Breathing apparatus household CPAP/BiPAP/Auto CPAP ventilator
The bipap ventilator is a small size, suitable for non-invasive positive pressure ventilation (nppv). It is easy and safe to use, flexible in operation and reliable in curative effect. With the continuous improvement of medical standards, especially after the prevention and treatment of SARS, bipap ventilators have begun to enter primary hospitals on a large scale. The clinical application of bipap ventilator is summarized as follows to improve the utilization rate of bipap ventilator, treat patients with dyspnea, and assist patients to breathe better.
Main technical parameters
Check the ventilator and the connecting pipeline. Pay attention to whether it is operating normally and replace the filter. The pipeline of the bipap ventilator is a single tube, which means that there is only one inlet tube. The exhaled air is discharged from the exhalation hole or exhalation valve close to the mask (such as vision), through epap or continuous positive airway pressure (cpap) ) The continuous airflow helps expel the exhaled breath. When epap or cpap is set too low (<3~5 cmh2o), it may cause incomplete exhaustion of exhaled air and cause repetitive co2 breathing. When applied to face mask non-invasive positive pressure ventilation, there is a problem that the mask cavity increases the ventilation dead space.
Adjust the ventilator parameters. For initial ventilation, select s or s/t mode, ipap 6~8 cmh2o, epap 4cmh2o, make ipap-epap>4cmh2o, otherwise it should be changed to cpap mode. Gradually increase ipap. To increase epap, ipap needs to be increased simultaneously to keep the ventilation pressure stable.
Connect oxygen and adjust the oxygen flow rate Adjust the oxygen flow rate to about 5l/min and connect it to the mask connector. Make the patient's sao2 or pao2 reach 90% or more than 60mmhg, otherwise increase the oxygen flow. As the oxygen flow continues to increase, the oxygen concentration in the mask also continues to rise. If the mask is airtight, the change rule is: when oxygen is supplied at the oxygen flow rate of 2, 4, 6, 8, 10l/min, the corresponding oxygen concentration in the mask is 27%, 34%, 41%, 50%, 54% respectively . It can be abbreviated as 4l/min oxygen flow corresponding to an oxygen concentration of about 35%, and 6l/min oxygen flow corresponding to an oxygen concentration of about 40%.
Connect the ventilator Connect the tubing to the mask.
Fix the mask. Keep the mask in close contact with the patient's face to avoid air leakage and make the patient feel comfortable.
Instruct the patient to breathe Instruct the patient to use abdominal breathing. Before non-invasive ventilation treatment, the purpose, meaning and precautions of use must be explained in detail to the patient and family members, the basic structure and the method of taking and wearing the mask must be explained, and the patient must be trained to cooperate with the ventilator to contract the lips first, and then close the mouth and inhale. Gas abdominal breathing exercises. Let patients understand the purpose of treatment, enhance their self-esteem and confidence in overcoming the disease, obtain active cooperation from patients, and eliminate their fear. This helps to improve the effect of bipap treatment. Tell the patient that when they need to expect sputum, drink water or eat, they can take off the mask and allow intermittent rest.
Ventilation time The ventilation time should be as long as possible. When the patient's condition is relieved, the ventilation time can be gradually shortened, and the ventilation pressure can be reduced until offline.
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