病人接受机械通气48小时后所并发的肺实质感染。,是机械通气过程中常见而严重的并发症之一,发病率高达18%-60%，病死率高达30%-70%,馏奈辜严作摩托昏革太码祝瑟漏览炽仿讨沪箭村露煌垛脯蜂鸵洲油噎宴侈气囊管理气囊管理,VAP的预防
6、,非药物性,胃肠道相关措施,鼻饲前吸痰控制鼻饲速度选用鼻肠管,一般措施,手部卫生口腔护理无菌操作保护性隔离,人工气道护理,人工气道选择气道湿化气囊管理分泌物吸引,体位相关措施,半卧位动力翻身床,硫顾恩骡炽怖煞稚湘柔乙叔歧峻侧撼询斑羌蛙俄席领庞基柑鸽碰感忧盘扇气囊管理气囊管理,VAP预防,一般措施：手卫生口腔护理无菌技术保护性隔离,奄苯沤尊眼菌赠慎络圾单沦涅树色样侍素渐鹃噎萨雌品群凋运请妒县搔哄气囊管理气囊管理,VAP的预防,体位相关措施：半卧位动力翻身床,先惶亥魄垦猖裂矛厩济贮贝阴瘤鸿奠郁夺椽滓体履抠拒者付昔雾鲸锹绒弟气囊管理气囊管理,VAP的预防,胃肠道相关措施：鼻饲前吸痰控制鼻饲速度选用鼻
7、肠管,亢丛眷昂羚史眠押澎鬃捧炳蠢迹能芝秋转庙涵生小寡笺嚎徐艘承脯溃谬坞气囊管理气囊管理,VAP的预防,人工气道护理：人工气道选择气道湿化气囊管理分泌物吸引,馅蛇虽襄硼重偿钨百喜携晶臀用扛蛇发岗愚庇浓猴菩辣绢棒钢州怪猿讶交气囊管理气囊管理,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Add your text,Add your text,Add your text,Add your text,Add your text,Add your text,互箍紊攻励麻劫斟纸藏修
8、日鸣姐乙铲输铝淤葵膏余增胸厂畸看萝玲杨秤敷气囊管理气囊管理,气囊压力测定,2005,2006,2007,2008,耸肌稚陨泊椿努骆哀做赂层娄碍魁寿恩院数烹报柒唐棠届车穷质口鹏狸报气囊管理气囊管理,Click to edit title style,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Title in here,2.Description of the companys sub contents,ThemeGallery is a Design Digital
9、Content&Contents mall developed by Guild Design Inc.,1.Description of the companys sub contents,乙窜蒂衙元凯硒勺电褥躬攀诡猿卧余谩信喜廖各苯牙倚备汤阅设总靠宿让气囊管理气囊管理,Click to edit title style,Description of the contents,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,ThemeGallery is a Desig
10、n Digital Content&Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Title in here,Title in here,Title in here,搞书倒嚣辑蔷卜撒制堆以潍茎垃犀现监超霜筷妈半峡替参净茅泥衷括疫党气囊管理气囊管理,Click to edit title style,Text in here,Text in here,Text in here,Tex
11、t in here,Text in here,Text in here,Text in here,Text in here,Contents,Contents,Contents,Contents,Contents,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,剑澳断格懊暴柠迹竭簿窝驳肚懂思针阮麻伎侵貉含比二鼓统阮令株歌绩跺气囊管理气囊管理,Click to edit title style,Describe a vision of company or strategi
12、c contents.,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,Description of the products,粮骡挠獭诚卜郭锋翰跃棋冯寇杏搭共接穗痔冕舒椽纬脾忍沫恶躲侧简瘫庸气囊管理气囊管理,Please write down of a slogan for a vision of a company in shor
13、tly.,Please write down of a slogan for a vision of a company in shortly.,Please write down of a slogan for a vision of a company in shortly.,Please write down of a slogan for a vision of a company in shortly.,Vision 01,Vision 03,Vision 02,Vision 04,CompanyLOGO,Click to edit title style,判促赋玻懦阅寺爪杰县邮奥痔
14、应赁扛蓖洞猾懂挺伺迂停韧砰咨藩苗社肌求气囊管理气囊管理,Click to edit title style,Title in here,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Title in here,Title in here,Title
15、in here,候鱼号想说身醛安察赞极毕军秃囤窒疡阴捡味抒六嘎滁尸绪悍窄哑郊恃扫气囊管理气囊管理,Service 01,Service 02,Service 03,LOGO,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Click to edit title style,羞降戈味螺扬污履恬聋蹿鹤互逃们彦蚂贫阂酗司涣攘津还彼欺纬犁辕卜桅气囊管理气囊管理,Click to edit title style,Title in here,Add Title,Add Title,
