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Types of Ventilator n Positive Pressure Ventilators Gas blown into lungs n All Current Types of Ventilator n Positive Pressure Ventilators Gas blown into lungs n All Current Itu and Theatre Ventilators n Unphysiological but practical n n Negative Pressure Ventilators “Iron Lung” n Cuirass (breastplate) ventilators n Physiological but impractical n

Origins of mechanical ventilation Negative-pressure ventilators • (“iron lungs”) Non-invasive ventilation first • used Origins of mechanical ventilation Negative-pressure ventilators • (“iron lungs”) Non-invasive ventilation first • used in Boston Children’s Hospital in 1928 Used extensively during polio • outbreaks in 1940 s – 1950 s Positive-pressure ventilators • The iron lung created negative pressure in abdomen as well as the chest, decreasing cardiac output. Invasive ventilation first used at • Massachusetts General Hospital in 1955 Now the modern standard of • mechanical ventilation Iron lung polio ward at Rancho Los Amigos Hospital in 1953.

Classification n Based on cycling n n Volume cycling n n Pressure cycling Time Classification n Based on cycling n n Volume cycling n n Pressure cycling Time cycling Inspiratory flow patterns n Flow generation n n High powered ventilator can deliver constant flow through inspiration Pressure generation n Low powered ventilator delivering decreasing flow through inspiration -

Ventilator Upper Section User Interface n Monitor n Control( Alarm limit) n Ventilator Upper Section User Interface n Monitor n Control( Alarm limit) n

INDICATIONS FOR MV Hypoxemia, Coma n Acute respiratory acidosis n Reverse ventilatory muscle fatigue INDICATIONS FOR MV Hypoxemia, Coma n Acute respiratory acidosis n Reverse ventilatory muscle fatigue n Permit sedation and/or neuromuscular blockade n Decrease systemic or myocardial oxygen consumption n

INDICATIONS CONTINUED Reduce intracranial pressure through controlled hyperventilation n Protect airway n Neurologic impairment INDICATIONS CONTINUED Reduce intracranial pressure through controlled hyperventilation n Protect airway n Neurologic impairment n airway obstruction n

 ﻣﻌیﺎﺭﻫﺎی ﻧیﺎﺯ ﺑﻪ کﻤک ﺗﻨﻔﺴی ﺩﺭ ﺑیﻤﺎﺭﺍﻥ ﺑﺪﺣﺎﻝ Paco 2>50 mm/Hg & PH<7. ﻣﻌیﺎﺭﻫﺎی ﻧیﺎﺯ ﺑﻪ کﻤک ﺗﻨﻔﺴی ﺩﺭ ﺑیﻤﺎﺭﺍﻥ ﺑﺪﺣﺎﻝ Paco 2>50 mm/Hg & PH<7. 3 n 4 > Rate > 35 n VD/VT>0. 6 n VC<15 cc/ kg n Negative inspiratory force < -20 cc/ kg n

 چگﻮﻧﻪ یک ﺑیﻤﺎﺭ ﺭﺍ ﺑﻪ ﻭﻧﺘیﻼﺗﻮﺭ ﻭﺻﻞ ﻣی کﻨیﻢ ؟ ﺍﻟﻒ( ﺍﻗﺪﺍﻣﺎﺕ ﻗﺒﻞ چگﻮﻧﻪ یک ﺑیﻤﺎﺭ ﺭﺍ ﺑﻪ ﻭﻧﺘیﻼﺗﻮﺭ ﻭﺻﻞ ﻣی کﻨیﻢ ؟ ﺍﻟﻒ( ﺍﻗﺪﺍﻣﺎﺕ ﻗﺒﻞ ﺍﺯ ﻟﻮﻟﻪ گﺬﺍﺭی : ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺑﻨﺰﻭﺩیﺎﺯپیﻦ ﻫﺎ ، ﻣﺨﺪﺭ یﺎ ﺷﻞ کﻨﻨﺪﻩ ﻫﺎ ﺏ( ﺍﻧﺘﻮﺑﺎﺳیﻮﻥ ﺍﻧﺪﻭﺗﺮﺍکﺌﺎﻝ ﺝ( set up of ventilator

Set up of ventilator Rate (1. (10 ﺑیﻦ 8 ﺗﺎ 21 )ﻣﺘﻮﺳﻂ n : Set up of ventilator Rate (1. (10 ﺑیﻦ 8 ﺗﺎ 21 )ﻣﺘﻮﺳﻂ n : ﺑﺎﻻ Rate n Inhalation injury - ﺍﻟﻒ Infant & children - ﺏ ( )ﻓﺮﺻﺖ کﺎﻓی ﺗﺨﻠیﻪ ﺭﺍﻩ ﻫﻮﺍیی COPD : پﺎییﻦ rate -3 ﺗﺤﻤﻞ ﺑیﻤﺎﺭ PH 2 - paco 2 - 1 : Rate ﻣﻌیﺎﺭ ﺗﻨﻈیﻢ n n

 Set up of ventilator 2( 10 -15 cc/ kg : Tidle volume 3( Set up of ventilator 2( 10 -15 cc/ kg : Tidle volume 3( 40 -100 li/min : Peak Inspiratory ﺗﻨﻈیﻢ آﻦ ﺑﺴﺘﻪ ﺑﻪ ﻣیﺰﺍﻥ ﺗﻨﻔﺲ ﺧﻮﺩﺑﺨﻮﺩی ﺑیﻤﺎﺭ ﻣی ﺑﺎﺷﺪ. 4( : O 2 Concentration ﺩﺭ ﺍﺑﺘﺪﺍ ﺟﻬﺖ ﺍﺻﻼﺡ ﻫیپﻮکﺴی %001=2 FIO ﺳپﺲ ﺑﺎ کﻨﺘﺮﻝ ABG ﺍﺯ ﻣیﺰﺍﻥ آﻦ کﺎﺳﺘﻪ ﻣیﺸﻮﺩ. )ﺍﺣﺘﻤﺎﻝ ﻣﺴﻤﻮﻣیﺖ ﺑﺎ ﺍکﺴیژﻦ( 5( Peak inspiratory presure 6( ½ = I/E یﺎ 3/1

 Set up of ventilator 7( : Mode ﺍﻟﻒ- : control mode IPPV or Set up of ventilator 7( : Mode ﺍﻟﻒ- : control mode IPPV or CMV ﺍﻏﻠﺐ ﺩﺭ یﺒﻤﺎﺭ ARDS ﺑکﺎﺭ ﻣی ﺭﻭﺩ ﺯیﺮﺍ ﺟﻬﺖ Expansion ﺭیﻪ ﻧیﺎﺯ ﺑﻪ peak pressure ﻣیﺒﺎﺷﺪ. n ﻋﻴﺐ: 1 ﻋﺪﻡ ﺩﺧﺎﻟﺖ ﺑیﻤﺎﺭ ﺩﺭ ﺳیکﻞ ﺗﻨﻔﺴی -2 ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺷﻞ کﻨﻨﺪﻩ کﺎﻣﻞ ﺟﻬﺖ ﺑیﻤﺎﺭ

 Set up of ventilator ﺏ- : Assist Control Mode ﻫﺮ ﺗﻨﻔﺲ ﺑیﻤﺎﺭ ﺑﺎ Set up of ventilator ﺏ- : Assist Control Mode ﻫﺮ ﺗﻨﻔﺲ ﺑیﻤﺎﺭ ﺑﺎ ﺩﺳﺘگﺎﻩ ﺗﻘﻮیﺖ ﻣی ﺷﻮﺩ ) Rate ﺗﻨﻈیﻢ ﻣیگﺮﺩﺩ( n ﻧﻘﺺ : 1 ﺗﻘﻼی ﺗﻨﻔﺴی -2 ﻣﻨﺠﺮ ﺑﻪ ﺍﻟکﺎﻟﻮﺯ ﺗﻨﻔﺴی ﻣی گﺮﺩﺩ.

 Set up of ventilator ﺝ- synchronized intermittent mandatory ) : vent (S. I. Set up of ventilator ﺝ- synchronized intermittent mandatory ) : vent (S. I. M. V n ﺗﻨﻔﺲ ﻣﺎﺷیﻨی ﻫﻤﺎﻫﻨگ ﺑﺎ ﺗﻨﻔﺲ ﺧﻮﺩﺑﺨﻮﺩی ﺑیﻤﺎﺭ n ﻣﺰﺍیﺎ : 1 - ﺩﺧﺎﻟﺖ گﺎﻫگﺎﻫی ﺑیﻤﺎﺭ ﺩﺭ ﺗﻨﻔﺲ 2 - ﻣﺪ ﻣﻬﻤی ﺩﺭ weaning n ﻣﻌﺎیﺐ: 1 - ﻫیپﺮﻭﺍﻧﺘیﻼﺳیﻮﻥ 2 ﺍﻟکﺎﻟﻮﺯ ﺗﻨﻔﺴی -3 ﺍﻓﺰﺍیﺶ ﺗﻘﻼی ﺗﻨﻔﺴی

s. IMV n n Allows imv within the normal breathing circuit Breathing cycle ( s. IMV n n Allows imv within the normal breathing circuit Breathing cycle ( which will contain 1 mandatory breath) broken into 3 parts n n 1. Spontaneous breathing allowed 2. Spontaneous breath will trigger the mandatory breath 3. If spontaneous breath not taken in 2 , mandatory breath delivered Reduction in s. IMV rate not considered useful weaning method

