Cov txheej txheem:
Video: Koj txo qis paco2 li cas?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Kev nce lub zog lossis qhov dav dav feem ntau yog thawj qib hauv kev txo qis siab PaCO 2 . Txo qhov zaus kuj tuaj yeem qis PaCO2 . Nco ntsoov tias qhov kev hloov pauv zaus thaum lub sij hawm High-Frequency Oscillatory Ventilation cuam tshuam rau kev tshem tawm CO2 nyob rau hauv ib qho piv txwv rau qhov pom thaum lub sij hawm ua pa.
Cov lus nug tseem yog, kuv yuav txo qis co2 hauv kuv lub qhov cua li cas?
Hypercapnia: Hloov kho CO2 cov ntsiab lus hauv ntshav ib tus xav tau hloov pauv alveolar qhov cua . Txhawm rau ua qhov no, qhov ntim dej lossis qhov ua pa yuav raug cuam tshuam nrog (T qis thiab P Tsawg hauv APRV). Kev nce tus nqi lossis qhov ntim tidal, nrog rau nce T qis, yuav nce ntxiv qhov cua thiab txo CO2.
Tsis tas li, koj xam xam PaCO2 li cas? III. Muab xam los: Xam PaCO2 hauv Metabolic Conditions
- PaCO2 = 1.5 x HCO3 + 8 (+/- 2)
- PaCO2Delta = 1.2 x BicarbDelta.
- PaCO2 feem ntau yuav tsis poob qis dua 10 mmHg hauv cov pa ua pa.
Ib sab saum toj, puas peep cuam tshuam co2?
Vco2 thiab efficiency (thiab yog li cov duab ntawm SBT- CO2 ) tsis tseem ceeb cuam tshuam los ntawm PEB . TSEEM CEEB: Thaum lub qhov tso pa tawm, thov kom muaj lub siab zoo thaum tas sijhawm nthuav dav lub ntsws thiab txhim kho kev nqus pa, tab sis muaj kev pheej hmoo theoretical ntawm kev txo qis. carbon dioxide tshem tawm.
Kuv yuav kho kuv lub tshuab ua pa li cas?
Pib qhov chaw ua pa
- Teem lub tshuab kom xa cov TV xav tau (10 mus rau 15 mL / kg).
- Kho lub tshuab kom xa qhov qis tshaj ntawm cov pa kom tswj tau PaO ib txwm muaj 2 (80 mus rau 100 mm Hg).
- Sau qhov siab tshaj plaws inspiratory siab.
- Teem hom (AC lossis SIMV) thiab ntsuas raws li tus kws kho mob xaj.
Pom zoo:
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