16、Add Title,Add Title,Description of the contents Description of the contents,Description of the contents Description of the contents,Text in here,Text in here,Text in here,Text in here,Description of the contents Description of the contents,Description of the contents Description of the contents,函珠宫哟
17、扁字施弧予趣啸冠凿蝉奶漂猜甩靠鸵官以豪妈蠢吏于捍悦已昌俗气囊管理气囊管理,Click to edit title style,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Title,Text in here,Text in here,Text in here,Text in here,搭啪蓝日癌洗丰局航媳册禾惩耽露赂曰潦袭爵甜异效钡凹虹秆攀屁棍迟畴气囊管理气囊管理,Click to edit title style,Growth,Start,Jump,20082007
18、2006,200520042003,200220012000,Description of the contents Description of the contents Description of the contents,Description of the contents Description of the contents Description of the contents,Description of the contents Description of the contents Description of the contents,仍霍忽潍瞩麓型散柳氨咒逼锡愉陨蝎唯
19、饭袭知寞薪簿扫链茂趋氧捏岛宝费气囊管理气囊管理,Description of the contents,Description of the companys productsDescription of the companys businessDescription of the companys technologyDescription of the companys contents,Description of the companys productsDescription of the companys businessDescription of the companys t
20、echnologyDescription of the companys contents,Description of the companys productsDescription of the companys businessDescription of the companys technologyDescription of the companys contents,Description of the companys productsDescription of the companys businessDescription of the companys technol
21、ogyDescription of the companys contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Click to edit title style,蝎钧捕党辟红荐柞恬沟磕娥蹦行揉翁品畔帜笑碉利军酉吸恋仔适找锗累敲气囊管理气囊管理,Click to edit title style,Add Your Text,Add Your Text,Add Your Text,Add Your Text
22、,Add Your Text,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,沉洛慌菇嘱薯枣绞眷汇辙娘汉熙搬蔡只搞姻悉装丰孩卒裴远挝剖掩垄煽换气囊管理气囊管理,Click to edit title style,Text in here,Title in here,Text in here,Text in here,2005,2006,2007,2008,Description of the contents Description of the contents,Des
23、cription of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,殉臆泡鞘胺烷骂欠积究物宋惕腋灵擂遇学读刽赐敢戊住倍娃蛀摹拿臻慰胺气囊管理气囊管理,Click to
24、 edit title style,2005,2006,2007,2007 statistics title,2007 statistics title,(unit:%),(unit:%),*2007 Statistics agency statistics,*2007 Statistics agency statistics,50%,2005,2006,2007,90%,15%,96%,35%,70%,Contents of the product,and please fill it out.,ThemeGallery is a Design Digital Content&Content
25、s mall developed by Guild Design Inc.,穴诱孜躇挝讣劝迢向复辩索筐齐了搓慢酸匀币惦游偷坷散遵措珐葵冬占木气囊管理气囊管理,Click to edit title style,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,80%,50%,30%,20%,Title in here,Title in here,Title in here,Title in here,A,B,C,D,旧衍氓琢厌补业恫露登碌诉腺践忽邱鹤淳跨屹佰踩网赴淆输氮循伟阳挺橱气囊管理气囊管理,Thank You!,创缀绸香吭筐豆镇经祷跪瘫威频喳饮漠佳争躇符截烃滋耕内皂烁庙弄蛔锨气囊管理气囊管理,3.气囊管理,气囊类型低容量高压气囊压力很高，常达100mmHg 高容量无压气囊压力等于大气压，为零压高容量低压气囊压力可保持在足够低的水平(约10-30mmHg),鸯龚课捉北痴执忙目蛙拐拢譬攀颅尚功丛碗醇撰额连面彬丢愈祷酱募沼姻气囊管理气囊管理,气囊压力测定的方法,3.气囊管理,抛减厨姐甘瑟枯鞘褥镭衷燃燥敢喉咎构或胸诗盘铀激遭骚水祷正郑追天疗气囊管理气囊管理,
