ARDS 的呼吸器調整策略+ Ventilator Associated Lung Injury (VALI)

In this lecture, we intend to deliver a fundemental concept about ventilator adjustment strategy about acute respiratory distress syndrome. We will introduce the latest treatment strategies including low tidal volume, high positive end-expiratory pressure, recruitment maneuver and prone postioning. We will also shortly introduce the rationale about lung protective strategy, i.e. to avoid ventilator-induced lung injury.

NIV

This is a technique of delivering MV without ETT intubation or tracheostomy. It is increasingly being utilised in acute & chronic conditions.It should be applied under close monitoring for signs of treatment failure.

A trained team, at an appropriate location, with careful patient selection and optimal choice of devices can optimise the outcome of NIPPV.

PAV /PPS

簡介新的通氣模式: 比例式輔助通氣(Proportional assist ventilation, PAV)與*(Proportional Pressure Support, PPS )，其能針對病人呼吸用力的程度給予比例式的呼吸輔助，以改善呼吸器與病人同步作用，或許增加脫離率而進一步減少呼吸器使用天數。

Ventilation in ECMO/High Frequency Ventilation

本堂課分二大主題關於ARDS病患(1) 高頻振盪呼吸器介紹及ARDS病患設定原則(2)葉克膜原理介紹及ARDS病患使用時呼吸器設定原則。

HFOV

利用TTL人工測試肺,豬肺與高頻振盪呼吸器實作練習及模擬臨床情境。

ARDS的呼吸器設定

利用TTL人工測試肺與2-3種呼吸器針對ARDS病患實作練習及模擬臨床情境。

PAV/PPS

利用TTL人工測試肺與PB840/ Drager Evita4呼吸器針對PAV+ /PPS實作練習。

NIV

學員自戴面罩與PB840/ Drager Evita4，Avea與V60呼吸器 PPV mode對NIV實作體驗。