 Set up of ventilator ﺩ- ) : presure support (PSV ﺩﺭ ﺳیکﻞ ﺣﺠﻢ Set up of ventilator ﺩ- ) : presure support (PSV ﺩﺭ ﺳیکﻞ ﺣﺠﻢ ﺧﺎﺹ ﻓﺸﺎﺭ ﺧﺎﺻی ﺗﻮﺳﻂ ﻣﺎﺷیﻦ ﻭﺍﺭﺩ ﻣی ﺷﻮﺩ )کﻤک ﺩﺳﺘگﺎﻩ ﺑﻪ ﺗﻨﻔﺲ ﺧﻮﺩﺑﺨﻮﺩی ﺑیﻤﺎﺭ ﺩﺭ ﻫﻨگﺎﻡ (weaning n ﻣﺰﺍیﺎ : 1 - کﺎﻫﺶ ﺗﻘﻼی ﺗﻨﻔﺴی 2 ﺣﺬﻑ ﻣﻘﺎﻭﻣﺖ ﻟﻮﻟﻪ ﺗﺮﺍﺷﻪ 3 کﺎﺭﺑﺮﺩ ﺩﺭ difficult weaning n ﻣﻌﺎیﺐ : 1 - ﻋﺪﻡ کﻨﺘﺮﻝ TV>10 cc kg : TV ﺩﺭ ARDS ﻣﻤﻨﻮﻉ ﺯیﺮﺍ ﻣﻨﺠﺮ ﺑﻪ ﺗﺸﺪیﺪ ﻭﺿﻌیﺖ ﺗﻨﻔﺴی ﻣی گﺮﺩﺩ. -2 ﻋﺪﻡ ﺗﺤﻤﻞ ﺑیﻤﺎﺭ ﺑﺎ ﻣﻘﺎﻭﻣﺖ ﺭﺍﻩ ﻫﻮﺍیی ﺯیﺎﺩ

 Set up of ventilator ﻩ – : volume cycled ven ﺗﻨﻈیﻢ TV ﺑﺮ Set up of ventilator ﻩ – : volume cycled ven ﺗﻨﻈیﻢ TV ﺑﺮ ﺍﺳﺎﺱ ﻣﻘﺎﻭﻣﺖ ﺑیﻤﺎﺭ ﺟﻬﺖ ﺟﻠﻮگیﺮی ﺍﺯ overdistention ﻭﻧﺘیﻼﺗﻮﺭ پﺮﺗﺎﺑﻞ : ﻭﻧﺘیﻼﺗﻮﺭﻫﺎی ﺗﺮﺍﻧﺴپﻮﺭﺕ)ﺍﻧﺘﻘﺎﻝ(ﺟﻬﺖ ﺟﺎیگﺰیﻨی ﺭﻭﺷﻬﺎی ﺩﺳﺘی ﺩﺭ ﺍﻭﺭژﺎﻧﺴﻬﺎ یﺎ ﺩﺭ ﻭﺿﻌیﺖ ﺍﻧﺘﻘﺎﻝ ﺑیﻤﺎﺭ ﻃﺮﺍﺣی ﺷﺪﻩ ﺍﻧﺪ.

 Set up of ventilator n n PEEP چیﺴﺖ؟ یک Mode ﻧﻤی ﺑﺎﺷﺪ ﻭﻟی Set up of ventilator n n PEEP چیﺴﺖ؟ یک Mode ﻧﻤی ﺑﺎﺷﺪ ﻭﻟی ﺩﺭ کﻨﺎﺭ ﺍﻧﻮﺍﻉ Mode ﻫﺎ ﻃﺮﺍﺣی ﻣی ﺷﻮﺩ ﺩﺭ ﺻﻮﺭﺕ ﻧیﺎﺯ → ) start(5 mm/H 2 O چﺮﺍ ﺍﺯ PEEP کﻤک ﻣی گیﺮیﻢ؟ 1 کﺎﻫﺶ ﺷﺎﺗﺖ ﺩﺍﺧﻞ ﺭیﻮی ﻭ ﺑﻬﺒﻮﺩ 2 Pao 2 کﺎﻫﺶ Mean air way pressure -3 کﺎﻫﺶ lung volume n ﻋﻮﺍﺭﺽ PEEP ﺑﺎﻻﺗﺮ ﺍﺯ : 20 cm/H 2 O 1 ﺑﺎﺭﻭﺗﺮﻭﻣﺎ : پﻨﻮﻣﻮﺗﻮﺭﺍکﺲ -2 کﺎﻫﺶ ﺑﺮﻭﻥ ﺩﻩ ﻗﻠﺐ ﺑﻪ ﻋﻠﺖ کﺎﻫﺶ ﺑﺮگﺸﺖ ﻭﺭیﺪی n ﺩﺭ چﻪ ﻣﻮﻗﻊ ﻣﻤﻨﻮﻉ ﻣی ﺑﺎﺷﺪ : 1 - ﺗﺎﻣپﻮﻧﺎﺩ 2 -پﻨﻮﻣﻮﺗﻮﺭﺍکﺲ ﻓﺸﺎﺭﻧﺪﻩ

 : Barotrauma 1. 2. ﺍﻓﺰﺍیﺶ ﺣﺠﻢ ) : ( TV ﺑﻪ ﺻﻮﺭﺕ ﻋﺎﺩی : Barotrauma 1. 2. ﺍﻓﺰﺍیﺶ ﺣﺠﻢ ) : ( TV ﺑﻪ ﺻﻮﺭﺕ ﻋﺎﺩی ﺑیﻦ 10 - 15 cc/Kg ﺗﻨﻈیﻢ ﻣی ﺷﻮﺩ. ﺍﻓﺰﺍیﺶ ﻓﺸﺎﺭ: ﺍﻟﻒ: ﺍﻓﺰﺍیﺶ : (PIP) Peak airway pressure ﺑﺎیﺪ ﺣﺪﻭﺩ 02 35 cm/H ﻧگﻪ ﺩﺍﺷﺘﻪ ﺷﻮﺩ ﺗﺎ ﻧﻮﺍﺣی آﺴیﺐ ﺩیﺪﻩ ﻭﻧﺘیﻠﻪ گﺮﺩﺩ ) (Stiff Lung ﻭ ﺩﺭ ﺻﻮﺭﺕ 54> PIP ﻣﻨﺠﺮ ﺑﻪ ﻋﺎﺭﺿﻪ ﻣی گﺮﺩﺩ. )ﻣﻬﻤﺘﺮیﻦ ﻣکﺎﻧیﺴﻢ( ﺏ: ﺍﻓﺰﺍیﺶ PEEP

Bi. Level (Bi. Pap) Patient can breathe spontaneously at any phase of respiration n Bi. Level (Bi. Pap) Patient can breathe spontaneously at any phase of respiration n Change in peep level-> change in volume within lungs n

 ﺗکﻨیک ﻫﺎی ﺗﺮکیﺒی ﺑکﺎﺭ ﺭﻓﺘﻪ ﺩﺭ ﺍﻧﻮﺍﻉ ﻭﻧﺘیﻼﺗﻮﺭ Increase Inspiratory Time (Inverse ration ﺗکﻨیک ﻫﺎی ﺗﺮکیﺒی ﺑکﺎﺭ ﺭﻓﺘﻪ ﺩﺭ ﺍﻧﻮﺍﻉ ﻭﻧﺘیﻼﺗﻮﺭ Increase Inspiratory Time (Inverse ration -II ) ventilator I/E n ﺩﺭ ﻭﻧﺘیﻼﺗﻮﺭ ﻋﺎﺩی ½ یﺎ 3/1 I = I/E n ﻋﺒﺎﺭﺕ ﺍﺳﺖ ﺍﺯ ) (Inverse Ration Ventilator ﺩﺭ چﻪ ﺑیﻤﺎﺭﺍﻧی ﺗﻮﺻیﻪ ﻣی ﺷﻮﺩ ؟ COPD n ﻋﺎﺭﺿﻪ ﺍیﻦ ﺣﺎﻟﺖ چیﺴﺖ؟ Auto -PEEP

 ﺗکﻨیک ﻫﺎی ﺗﺮکیﺒی ﺑکﺎﺭ ﺭﻓﺘﻪ ﺩﺭ ﺍﻧﻮﺍﻉ ﻭﻧﺘیﻼﺗﻮﺭ : High Frequency ventilator -III ﺗکﻨیک ﻫﺎی ﺗﺮکیﺒی ﺑکﺎﺭ ﺭﻓﺘﻪ ﺩﺭ ﺍﻧﻮﺍﻉ ﻭﻧﺘیﻼﺗﻮﺭ : High Frequency ventilator -III ﻣﻌﻤﻮﻻ : 1 -3 cc/kg=TV -a 150

 ﺍﺳﺘﺮﺍﺗژی ﺗﺮکیﺒی ﺩﺭ کﺎﺭﺑﺮﺩ ﻭﻧﺘیﻼﺗﻮﺭ -I ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻭﻧﺘیﻼﺗﻮﺭ ﺩﺭ ﻭﺿﻌیﺖ ) Prone ﺍﺳﺘﺮﺍﺗژی ﺗﺮکیﺒی ﺩﺭ کﺎﺭﺑﺮﺩ ﻭﻧﺘیﻼﺗﻮﺭ -I ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻭﻧﺘیﻼﺗﻮﺭ ﺩﺭ ﻭﺿﻌیﺖ ) Prone کﺎﺭﺑﺮﺩ ﺩﺭ (ARDS n ﻣﻌﺎیﺐ ﻭﺿﻌیﺖ : supine 1 ﺟﺎﺫﺑﻪ ﻭ ﺍﺗﺴﺎﻉ ﻣکﺎﻧیکﺎﻝ ﻋﺮﻭﻗی 2 ﺗﺠﻤﻊ ﻣﺎیﻊ ﺩﺭ ﻧﻮﺍﺣی ﺩیﺴﺘﺎﻝ )ﻗﺎﻋﺪﻩ ﺭیﻪ ﻫﺎ( n ﺍیﻦ ﻣﻌﺎیﺐ ﺩﺭ ﻭﺿﻌیﺖ prone ﺑﺨﻮﺑی ﺍﺻﻼﺡ ﻣی گﺮﺩﺩ: 1 ﺍﻓﺰﺍیﺶ FRC 2 ﺗﻐییﺮ ﺩﺭ ﺣﺮکﺖ ﺩیﺎﻓﺮﺍگﻢ 3 ﺗﻐییﺮ ﺩﺭ ﺟﺮیﺎﻥ ﺧﻮﻥ ﺭیﻪ ﻭ ﻫﺪﺍیﺖ ﺑﻪ ﻧﻮﺍﺣی آﺘﻠکﺘﺎﺗیک -4 ﻓﺸﺎﺭ ﻣﺘﻨﺎﺳﺐ ﺳﺮﺗﺎﺳﺮ ﺣﻔﺮﻩ پﻠﻮﺭﺍﻝ ﺩﺭ ﺑﺮﺍﺑﺮ ﺟﺎﺫﺑﻪ

