无创呼吸机临床应用操作要点

“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”无创呼吸机临床操作要点于剑扉飞利浦家庭医疗部ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”充分了解和熟悉机器•了解机器原理、熟悉机器操作•熟悉配件的结构和使用方法•工作人员必须亲自试戴呼吸机：体会不同压力的感受；体验FLEX技术；体验不同呼吸频率下，呼吸机同步性能；鼻罩漏气时噪声特点及主管感受；ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”正确选择病人•早期发现患者辅助通气的潜在需求呼吸频率过快呼吸困难•掌握无创通气的早期上机指征神志清楚，能够配合的患者痰量不多，可自主有效咯痰患者血流动力学稳定ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”上机指征中等程度的呼吸困难动用辅助呼吸肌胸腹矛盾运动PH7.35，PaCO245mmHgSpO2＜90%呼吸频率25/min成功应用无创通气的重要因素正确的介入时机——早期使用ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”呼吸机使用的初始培训30分钟！ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”帮助患者选择合适鼻罩（款式、大小）详细介绍鼻罩结构（排气口、氧气接口）、佩戴方法，让患者亲自动手佩戴。帮助患者尽快习惯鼻面罩通气消除不良心理因素恐惧、观念、其他心理因素解释排气阀的作用解释氧气接入和氧流量调节方法介绍鼻罩、头带清洗保养方法管道安装、拔除技巧管道清洗方法成功应用无创呼吸机的重要因素耐心的病人辅导——30分钟（鼻罩、管道）ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”•详细介绍机器基本结构•面板控制按钮的功能•主机拆卸•过滤片的作用及安装方法•两种过滤片的清洗、更换频率•湿化器温度调节•湿化盒拆装•湿化盒清洗方法•提醒湿化器水倒灌危险•细菌过滤器的意义、使用方法、更换标准耐心的病人辅导——30分钟（机器使用）ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationserviceonlyandisnotintendedasasubstituteforadvicefromaregisteredphysicianorotherhealthcareprofessional.”无创通气上机后的监测•患者主诉•心率、呼吸频率•动态监测SPO2（24小时）（慢性呼衰患者）•2小时后动脉血气检查（急性呼衰患者）•睡眠监测：评价夜间通气效果及睡眠质量•睡眠期间的压力滴定ConfidentialSector,MMMMdd,yyyy,Reference“ThisdocumentistheconfidentialandproprietaryinformationofPhilipsRespironicsandmaynotbereproduced,disclosedordistributedtoanyotherpersonorentitywithoutpriorpermissionfromPhilipsRespironics.PhilipsRespironicsmakesnowarrantyofanykindwithregardtothismaterialanditissubjecttochangewithoutpriornotice.Anymedicalinformationisprovidedasageneralinformationservic