在压力控制通风过程中对近道和气管气道压力的比较
Mark O Zander1, Nikola Stankovic2, Mirko Meboldt1
1Product Development Group Zurich, Department of Mechanical and Process Engineering, ETH Zurich, Zurich, Switzerland.
Respiratory care
|August 14, 2023
概括
在内管 (ETT) 附近的风扇压力测量可能不准确地反映实际的气管压力. 气管内压力可以显著不同,特别是当空气流量不是零时,突出需要直接监测气管内压力.
科学领域:
- 机械通风机械通风机械通风
- 呼吸机械学 呼吸机械
- 生物医学工程 生物医学工程
背景情况:
- 气道压力通常是远程测量在通风机或Y片.
- 这些远程测量被用作气管或气囊压力的替代品.
- 从远程测量中准确预测气管压力往往受到ETT电阻建模方面的局限性阻碍.
研究的目的:
- 系统地检查与呼吸系统合规性 (CRS),吸气时间和呼气时间有关的通风机压力变化.
- 为了评估远程压力测量的准确性,与压力控制通风过程中的直接气管压力测量相比.
- 评估一个小的气管内压力传感器对直接气管压力测量的潜力.
主要方法:
- 使用机械肺模拟器进行体外研究.
- 在通风机出口,Y片和气管内同时测量压力.
- 压力控制的通风,使用不同的CRS (10-100毫升/厘米H2O),吸气和呼气时间.
主要成果:
- 气管压力偏离了近距离测量,当在呼吸周期结束时没有达到零流量条件时.
- 在吸入时,偏差高达8厘米H2O,在呼出时达到4厘米H2O.
- 差异取决于CRS和呼吸周期.
结论:
- 在非零流量条件下,气管压力可能与通风机测量的压力有显著差异.
- 气管内压力动态受到通风器设置和呼吸系统符合性影响.
- 集成到ETT的小型气管内压力传感器显示出准确的气管内压力测量有希望.
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