Ventilator Dysynchrony n Patient Related Factors n Ventilator Related Causes Ventilator Dysynchrony n Patient Related Factors n Ventilator Related Causes

Patient Related Factors n n n Anxiety Pain Secretions Bronchospasm Pulmonary edema n n Patient Related Factors n n n Anxiety Pain Secretions Bronchospasm Pulmonary edema n n Dynamic hyperinflation Abnormal respiratory drive Drugs Nutrition

Ventilator Related Causes Ventilator disconnection n System leak n Circuit malfunction n Inadequate Fi. Ventilator Related Causes Ventilator disconnection n System leak n Circuit malfunction n Inadequate Fi. O 2 n Inadequate ventilator support n

 Fighting n n n ﺗﻌﺮیﻒ : ﻫﻤﺎﻫﻨگی ﺑیﻦ ﺑیﻤﺎﺭ ﻭ ﺩﺳﺘگﺎﻩ ﻭﺟﻮﺩ ﻧﺪﺍﺭﺩ Fighting n n n ﺗﻌﺮیﻒ : ﻫﻤﺎﻫﻨگی ﺑیﻦ ﺑیﻤﺎﺭ ﻭ ﺩﺳﺘگﺎﻩ ﻭﺟﻮﺩ ﻧﺪﺍﺭﺩ یﻌﻨی ﺑیﻤﺎﺭ ﺩﺭ ﻓﺎﺯ ﺑﺎﺯﺩﻣی ﺑﻮﺩﻩ ﻭﻟی ﺩﺳﺘگﺎﻩ ﺳﻌی ﺩﺭ ﺷﺮﻭﻉ ﺩﻡ ﺩﺍﺭﺩ. ﻋﻮﺍﺭﺽ : 1 - ﺍﻓﺰﺍیﺶ ﻣﺼﺮﻑ 2 ) O ﺗﻘﻼی ﺗﻨﻔﺴی ( 2 ﺍﻓﺰﺍیﺶ ﻓﺸﺎﺭ ﺩﺍﺧﻞ ﺗﻮﺭﺍکﺲ 3 کﺎﻫﺶ ﺍکﺴیژﻨﺎﺳیﻮﻥ ﻋﻠﻞ : 1 - ﺍﺷکﺎﻝ ﺩﺭ set up ﺩﺳﺘگﺎﻩ ﺗﻨﻈیﻢ ﺩﺳﺘگﺎﻩ 2 ﺍﺧﺘ ﻻﺕ CNS ﺗﺠﻮیﺰ ﺷﻞ کﻨﻨﺪﻩ ﻋﻀﻼﻧی ﻼ 3 ﺍﻓﺰﺍیﺶ ﻣﻘﺎﻭﻣﺖ ﺭﺍﻩ ﻫﻮﺍیی ﺍﻟﻒ- ﻟﻮﻟﻪ گﺮﻓﺘﻪ ﺑﺎﺷﺪ ﺏ- پﻨﻮﻣﻮﺗﻮﺭﺍکﺲ -4 pain & Anxiety ﻧﺎﺭکﻮﺗیک

 n ﻗﺪﻡ ﺍﻭﻝ ﺩﺭﻣﺎﻥ ﺩﺭ fighting ﺍﺻﻼﺡ ﻫیپﻮکﺴی ﻭ ﺍﺳیﺪ ﻭﺑﺎﺯ ﻣی ﺑﺎﺷﺪ. n ﻗﺪﻡ ﺍﻭﻝ ﺩﺭﻣﺎﻥ ﺩﺭ fighting ﺍﺻﻼﺡ ﻫیپﻮکﺴی ﻭ ﺍﺳیﺪ ﻭﺑﺎﺯ ﻣی ﺑﺎﺷﺪ. n ﺣﺪﺱ fight ﺑﺎ ﺍﺣﺘﻤﺎﻝ ﺍﻧﺴﺪﺍﺩ ﺭﺍﻩ ﻫﻮﺍیی ﺣﺬﻑ ﺑیﻤﺎﺭ ﺍﺯ ﺩﺳﺘگﺎﻩ ﻭ ﺗﻨﻔﺲ ﺑﺎ آﻤﺒﻮﺑگ ﺟﻬﺖ ﺗﺸﺨیﺺ ﻣﻘﺎﻭﻣﺖ )+( CXR ﺟﻬﺖ ﺗﺸﺨیﺺ پﻨﻮﻣﻮﺗﻮﺭﺍکﺲ ﺯیﺮﺍ ﺳﻤﻊ ﺭیﻪ ﺩﺭ ﺑیﻤﺎﺭ ﺯیﺮ ﻭﻧﺘیﻼﺗﻮﺭ ﺍﺭﺯﺵ ﻧﺪﺍﺭﺩ. پﻨﻮﻣﻮﺗﻮﺭﺍکﺲ )-( ﺑﺮﻭﻧکﻮﺳکپی ﻭ ﻣﺸﺎﻫﺪﻩ ﺭﺍﻩ ﻫﻮﺍیی

 ﺗﺮﺍکﺌﻮﺳﺘﻮﻣی n ﺯﻣﺎﻥ ﺍﻧﺠﺎﻡ کﻮﻧﺘﺮﺍﻭﺭﺳیﺎﻝ n ﺍکﺜﺮ ﺑﻪ ﺯﻣﺎﻥ 2 ﻫﻔﺘﻪ ﺑﻌﺪ ﺍﺯ ﺗﺮﺍکﺌﻮﺳﺘﻮﻣی n ﺯﻣﺎﻥ ﺍﻧﺠﺎﻡ کﻮﻧﺘﺮﺍﻭﺭﺳیﺎﻝ n ﺍکﺜﺮ ﺑﻪ ﺯﻣﺎﻥ 2 ﻫﻔﺘﻪ ﺑﻌﺪ ﺍﺯ ﺍﻧﺘﻮﺑﺎﺳیﻮﻥ ﻣﻌﺘﻘﺪﻧﺪ. n ﺍگﺮ ﺑیﻤﺎﺭی ﺍﻧﺘﻈﺎﺭ ﻣی ﺭﻭﺩ کﻪ ﻣﺪﺕ ﻃﻮﻻﻧی ﺍﻧﺘﻮﺑﻪ ﻣیﻤﺎﻧﺪ ﺍﻧﺠﺎﻡ ﺗﺮﺍکﺌﻮﺳﺘﻮﻣی ﺳﺮیﻌﺘﺮ ﻣﻄﺮﺡ ﺍﺳﺖ. n ﺩﻻیﻞ ﺍﻧﺠﺎﻡ ﺗﺮﺍکﺌﻮﺳﺘﻮﻣی : 1 ﺳﻬﻮﻟﺖ ﺩﺭ ﺧﺮﻭﺝ ﺗﺮﺷﺤﺎﺕ 2 ﺑﻬﺪﺍﺷﺖ ﺩﻫﺎﻥ 3 ﺟﻠﻮگیﺮی ﺍﺯ ﺍﺩﻡ گﻠﻮﺕ -4 ﺟﻠﻮگیﺮی ﺍﺯ آﺴیﺐ ﺗﺮﺍﺷﻪ ﻭ ﻻﺭﻧکﺲ

 Weaning & Extubation n ﻋﻮﺍﻣﻞ ﻣﺆﺜﺮ ﺩﺭ ﺯﻣﺎﻥ : weaning 1 ﻭﺳﻌﺖ آﺴیﺐ Weaning & Extubation n ﻋﻮﺍﻣﻞ ﻣﺆﺜﺮ ﺩﺭ ﺯﻣﺎﻥ : weaning 1 ﻭﺳﻌﺖ آﺴیﺐ پﺎﺭﺍﻧﺸیﻢ ﺭیﻪ 2 ﻭﺍکﻨﺶ ﺑﺮﻭﻧکیﺎﻝ 3 ﺗﻮﺍﻧﺎیی ﻗﺪﺭﺕ ﻋﻀﻼﺕ ﺗﻨﻔﺴی -4 ﻭﺿﻌیﺖ ﻗﻠﺒی ﻭ ﻋﺮﻭﻕ

Weaning & Extubation : weaning ﻣﻌﻴﺎﺭﻫﺎﻱ n 20 ﻣﻨﺎﺳﺐ sat %05 ﺑﺎ FIO 217. Weaning & Extubation : weaning ﻣﻌﻴﺎﺭﻫﺎﻱ n 20 ﻣﻨﺎﺳﺐ sat %05 ﺑﺎ FIO 217. 5 cm/H 2 O > CPAP/PEEP 2 CXR 3 پﺎک ﺷﺪﻥ ﺍﻧﻔیﻠﺘﺮﺍﺳیﻮﻥ ﺩﺭ. ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ VC~7 cc/kg 4 ﺑیﻤﺎﺭ ﻫﻮﺷیﺎﺭ کﻪ ﺗﻮﺍﻧﺎیی 8 < Rate <25 5 -20 cm/H 2 O < ~ NIF 6 - minimal Negative inspiratory Force

