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العنوان
Respiratory mechanics during mechanical ventilation /
المؤلف
Ahmed, Mohamed Mohamed Tawfik Mohamed Sayed.
هيئة الاعداد
باحث / محمد محمد توفيق محمد سيد أحمد
مشرف / أشرف محمد وهبه وفا
مشرف / ولاء صفاءالدين عباس الخربوطلى
مشرف / عمرو محمد ياسين
مناقش / أشرف محمد وهبه وفا
الموضوع
Artificial respiration-- Physiological aspects. Respiratory Mechanics.
تاريخ النشر
2008.
عدد الصفحات
112 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2008
مكان الإجازة
جامعة المنصورة - كلية الطب - التخدير و العناية المركزة
الفهرس
Only 14 pages are availabe for public view

from 129

from 129

Abstract

The respiratory system mechanical properties (elastance and resistance) have a great influence on the ‎process of mechanical ventilation.‎ The single-compartment lung model can be utilized for the application of Newtonian laws on the ‎respiratory system in terms of the equation of motion which divides the pressure applied on the respiratory ‎system at any given time into elastic and resistive components. ‎ During mechanical ventilation, one or more of the variables of ventilation (pressure, flow, volume, and ‎time) are controlled (set / input variables), and the others are dependent (output variables).‎ The variables of ventilation are also utilized in defining the different phases of the respiratory cycle which ‎are: triggering of inspiration, inspiration, cycling to expiration, and expiration.‎ The modern ICU ventilators display on their screen volume, flow, and pressure versus time curves, as well ‎as flow-volume and pressure-volume loops. These real-time curves and loops are very important in tailoring ‎the proper mode and settings of ventilation to the specific patient, identifying and managing patient-‎ventilator dyssynchrony, identifying the response to adjuvant therapies, and improving the process of ‎weaning.‎ The respiratory system mechanics (compliance and resistance) can be accurately measured by applying ‎rapid airway occlusion at end-inspiration utilizing the end-inspiratory pause button available in modern ‎ventilators.‎ Air trapping and dynamic pulmonary hyperinflation are frequently encountered in mechanically ventilated ‎patients especially those with obstructive lung disease, where the alveoli do not expel all their contents ‎completely resulting in intrinsic PEEP which has several patho-physiological and clinical consequences.‎