 ﻣﺘﺪﻫﺎی Weaning : classic -I ﺍﺑﺘﺪﺍ ﺑیﻤﺎﺭ ﺭﺍ ﺭﻭی ﻣﺪ CPAP گﺬﺍﺷﺘﻪ ﻭ ﻣﺘﺪﻫﺎی Weaning : classic -I ﺍﺑﺘﺪﺍ ﺑیﻤﺎﺭ ﺭﺍ ﺭﻭی ﻣﺪ CPAP گﺬﺍﺷﺘﻪ ﻭ ﺩﺭ ﺻﻮﺭﺕ ﺗﺤﻤﻞ ﺑکﻤک. (T Piece) open airway ﺍﻗﺪﺍﻡ ﺑﻪ wean ﻣی کﻨیﻢ. IMV & SIMV -III ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ PSV

 Nutrition n n ﺩﺭ ﺯﻣﺎﻥ ﺷﺮﻭﻉ weaning ﺗﻘﻼی ﺗﻨﻔﺴی ﻭ ﻧیﺎﺯ ﺑﻪ ﺍﻧﺮژی Nutrition n n ﺩﺭ ﺯﻣﺎﻥ ﺷﺮﻭﻉ weaning ﺗﻘﻼی ﺗﻨﻔﺴی ﻭ ﻧیﺎﺯ ﺑﻪ ﺍﻧﺮژی ﺩﺭ ﺑیﻤﺎﺭ ﺍﻓﺰﺍیﺶ ﻣی یﺎﺑﺪ. ﺩﺭ ﺯﻣﺎﻧی کﻪ ﺑیﻤﺎﺭ ﺯیﺮ ﻭﻧﺘیﻼﺗﻮﺭ ﻣی ﺑﺎﺷﺪ ﺑﻌﻠﺖ ﻋﺪﻡ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻋﻀﻼﺕ ﺗﻨﻔﺴی ﺩچﺎﺭ آﺘﺮﻭﻓی ﻣی گﺮﺩﺩ کﻪ ﺑﺎیﺪ ﺩﺭ ﺯﻣﺎﻥ weaning ﺑﺎﺯﺳﺎﺯی گﺮﺩﺩ کﻪ ﻧیﺎﺯ ﺑﺎﺭﺯ ﺗﻐﺬیﻪ )ﺣﺘی (TPN ﺭﺍ ﻣﻄﺮﺡ ﻣی ﺳﺎﺯﺩ. ﺩﺭ ﺻﻮﺭﺕ ﻋﺪﻡ ﺗﻮﺍﻧﺎیی ﺩﺭ ﺷﺮﻭﻉ ﺗﻐﺬیﻪ ﺍﻧﺘﺮﺍﻝ ﺑﺎیﺪ TPN ﻇﺮﻑ 84 ﺳﺎﻋﺖ ﺍﻭﻝ آﻐﺎﺯ ﺷﻮﺩ. ﺍﺻﻼﺡ ﻫیپﻮﻓﺴﻔﺎﺗﻤی ﺑﻌﻠﺖ یک ﻋﺎﻣﻞ ﺧﺴﺘگی ﺗﻨﻔﺴی ﻣﻄﺮﺡ ﻣی ﺑﺎﺷﺪ.

 ﺍﻟﺰﺍﻣﺎﺕ ﻻﺯﻡ ﺟﻬﺖ ﺣﺪﺍﻗﻞ ﺗﺴﺘﻬﺎ ﻱ ﻋﻤﻠﻜﺮﺩﻱ ﺩﺳﺘگﺎﻩ ﻭﻧﺘﻴﻼﺗﻮﺭ: n ﻓﻠﻮﻱ ﺩﻡ ﻭ ﺍﻟﺰﺍﻣﺎﺕ ﻻﺯﻡ ﺟﻬﺖ ﺣﺪﺍﻗﻞ ﺗﺴﺘﻬﺎ ﻱ ﻋﻤﻠﻜﺮﺩﻱ ﺩﺳﺘگﺎﻩ ﻭﻧﺘﻴﻼﺗﻮﺭ: n ﻓﻠﻮﻱ ﺩﻡ ﻭ ﺣﺪ ﺍﻛﺜﺮ n ﻓﺸﺎﺭ ﺩﻡ ﻭ ﺣﺪ ﺍﻛﺜﺮ n ﻧﺴﺒﺖ I: E n ﺭﻳﺖ ﺗﻨﻔﺲ n ﻓﺸﺎﺭ PEEP n ﺯﻣﺎﻥ ﺩﻡ n ﺩﻗﺖ ﺍﻛﺴﻴژﻦ n ﻓﺸﺎﺭ PIP n ﺣﺠﻢ ﻫﻮﺍ

 ﺷﺮﺍﻳﻂ ﺍﺳﺘﻔﺎﺩﻩ ﻭ ﻧگﻬﺪﺍﺷﺖ Temp: 10 to +40 n Humidity: 30% to 75 ﺷﺮﺍﻳﻂ ﺍﺳﺘﻔﺎﺩﻩ ﻭ ﻧگﻬﺪﺍﺷﺖ Temp: 10 to +40 n Humidity: 30% to 75 % n O 2 supply : 4 -5 bar n Air supply : 4 -5 bar n

Ventilator management algorithim Initial intubation Fi. O 2 = 50% • RR = 12 Ventilator management algorithim Initial intubation Fi. O 2 = 50% • RR = 12 – 15 • PEEP = 5 • VT = 8 – 10 ml/kg • Sa. O 2 > 90% Sa. O 2 < 90% Increase Fi. O 2 (keep Sa. O 2>90%) Increase PEEP to max 20 Identify possible acute lung injury Identify respiratory failure causes • • No injury Adjust RR to maintain Pa. CO 2 = 40 Reduce Fi. O 2 < 50% as tolerated Reduce PEEP < 8 as tolerated Assess criteria for SBT daily Acute lung injury Low TV (lung-protective) settings • Reduce TV to 6 ml/kg • Increase RR up to 35 to keep • p. H > 7. 2, Pa. CO 2 < 50 Adjust PEEP to keep Fi. O 2 < 60% • Sa. O 2 < 90% Dx/Tx associated conditions • (PTX, hemothorax, hydrothorax) Consider adjunct measures • (prone positioning, HFOV, IRV) • • Fail SBT Acute lung injury Sa. O 2 < 90% Sa. O 2 > 90% Continue lung-protective • ventilation until: Pa. O 2/Fi. O 2 > 300 • Criteria met for SBT • Persistently fail SBT Consider tracheostomy • Resume daily SBTs with CPAP or • tracheostomy collar Pass SBT Extubate Airway stable Pass SBT Intubated > 2 wks Prolonged ventilator dependence Consider PSV wean (gradual • reduction of pressure support) Consider gradual increases in SBT • duration until endurance improves Pass SBT

neomoventz neomoventz

DRAGER DRAGER

 ﻭﻧﺘیﻼﺗﻮﺭ ﺍﻭﺭژﺎﻧﺲ ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺩﺭ ﺑﺨﺸﻬﺎی ﻣﺨﺘﻠﻒ ﺑیﻤﺎﺭﺳﺘﺎﻧی،ﻭﺳﺎﺋﻂ ﻧﻘﻠیﻪ ﻣﺨﺘﻠﻒ ﺍﻭﺭژﺎﻧﺲ)آﻤﺒﻮﻻﻧﺲ ﻭ ﻫﻠیکﻮپﺘﺮ( ﻭﻧﺘیﻼﺗﻮﺭ ﺍﻭﺭژﺎﻧﺲ ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺩﺭ ﺑﺨﺸﻬﺎی ﻣﺨﺘﻠﻒ ﺑیﻤﺎﺭﺳﺘﺎﻧی،ﻭﺳﺎﺋﻂ ﻧﻘﻠیﻪ ﻣﺨﺘﻠﻒ ﺍﻭﺭژﺎﻧﺲ)آﻤﺒﻮﻻﻧﺲ ﻭ ﻫﻠیکﻮپﺘﺮ( ﻭ ﻫﻤﺮﺍﻩ ﺑیﻤﺎﺭ ﺩﺭ ﻫﻨگﺎﻡ ﻧﻘﻞ ﻭ ﺍﻧﺘﻘﺎﻝ،ﺩﺍﺭﺍی ﺣﺠﻢ ﻭ ﻭﺯﻥ کﻮچک 0001 Oxylog 0002 Oxylog

 0001 Oxylog ﺩﺍﺭﺍﻱ ﺣﺠﻢ ﻭ ﻭﺯﻥ ﻛﻮچﻚ )51. 3 کیﻠﻮ گﺮﻡ(، آﻼﺭﻡﻫﺎی ﻣﺨﺘﻠﻒ 0001 Oxylog ﺩﺍﺭﺍﻱ ﺣﺠﻢ ﻭ ﻭﺯﻥ ﻛﻮچﻚ )51. 3 کیﻠﻮ گﺮﻡ(، آﻼﺭﻡﻫﺎی ﻣﺨﺘﻠﻒ ﻭ ﻣﺠﻬﺰ ﺑﻪ ﻣﺪ ﺗﻨﻔﺴﻲ IPPV

 0002 Oxylog ﺩﺍﺭﺍﻱ ﺣﺠﻢ ﻭ ﻭﺯﻥ ﻛﻮچﻚ ) 3. 4 کیﻠﻮگﺮﻡ(پﺎﺭﺍﻣﺘﺮﻫﺎﻱ ﺗﻨﻔﺴﻲ ﻭ 0002 Oxylog ﺩﺍﺭﺍﻱ ﺣﺠﻢ ﻭ ﻭﺯﻥ ﻛﻮچﻚ ) 3. 4 کیﻠﻮگﺮﻡ(پﺎﺭﺍﻣﺘﺮﻫﺎﻱ ﺗﻨﻔﺴﻲ ﻭ آﻼﺭﻡﻫﺎی ﻣﺨﺘﻠﻒ ﺷﺎﻣﻞ ﻣﺪﻫﺎﻱ , CPAP SIMV , SIPPV , IPPV ﻣﺠﻬﺰ ﺑﻪ ﺑﺎﺗﺮﻱ ﺩﺍﺧﻠﻲ ﻗﺎﺑﻞ ﺷﺎﺭژ ﺗﺎ 6 ﺳﺎﻋﺖ، ﺍﻣﻜﺎﻥ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺑﺮﻕ ﺷﻬﺮ، ﺑﺎﺗﺮﻱ )ﻓﻨﺪﻛﻲ( ﺍﺗﻮﻣﺒﻴﻞ.

 ﻭﻧﺘیﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻭﻧﺘیﻼﺗﻮﺭ ﻓﻮﻕ پیﺸﺮﻓﺘﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﻋﻤﻠکﺮﺩ ﻓﺸﺎﺭی- ﺯﻣﺎﻧی،ﺑﺮﺍی ﺩﺍﻣﻨﻪ ﻧﻮﺯﺍﺩ ﻧﺎﺭﺱ ﻭﻧﺘیﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻭﻧﺘیﻼﺗﻮﺭ ﻓﻮﻕ پیﺸﺮﻓﺘﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﻋﻤﻠکﺮﺩ ﻓﺸﺎﺭی- ﺯﻣﺎﻧی،ﺑﺮﺍی ﺩﺍﻣﻨﻪ ﻧﻮﺯﺍﺩ ﻧﺎﺭﺱ ﺗﺎ کﻮﺩکﺎﻥ ﺑﺎ ﻭﺯﻥ 02 کیﻠﻮ گﺮﻡ Babylog 8000 plus

 Babylog 8000 Plus ﻭﻧﺘیﻼﺗﻮﺭ ﻓﻮﻕ پیﺸﺮﻓﺘﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﻋﻤﻠﻜﺮﺩ ﻓﺸﺎﺭﻱ – ﺯﻣﺎﻧﻲ، ﺑﺮﺍی Babylog 8000 Plus ﻭﻧﺘیﻼﺗﻮﺭ ﻓﻮﻕ پیﺸﺮﻓﺘﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﻋﻤﻠﻜﺮﺩ ﻓﺸﺎﺭﻱ – ﺯﻣﺎﻧﻲ، ﺑﺮﺍی ﺩﺍﻣﻨﻪ ﻧﻮﺯﺍﺩ ﻧﺎﺭﺱ ﺗﺎ ﻛﻮﺩﻛﺎﻥ ﺑﺎ ﻭﺯﻥ 02 kg ﺑﻪ ﻫﻤﺮﺍﻩ ﻣﺮﻃﻮﺏ ﻛﻨﻨﺪﻩ، ﻛﻤپﺮﺳﻮﺭ ﻭ ﻛﻠﻴﻪ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺍﺯ ﺟﻤﻠﻪ , IPPV , IMV , CPAP , SIMV, PSV SIPPV ﻗﺎﺑﻞ ﺍﺭﺗﻘﺎﺀ ﺑﻪ ﻣﺪﻫﺎﻱ : High Frequency , ) Ventilation (HFV ﺷﺎﻣﻞ ﻣﻮﻧﻴﺘﻮﺭﻳﻨگ ﻓﻠﻮ ﻭ ﺣﺠﻢ

 ﻭﻧﺘیﻼﺗﻮﺭ ﻣﺮﺍﻗﺒﺖ ﻭیژﻪ ﻭﻧﺘیﻼﺗﻮﺭ پیﺸﺮﻓﺘﻪ ﻣﺮﺍﻗﺒﺖ ﻭیژﻪ ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧیﺘﻮﺭ ﺭﻧگی ﺟﻬﺖ ﻧﻤﺎیﺶ ﻭﻧﺘیﻼﺗﻮﺭ ﻣﺮﺍﻗﺒﺖ ﻭیژﻪ ﻭﻧﺘیﻼﺗﻮﺭ پیﺸﺮﻓﺘﻪ ﻣﺮﺍﻗﺒﺖ ﻭیژﻪ ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧیﺘﻮﺭ ﺭﻧگی ﺟﻬﺖ ﻧﻤﺎیﺶ ﻫﻤﺰﻣﺎﻥ پﺎﺭﺍﻣﺘﺮﻫﺎ ﻭ ﻣﻨﺤﻨی ﻫﺎی ﺗﻨﻔﺴی ﻣﻨﺎﺳﺐ ﺑﺮﺍی ﺗﻬﻮیﻪ ﺑﺰﺭگﺴﺎﻻﻥ، ﺍﻃﻔﺎﻝ ﻭ ﻧﻮﺯﺍﺩﺍﻥ،ﻫﻤﺮﺍﻩ ﺑﺎ ﻣﺮﻃﻮﺏ کﻨﻨﺪﻩ، کﻤپﺮﺳﻮﺭ ﻭ ﻣﺠﻬﺰ ﺑﻪ کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی Evita XL 4 Evita 2 dura Savina Carina

 Evita XL ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﺣﺠﻢ ﺩﻗﻴﻘﻪ Evita XL ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﺣﺠﻢ ﺩﻗﻴﻘﻪ ﺍﻱ، ،Tidal Volume ﻓﺮﻛﺎﻧﺲ ﺗﻨﻔﺲ ، 2 ،Fi. O ﻣﻜﺎﻧﻴﺴﻢ ﺭﻳﻪ، ﺷﻜﻞ ﻣﻮﺟﻬﺎﻱ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﻓﻠﻮ ﻭ ﺣﺠﻢ ﺑﺎ ﺍﻣﻜﺎﻥ ﺍﺭﺍﺋﻪ ﺩﻭ ﻣﻨﺤﻨﻲ ﻣﺨﺘﻠﻒ ﺑﻄﻮﺭ ﻫﻤﺰﻣﺎﻥ ﺩﺍﺭﺍﻱ کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی ﻗﺎﺑﻞ ﺗﻮﺳﻌﻪ ﺑﻪ ﻣﺪﻫﺎﻱ APRV ﻳﺎ (Independent Autoflow ،Lung Ventilation (ILV پﺎﻟﺲ ﺍﻛﺴﻴﻤﺘﺮﻱ ﺗﻬﻮﻳﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﺍﺿﺎﻓﻪ ﻛﺮﺩﻥ ﻛﻴﺖ Neoflow ﻣﺠﻬﺰ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﻫﻮﺍﻱ ﻃﺒﻲ ﺩﺍﺭﺍﻱ ﻣﺪ( Apnea Ventilation ﺩﺍﺩﻥ ﺗﻨﻔﺲ ﺑﻪ ﻃﻮﺭ ﺍﺗﻮﻣﺎﺗﻴﻚ ﺩﺭ ﺯﻣﺎﻥ ﺍﻳﺴﺖ ﺗﻨﻔﺴﻲ ﺑﺎ ﻓﺮﻛﺎﻧﺲ ﻭ ﺣﺠﻢ ﻗﺎﺑﻞ ﺗﻨﻈﻴﻢ

 Evita 2 dura ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﺣﺠﻢ Evita 2 dura ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﺣﺠﻢ ﺩﻗﻴﻘﻪ ﺍﻱ، ،Tidal Volume ﻓﺮﻛﺎﻧﺲ ﺗﻨﻔﺲ ، 2 ،Fi. O ﻣﻜﺎﻧﻴﺴﻢ ﺭﻳﻪ، ﺷﻜﻞ ﻣﻮﺟﻬﺎﻱ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﻓﻠﻮ ﻭ ﺣﺠﻢ ﺑﺎ ﺍﻣﻜﺎﻥ ﺍﺭﺍﺋﻪ ﺩﻭ ﻣﻨﺤﻨﻲ ﻣﺨﺘﻠﻒ ﺑﻄﻮﺭ ﻫﻤﺰﻣﺎﻥ ﺩﺍﺭﺍﻱ کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی ﻗﺎﺑﻞ ﺗﻮﺳﻌﻪ ﺑﻪ ﻣﺪﻫﺎﻱ APRV ﻳﺎ ،(Independent Lung Ventilation (ILV Autoflow پﺎﻟﺲ ﺍﻛﺴﻴﻤﺘﺮﻱ ﺗﻬﻮﻳﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﺍﺿﺎﻓﻪ ﻛﺮﺩﻥ ﻛﻴﺖ Neoflow ﻣﺠﻬﺰ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﻫﻮﺍﻱ ﻃﺒﻲ ﺩﺍﺭﺍﻱ ﻣﺪ( Apnea Ventilation ﺩﺍﺩﻥ ﺗﻨﻔﺲ ﺑﻪ ﻃﻮﺭ ﺍﺗﻮﻣﺎﺗﻴﻚ ﺩﺭ ﺯﻣﺎﻥ ﺍﻳﺴﺖ ﺗﻨﻔﺴﻲ ﺑﺎ ﻓﺮﻛﺎﻧﺲ ﻭ ﺣﺠﻢ ﻗﺎﺑﻞ ﺗﻨﻈﻴﻢ

 4 Evita ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﺣﺠﻢ ﺩﻗﻴﻘﻪ 4 Evita ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﺣﺠﻢ ﺩﻗﻴﻘﻪ ﺍﻱ، ،Tidal Volume ﻓﺮﻛﺎﻧﺲ ﺗﻨﻔﺲ ، 2 ،Fi. O ﻣﻜﺎﻧﻴﺴﻢ ﺭﻳﻪ، ﺷﻜﻞ ﻣﻮﺟﻬﺎﻱ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ، ﻓﻠﻮ ﻭ ﺣﺠﻢ ﺑﺎ ﺍﻣﻜﺎﻥ ﺍﺭﺍﺋﻪ ﺩﻭ ﻣﻨﺤﻨﻲ ﻣﺨﺘﻠﻒ ﺑﻄﻮﺭ ﻫﻤﺰﻣﺎﻥ ﺩﺍﺭﺍﻱ کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی ﻗﺎﺑﻞ ﺗﻮﺳﻌﻪ ﺑﻪ ﻣﺪﻫﺎﻱ APRV ﻳﺎ (Independent Autoflow ،Lung Ventilation (ILV پﺎﻟﺲ ﺍﻛﺴﻴﻤﺘﺮﻱ ﺗﻬﻮﻳﻪ ﻧﻮﺯﺍﺩﺍﻥ ﺑﺎ ﺍﺿﺎﻓﻪ ﻛﺮﺩﻥ ﻛﻴﺖ Neoflow ﻣﺠﻬﺰ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﻫﻮﺍﻱ ﻃﺒﻲ ﺩﺍﺭﺍﻱ ﻣﺪ( Apnea Ventilation ﺩﺍﺩﻥ ﺗﻨﻔﺲ ﺑﻪ ﻃﻮﺭ ﺍﺗﻮﻣﺎﺗﻴﻚ ﺩﺭ ﺯﻣﺎﻥ ﺍﻳﺴﺖ ﺗﻨﻔﺴﻲ ﺑﺎ ﻓﺮﻛﺎﻧﺲ ﻭ ﺣﺠﻢ ﻗﺎﺑﻞ ﺗﻨﻈﻴﻢ

 Savina ﻣﺸﺨﺼﺎﺕ ﻓﻨی: ﺑﺪﻭﻥ ﻧﻴﺎﺯ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﺩﺍﺭﺍﻱ ﻛﻠﻴﻪ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺷﺎﻣﻞ , Savina ﻣﺸﺨﺼﺎﺕ ﻓﻨی: ﺑﺪﻭﻥ ﻧﻴﺎﺯ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﺩﺍﺭﺍﻱ ﻛﻠﻴﻪ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺷﺎﻣﻞ , IPPV(CMV) ASSIST (A/C), SIMV ASB, CPAP, PLV, BIPAP, Apnea Ventilation, Spontaneous ﻗﺎﺑﻞ ﺗﻮﺳﻌﻪ ﺑﻪ ﻣﺪﻫﺎﻱ , Autoflow NIV, LPO, IRV ﺑﺎﺗﺮﻱ ﺩﺍﺧﻠﻲ ﻭ ﺍﻣکﺎﻥ ﺍﻓﺰﻭﺩﻥ ﺑﺎﻃﺮی ﺧﺎﺭﺟی ﻭ ﺧﺮﻭﺟی 232 RS ﺍﻣﻜﺎﻥ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻣﻨﺒﻊ ﺗﻐﺬﻳﻪ 12 ، DC ﺗﺎ 63 ﻭﻟﺖ ﻧﻤﺎﻳﺶ ﻣﻨﺤﻨﻲﻫﺎی ﻓﻠﻮ ﻭ ﻓﺸﺎﺭ آﻼﺭﻡ ﺟﻬﺖ ﻛﻨﺘﺮﻝ پﺎﺭﺍﻣﺘﺮﻫﺎﻱ ﺣﻴﺎﺗﻲ ﻣﺜﻞ ﺣﺠﻢ، ﻓﺸﺎﺭ، ﻓﺮﻛﺎﻧﺲ، ﺩﺭ ﺻﺪ ﺍﻛﺴﻴژﻦ، ) Apnea ﺩﺍﺭﺍﻱ ﺳﻨﺴﻮﺭ ﺍﻛﺴﻴژﻦ ﺑﺎ ﻋﻤﺮ ﻃﻮﻻﻧﻲ )۵ ﺳﺎﻟﻪ) ﺩﺍﺭﺍﻱ ﺳﻴﺴﺘﻢ ، O 2 Suction ﻭ ﺍﻣﻜﺎﻥ upgrade ﻛﺮﺩﻥ ﺩﺳﺘگﺎﻩ ﺑﻪ ﺻﻮﺭﺕ ﻧﺮﻡ ﺍﻓﺰﺍﺭﻱ ﻭ ﻛﻴﺖ ﺩﺍﺧﻠﻲ

 Carina ﻣﺸﺨﺼﺎﺕ ﻓﻨی: ﺑﺪﻭﻥ ﻧﻴﺎﺯ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﺩﺍﺭﺍﻱ ﻛﻠﻴﻪ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺷﺎﻣﻞ , Carina ﻣﺸﺨﺼﺎﺕ ﻓﻨی: ﺑﺪﻭﻥ ﻧﻴﺎﺯ ﺑﻪ ﻛﻤپﺮﺳﻮﺭ ﺩﺍﺭﺍﻱ ﻛﻠﻴﻪ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺷﺎﻣﻞ , IPPV(CMV) ASSIST (A/C), SIMV, ASB , CPAP, PLV, BIPAP, Apnea Ventilation Spontaneous ﻗﺎﺑﻞ ﺗﻮﺳﻌﻪ ﺑﻪ ﻣﺪﻫﺎﻱ , Autoflow NIV, LPO, IRV ﺑﺎﺗﺮﻱ ﺩﺍﺧﻠﻲ ﻭ ﺍﻣکﺎﻥ ﺍﻓﺰﻭﺩﻥ ﺑﺎﻃﺮی ﺧﺎﺭﺟی ﻭ ﺧﺮﻭﺟی 232 RS ﺍﻣﻜﺎﻥ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻣﻨﺒﻊ ﺗﻐﺬﻳﻪ 12 ، DC ﺗﺎ 63 ﻭﻟﺖ ﻧﻤﺎﻳﺶ ﻣﻨﺤﻨﻲﻫﺎی ﻓﻠﻮ ﻭ ﻓﺸﺎﺭ آﻼﺭﻡ ﺟﻬﺖ ﻛﻨﺘﺮﻝ پﺎﺭﺍﻣﺘﺮﻫﺎﻱ ﺣﻴﺎﺗﻲ ﻣﺜﻞ ﺣﺠﻢ، ﻓﺸﺎﺭ، ﻓﺮﻛﺎﻧﺲ، ﺩﺭ ﺻﺪ ﺍﻛﺴﻴژﻦ، ) Apnea ﺩﺍﺭﺍﻱ ﺳﻨﺴﻮﺭ ﺍﻛﺴﻴژﻦ ﺑﺎ ﻋﻤﺮ ﻃﻮﻻﻧﻲ )۵ ﺳﺎﻟﻪ) ﺩﺍﺭﺍﻱ ﺳﻴﺴﺘﻢ ، O 2 Suction ﻭ ﺍﻣﻜﺎﻥ upgrade ﻛﺮﺩﻥ ﺩﺳﺘگﺎﻩ ﺑﻪ ﺻﻮﺭﺕ ﻧﺮﻡ ﺍﻓﺰﺍﺭﻱ ﻭ ﻛﻴﺖ ﺩﺍﺧﻠﻲ

BENNETT BENNETT

 048 BENNETT ﻗﺎﺑﻠﻴﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺟﻬﺖ ﻧﻮﺯﺍﺩﺍﻥ،ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگ ﺳﺎﻝ ﻣﺠﻬﺰ ﺑﻪ ﺻﻔﺤﻪ 8. 048 BENNETT ﻗﺎﺑﻠﻴﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺟﻬﺖ ﻧﻮﺯﺍﺩﺍﻥ،ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگ ﺳﺎﻝ ﻣﺠﻬﺰ ﺑﻪ ﺻﻔﺤﻪ 8. 81 ﺍیﻨچ : Full Touch Screen ﺻﻔﺤﻪ ﺑﺎ ﺩﻭ ﻗﺴﻤﺖ ﻣﺠﺰﺍ ﻋﺪﻡ ﻧیﺎﺯ ﺑﻪ کﺎﻟیﺒﺮﺍﺳیﻮﻥ ﺍﺳﺘﻔﺎﺩﻩ ﻭ کﺎﺭﺑﺮﺩ آﺴﺎﻥ ﻗﺎﺑﻠیﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺼﻮﺭﺕ ﻏیﺮ ﺗﻬﺎﺟﻤی Non Invasive Ventilation ﻗﺎﺑﻠیﺖ ﻣﺎﻧیﺘﻮﺭیﻨگ پیﺸﺮﻓﺘﻪ ﺗﻨﻔﺴی ﻭ ﻧﻤﺎیﺶ پﺎﺭﺍﻣﺘﺮﻫﺎی ﺗﻨﻔﺴی ﺭﺳﻢ ﻧﻤﻮﺩﺍﺭﻫﺎی ﺗﻨﻔﺴی ﺑﺎ ﺭﻧگﻬﺎی ﻣﺠﺰﺍ ﺩﻣی ﻭ ﺑﺎﺯﺩﻣی ﻗﺎﺑﻠیﺖ Upgrade ﺷﺪﻥ ﺟﻬﺖ ﺍﺿﺎﻓﻪ ﻧﻤﻮﺩﻥ ﻣﺪ ﻭ ﺍﻣکﺎﻧﺎﺕ ﺟﺪیﺪ ﺩﺍﺭﺍی ﻣﺪﻫﺎی ﻣﺘﺪﺍﻭﻝ ﻭ ﻣﺪﻫﺎی ﺗﺨﺼﺼی ﻭ پیﺸﺮﻓﺘﻪ

 067 BENNETT ﻗﺎﺑﻠیﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺟﻬﺖ ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگ ﺳﺎﻝ ﺑﺪﻭﻥ ﻧیﺎﺯ ﺑﻪ ﺗﻌﻮیﺾ 067 BENNETT ﻗﺎﺑﻠیﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺟﻬﺖ ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگ ﺳﺎﻝ ﺑﺪﻭﻥ ﻧیﺎﺯ ﺑﻪ ﺗﻌﻮیﺾ ﺳﺖ ﻟﻮﻟﻪ ﺩﺍﺭﺍی ﻣیکﺮﻭپیﺴﺘﻮﻥ پیﺸﺮﻓﺘﻪ ﺩﺍﺧﻠی ﺑﺎ 21 ﺳﺎﻝ گﺎﺭﺍﻧﺘی ﻋﺪﻡ ﻧیﺎﺯ ﺑﻪ کﺎﻟیﺒﺮﺍﺳیﻮﻥ ) کﺎﻟیﺒﺮﺍﺳیﻮﻥ ﺍﺗﻮﻣﺎﺗیک ﺩﺳﺘگﺎﻩ( ﺍﺳﺘﻔﺎﺩﻩ ﻭ کﺎﺭﺑﺮﺩ آﺴﺎﻥ ﻗﺎﺑﻠیﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺼﻮﺭﺕ ﻏیﺮ ﺗﻬﺎﺟﻤی ﻧﻤﺎیﺶ پﺎﺭﺍﻣﺘﺮﻫﺎی ﺗﻨﻔﺴی ﺭﻭی ﺻﻔﺤﻪ ﺍﺻﻠی ﻗﺎﺑﻠیﺖ ﺗﻨﻈیﻢ Apnea ﺩﺭ ﻣﺪﻫﺎی ﺗﻨﻔﺴی ﺧﻮﺩ ﺑﺨﻮﺩی ﻋﺪﻡ ﻧیﺎﺯ ﺑﻪ ﺳﺎﻧﺘﺮﺍﻝ ﻫﻮﺍ ﻭ کﻤپﺮﺳﻮﺭ ﺩﺍﺭﺍی ﻣﺪﻫﺎی ﻣﺘﺪﺍﻭﻝ ﻭ ﻣﺪﻫﺎی ﺗﺨﺼﺼی ﻭ پیﺸﺮﻓﺘﻪ

 BENNETT )Achiva ﻓﺮﺍﻧﺴﻪ( ﻗﺎﺑﻠﻴﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍﻱ ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگﺴﺎﻻﻥ ﻗﺎﺑﻠﻴﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺼﻮﺭﺕ پﺮﺗﺎﺑﻞ BENNETT )Achiva ﻓﺮﺍﻧﺴﻪ( ﻗﺎﺑﻠﻴﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍﻱ ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگﺴﺎﻻﻥ ﻗﺎﺑﻠﻴﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺼﻮﺭﺕ پﺮﺗﺎﺑﻞ ﺟﻬﺖ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻬﺎ ، ﻣﻨﺎﺯﻝ ﻭ آﻤﺒﻮﻻﻧﺲ ﺩﺍﺭﺍﻱ ﺑﺎﻃﺮﻱ ﺩﺍﺧﻠﻲ ﺑﺎﺯﻣﺎﻥ 4 ﺳﺎﻋﺖ ﻭ ﻗﺎﺑﻠﻴﺖ ﻧﺼﺐ ﺑﺎﻃﺮﻱ ﺧﺎﺭﺟﻲ ﺑﻪ ﻣﺪﺕ 02 ﺳﺎﻋﺖ ﺩﺍﺭﺍﻱ ﻣﻴﻜﺮﻭپﻴﺴﺘﻮﻥ ﺩﺍﺧﻠﻲ ) ﺑﺪﻭﻥ ﻧﻴﺎﺯ ﺑﻪ ﺳﺎﻧﺘﺮﺍﻝ ﻫﻮﺍ ﻭ ﻛﻤپﺮﺳﻮﺭ) ﺍﺳﺘﻔﺎﺩﻩ ﻭ ﻛﺎﺭﺑﺮﺩ آﺴﺎﻥ ﻭ ﺣﻤﻞ ﻭ ﻧﻘﻞ آﺴﺎﻥ ﺩﺍﺭﺍﻱ ﻣﺪﻫﺎﻱ A/C – SIMV – SPONT – CPAP – PCV – PEEP ﺩﺍﺭﺍﻱ ﺳﻴﺴﺘﻢ ﺗﻨﻈﻴﻢ ﺍﻛﺴﻴژﻦ 12 ﺗﺎ 001 ﺩﺭﺻﺪ ﻣﺠﻬﺰ ﺑﻪ ﺳﻴﺴﺘﻤﻬﺎﻱ ﺣﺠﻤﻲ ﻭ ﻓﺸﺎﺭ

 ﺩﺳﺘگﺎﻩ ﻭﻧﺘﻴﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻣﺪﻝ 0002 ) HFO ﺍﻧگﻠﺴﺘﺎﻥ( ﻭﻧﺘﻴﻼﺗﻮﺭ ﺟﻬﺖ ﻛﺎﺭﺑﺮﺩ ﺩﺭ ﺑﺨﺶ ﺩﺳﺘگﺎﻩ ﻭﻧﺘﻴﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻣﺪﻝ 0002 ) HFO ﺍﻧگﻠﺴﺘﺎﻥ( ﻭﻧﺘﻴﻼﺗﻮﺭ ﺟﻬﺖ ﻛﺎﺭﺑﺮﺩ ﺩﺭ ﺑﺨﺶ ﻧﻮﺯﺍﺩﺍﻥ NICU ﺩﺍﺭﺍﻱ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ – CMV – CPAP PTV – SIMV – HFO ﻣﺠﻬﺰ ﺑﻪ ﻣﺪ پﻴﺸﺮﻓﺘﻪ ﻭ ﺟﺪﻳﺪ (High Frequency) HFO ﺩﺍﺭﺍﻱ ﺳﻴﺴﺘﻢ Valveless ﺟﻬﺖ ﺗﻨﻔﺲ ﺑﻬﺘﺮ ﻧﻮﺯﺍﺩ ﻫﻤﺮﺍﻩ ﺑﺎ ﻛﻤپﺮﺳﻮﺭ SLE ﺑﺎ آﻼﻳﻨﺪگﻲ ﺑﺴﻴﺎﺭ پﺎﺋﻴﻦ ﺻﻮﺗﻲ ﻗﺎﺑﻠﻴﺖ ﺗﻨﻈﻴﻢ ﻭ ﻧﻤﺎﻳﺶ ﺩﺭﺻﺪ 2 O ﺩﺍﺭﺍﻱ ﻣﺎﻧﻴﺘﻮﺭ ﺗﻨﻔﺴﻲ ﺑﺎ ﻗﺎﺑﻠﻴﺖ ﺭﺳﻢ ﻣﻨﺤﻨﻲ

MAQUET MAQUET

 Servo-s ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍی کﻮﺩکﺎﻥ 5. 0 ﺗﺎ 03 کیﻠﻮگﺮﻡ ﻭ ﺑﺰﺭگﺴﺎﻻﻥ 01 Servo-s ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍی کﻮﺩکﺎﻥ 5. 0 ﺗﺎ 03 کیﻠﻮگﺮﻡ ﻭ ﺑﺰﺭگﺴﺎﻻﻥ 01 ﺗﺎ 052 کیﻠﻮ گﺮﻡ ﺩﺍﺭﺍی ﻣﺪﻫﺎی ﺗﻨﻔﺴی CP،SIMV،PRVC،VC،PC AP ﺑﺎﺗﺮی ﻗﺎﺑﻞ ﺷﺎﺭژ ﺑﺮﺍی ﺑیﺶ ﺍﺯ 8 ﺳﺎﻋﺖ

 Servo-i ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍی ﺑﺰﺭگﺴﺎﻻﻥ ﻭ کﻮﺩکﺎﻥ ﻭ ﻧﻮﺯﺍﺩﺍﻥ ﺩﺍﺭﺍی کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی Servo-i ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍی ﺑﺰﺭگﺴﺎﻻﻥ ﻭ کﻮﺩکﺎﻥ ﻭ ﻧﻮﺯﺍﺩﺍﻥ ﺩﺍﺭﺍی کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی ﻣیﺘﻮﺍﻧﺪ ﺑﻪ ﺻﻮﺭﺕ پﺮﺗﺎﺑﻞ ﻣﻮﺭﺩ ﺍﺳﺘﻔﺎﺩﻩ ﻗﺮﺍﺭ ﺑگیﺮﺩ ﺗﻬﺎﺟﻤی ﻭ ﻏیﺮ ﺗﻬﺎﺟﻤی ﺩﺭ MR ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺳﺖ ﺑﺎﺗﺮی ﻗﺎﺑﻞ ﺷﺎﺭژ ﺑﺮﺍی ﺑیﺶ ﺍﺯ 4 ﺳﺎﻋﺖ

VIASYS VIASYS

 Bear Cub 750 psv ﻭﻧﺘﻴﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻭ ﺍﻃﻔﺎﻝ ﺩﺍﺭﺍی ﻣﺪﻫﺎی ﺗﻨﻔﺲ ﻣﺘﻨﻮﻉ ﺍﺧﺘﺼﺎﺻی Bear Cub 750 psv ﻭﻧﺘﻴﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻭ ﺍﻃﻔﺎﻝ ﺩﺍﺭﺍی ﻣﺪﻫﺎی ﺗﻨﻔﺲ ﻣﺘﻨﻮﻉ ﺍﺧﺘﺼﺎﺻی ﻧﻮﺯﺍﺩﺍﻥ ﺩﺍﺭﺍی Apnea Alarm ﻭ ﺍﻣکﺎﻥ ﺍﻧﺘﺨﺎﺏ ﺯﻣﺎﻥ ﺩﺍﺭﺍی Volume Limit ﺑﻪ ﻫﻤﺮﺍﻩ Pressure Limit ﺑﺮﺍی ﺟﻠﻮگیﺮی ﺍﺯ ﺗﺮﻭﻣﺎﻫﺎی ﺣﺠﻤی ﻭ ﻓﺸﺎﺭی ﺩﺍﺭﺍی Flow Sensor ﺣﺮﺍﺭﺗی ﺟﻬﺖ ﺍﻧﺪﺍﺯﻩ گیﺮی ﺩﻗیﻖ ﺣﺠﻢ ﻫﺎ ﺩﺍﺭﺍی Panel ﻧﻤﺎیﺶ ﺗﻤﺎﻣی پﺎﺭﺍﻣﺘﺮﻫﺎی ﺗﻨﻔﺴی ﻭ آﻼﺭﻣﻬﺎ کﻪ ﺑﻪ ﺟﻬﺖ ﺳﻬﻮﻟﺖ کﺎﺭﺑﺮی ﺍﺯ یکﺪیگﺮ ﺗﻔکیک ﺷﺪﻩ ﺍﻧﺪ ﺩﺍﺭﺍی ﺑﻠﻨﺪﺭ ﺍکﺴیژﻦ ﻭ Air ﺍکﺴﺘﺮﻧﺎﻝ ﺗﻮﺍﻧﺎیی کﺎﺭ ﺑﺮﺍی ﻧﻮﺯﺍﺩﺍﻥ ﻧﺎﺭﺱ ﺍﺯ ۰۰۵ گﺮﻡ ﺗﺎ ﺍﻃﻔﺎﻝ ﺣﺪﺍکﺜﺮ ۰۳ کیﻠﻮگﺮﻡ ﺩﺍﺭﺍی کﻤپﺮﺳﻮﺭ پیﺸﺮﻓﺘﻪ IMT ﺑﺎ

 ﻭﻧﺘیﻼﺗﻮﺭ ﺑﺰﺭگﺴﺎﻝ ﻭ ﺍﻃﻔﺎﻝ Vela Ventilator ﻣﺠﻬﺰ ﺑﻪ ﺻﻔﺤﻪ ﻧﻤﺎیﺶ ﺗﻤﺎﻡ ﺭﻧگی 4. ﻭﻧﺘیﻼﺗﻮﺭ ﺑﺰﺭگﺴﺎﻝ ﻭ ﺍﻃﻔﺎﻝ Vela Ventilator ﻣﺠﻬﺰ ﺑﻪ ﺻﻔﺤﻪ ﻧﻤﺎیﺶ ﺗﻤﺎﻡ ﺭﻧگی 4. 01ﺍیﻨﺘچ Touch screen ﺟﻬﺖ ﻧﻤﺎیﺶ ﻣﻨﺤﻨی ﻫﺎ، ﻟﻮپﻬﺎ ﻭ ﺳیﺴﺘﻢ ﺗﻮﻟیﺪ ﻫﻮﺍی ﻓﺸﺮﺩﻩ ﺩﺍﺭﺍی Apnea Backup ﺑﻪ ﺣﺎﻟﺘﻬﺎی Volume , Pressure ﺩﺍﺭﺍی ﻧﺒﻮﻻیﺰﺭ ﺑﻪ ﺻﻮﺭﺕ ﺍﺳﺘﺎﻧﺪﺍﺭﺩ ﺩﺍﺭﺍی کﻠیﻪ ﻣﺪﻫﺎی ﺗﻨﻔﺴی ﺩﺍﺭﺍی ﺧﺮﻭﺟیﻬﺎی Printer, Data output, Video , Nurse call کﻢ ﺣﺠﻢ ﻭ ﺳﺒک ﺣﺪﻭﺩ ۷۱ کیﻠﻮگﺮﻡ ﺍﻣکﺎﻥ ﺗﻬﻮیﻪ ﺑیﻤﺎﺭ ﺩﺭ ﺣﺎﻟﺘﻬﺎی ﺗﻬﺎﺟﻤی ﻭ ﻏیﺮ ﺗﻬﺎﺟﻤی ﺩﺍﺭﺍی ﺗﻮﺍﻧﺎیی کﺎﺭ ﺑﺎ ﺑﺎﻃﺮی ﺗﺎ ۶ ﺳﺎﻋﺖ

NEUMOVENT NEUMOVENT

 Neumovent ﻭﻧﺘﻴﻼﺗﻮﺭ پﻴﺸﺮﻓﺘﻪ ﻣﺮﺍﻗﺒﺖ ﻭﻳژﻪ ﺟﻬﺖ ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگﺴﺎﻻﻥ ﻭ ﻧﻮﺯﺍﺩﺍﻥ. ﻣﺠﻬﺰ ﺑﻪ Neumovent ﻭﻧﺘﻴﻼﺗﻮﺭ پﻴﺸﺮﻓﺘﻪ ﻣﺮﺍﻗﺒﺖ ﻭﻳژﻪ ﺟﻬﺖ ﺍﻃﻔﺎﻝ ﻭ ﺑﺰﺭگﺴﺎﻻﻥ ﻭ ﻧﻮﺯﺍﺩﺍﻥ. ﻣﺠﻬﺰ ﺑﻪ ﻣﺎﻧﻴﺘﻮﺭﻳﻨگ ﺭﻧگﻲ ﺟﻬﺖ ﻧﻤﺎﻳﺶ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ ، ﺣﺠﻢ ﺩﻗﻴﻘﻪ ﺍﻱ ، Tidal ، Volume ﻓﺮﻛﺎﻧﺲ ﺗﻨﻔﺲ ، 2 Fi. O ﻭ پﺎﺭﺍﻣﺘﺮﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺩﻳگﺮ ، ﻣﻜﺎﻧﻴﺴﻢ ﺭﻳﻪ ، ﺷﻜﻞ ﻣﻮﺟﻬﺎﻱ ﻓﺸﺎﺭ ﺭﺍﻩ ﻫﻮﺍﻳﻲ ، ﻓﻠﻮ ﻭ ﺣﺠﻢ ﺑﺎ ﺍﻣﻜﺎﻥ ﺍﺭﺍﺋﻪ ﺩﻭ ﻣﻨﺤﻨﻲ ﻣﺨﺘﻠﻒ ﺑﻄﻮﺭ ﻫﻤﺰﻣﺎﻥ ﺳﺎﺧﺖ کﺸﻮﺭ آﺮژﺎﻧﺘیﻦ(

SLE SLE

 ﺩﺳﺘگﺎﻩ ﻭﻧﺘﻴﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻣﺪﻝ 0004 )SLE ﺍﻧگﻠﺴﺘﺎﻥ( ﻭﻧﺘﻴﻼﺗﻮﺭ پﻴﺸﺮﻓﺘﻪ ﺟﻬﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺩﺭ ﺑﺨﺶ ﺩﺳﺘگﺎﻩ ﻭﻧﺘﻴﻼﺗﻮﺭ ﻧﻮﺯﺍﺩ ﻣﺪﻝ 0004 )SLE ﺍﻧگﻠﺴﺘﺎﻥ( ﻭﻧﺘﻴﻼﺗﻮﺭ پﻴﺸﺮﻓﺘﻪ ﺟﻬﺖ ﺍﺳﺘﻔﺎﺩﻩ ﺩﺭ ﺑﺨﺶ NICU - ﺩﺍﺭﺍﻱ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ – CPAP – PS – PYV SIMV – CMV ﻭ ﻫﻤچﻨﻴﻦ ﻣﺪ ﺣﻤﺎﻳﺘﻲ ﺣﺠﻤﻲ - ﻗﺎﺑﻠﻴﺖ Upgrade ﺷﺪﻥ ﻭ ﺍﺿﺎﻓﻪ ﺷﺪﻥ ﻣﺪﻫﺎﻱ ﺗﻨﻔﺴﻲ ﺍﺯ ﺟﻤﻠﻪ CMV HFO , HFO ﺻﻔﺤﻪ ﻧﻤﺎﻳﺸگﺮ TFT , Full Touch Screen ﻗﺎﺑﻠﻴﺖ ﺭﺳﻢ ﺍﻧﻮﺍﻉ ﻧﻤﻮﺩﺍﺭﻫﺎﻱ ﺗﻨﻔﺴﻲ ﻭ ﻧﻤﺎﻳﺶ ﻫﻤﺰﻣﺎﻥ ﺳﻪ wave ﺗﻨﻔﺴﻲ ﺩﺍﺭﺍﻱ ﻗﺎﺑﻠﻴﺖ Trend ﺍﻃﻼﻋﺎﺕ ﺩﻡ ﻭ ﺑﺎﺯﺩﻡ ﺑﻴﻤﺎﺭ ﺩﺍﺭﺍﻱ ﺳﻴﺴﺘﻢ valueless ﺟﻬﺖ ﺗﻨﻔﺲ ﺑﻬﺘﺮ ﻧﻮﺯﺍﺩ ﻗﺎﺑﻠﻴﺖ ﺗﻨﻈﻴﻢ آﻼﺭﻣﻬﺎﻱ ﺩﺳﺘگﺎﻩ ﺑﺮ ﺭﻭﻱ wav ﺗﻨﻔﺴﻲ ﺍﺳﺘﻔﺎﺩﻩ ﻭ ﻛﺎﺭﺑﺮﺩ آﺴﺎﻥ ﺗﻮﺳﻂ ﻛﺎﺭﺑﺮﺍﻥ ﻛﺎﻟﻴﺒﺮﺍﺳﻴﻮﻥ ﺍﺗﻮﻣﺎﺗﻴﻚ ﺍﻛﺴﻴژﻦ

VERSAMED VERSAMED

 IVENT ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍی ﺍﻓﺮﺍﺩ 5 کیﻠﻮ ﺑﻪ ﺑﺎﻻ IVENT ﻗﺎﺑﻞ ﺍﺳﺘﻔﺎﺩﻩ ﺑﺮﺍی ﺍﻓﺮﺍﺩ 5 کیﻠﻮ ﺑﻪ ﺑﺎﻻ