CN105852799A - Method for displaying cardio pulmonary resuscitation (CPR) monitoring data, equipment for displaying CPR monitoring data, breathing machine and monitoring instrument - Google Patents
Method for displaying cardio pulmonary resuscitation (CPR) monitoring data, equipment for displaying CPR monitoring data, breathing machine and monitoring instrument Download PDFInfo
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Abstract
The embodiment of the invention discloses a method for displaying cardio pulmonary resuscitation (CPR) monitoring data. The method comprises the following steps of in the CPR process, receiving monitoring data from a breathing machine, a monitoring instrument or/and a pressing device; displaying real-time waveform of at least partial monitoring data, wherein the displayed real-time waveform at least includes CO2 (Carbon Dioxide) waveform; and meanwhile, marking the security limit and the early warning limit of the monitoring data in the corresponding category in the displayed real-time waveform. The embodiment of the invention correspondingly discloses a device for displaying the CPR monitoring data, the breathing machine and the monitoring instrument. By using the method, the device, the breathing machine and the monitoring instrument provided by the embodiment of the invention, the monitoring data concerned by a doctor in the CPR process can be displayed in a concentrated way; the display is very intuitive and obvious; and the quality of the CPR process can be improved.
Description
Technical field
The present invention relates to the CPR technical field in Medical Devices, particularly relate to a kind of show the method for CPR Monitoring Data, equipment, lung ventilator and patient monitor.
Background technology
Cardiopulmonary resuscitation (Cardio Pulmonary Resuscitation, hereinafter referred CPR), refers to when breathing termination and heartbeat pauses, and merges massage outside artificial respiration and the heart and carries out a kind of technology of first aid.
In AHA(American Heart Association in 2005, American Heart Association) in the CPR guide version announced, the emphasis that Advanced Life support is paid close attention to is high-quality CPR.AHA and ECC(Emergency Cardiac care in 2010, emergency cardiovascular care) guide continue to pay close attention to high-quality CPR importance, in these guides, mention that CPR process is preferably implement under the guidance of physiology monitoring, and recommend carbon dioxide waveform is carried out quantitative analysis, monitoring PetCO2(partial pressure of carbon dioxide in endexpiratory gas) and invasive arterial pressure to improve CPR mass, and assist the diagnosis during formulation CPR and first aid strategy according to detecting the parameter such as pulse, blood pressure, PetCO2, EtCO2, blood oxygen.
In prior art, in CPR first aid procedures, doctor typically observes mechanical ventilation waveform and the parameter of patient by lung ventilator, and observe the Monitoring Data such as the electrocardio of patient, blood pressure by other equipment (such as patient monitor), therefore prior art needs show, by multiple instrument, the physiological parameter detected, in use have the following disadvantages:
From different instruments, read the physiological parameters such as the electrocardio of various physiological parameter, such as patient, blood oxygen and blood pressure respectively firstly, for needs to be generally shown on patient monitor, and ventilation parameters and respiration parameter etc. are generally shown on lung ventilator；This being added to doctor by the scatter display of different instruments observes burden, especially in the emergent management process of CPR, it is possible that misread monitoring information or the situation of skip；And, the mode of this scatter display, the possible synchronous effect of data of the physiological parameter presenting to doctor is bad, causes doctor to observe inconvenience；
Additionally, ordinary circumstance, the Monitoring Data information content shown on various instruments is the biggest, the parameter of monitoring is more comprehensive, but often do not provide suitable Monitoring Data collection for specific application scenarios, and need medical personnel to find suitable information in these data shown, so, for during the emergent management of CPR, add burden to undoubtedly the doctor implementing first aid；
Furthermore, it being shown owing to existing instrument is not specifically designed for the data of doctor's needs under CPR, medical personnel need manually to carry out analysis and the judgement of data, and the same doctor giving enforcement CPR first aid increases burden.
Summary of the invention
Embodiment of the present invention technical problem to be solved is that providing a kind of shows the method for CPR Monitoring Data, equipment, lung ventilator and patient monitor, the Monitoring Data can paid close attention to doctor during centralized displaying CPR, and the most eye-catching.
In order to solve above-mentioned technical problem, embodiments providing a kind of method showing CPR Monitoring Data, described method includes step:
During CPR, receive the Monitoring Data from lung ventilator, patient monitor and/or pressing device；
Showing the real-time waveform of at least part of described Monitoring Data, the real-time waveform of described display at least includes CO2 waveform, and in the real-time waveform of described display, safety limit and the early warning of the corresponding classification Monitoring Data of mark limits simultaneously.
Wherein, described display is from lung ventilator, the real-time waveform of the Monitoring Data of patient monitor, and described real-time waveform at least includes CO2 waveform, and in described real-time waveform, the safety limit of the corresponding classification Monitoring Data of mark and the step of early warning limit farther include simultaneously:
At least one real-time waveform in display ecg wave form, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, suction oxygen waveform, and in the real-time waveform of described display, safety limit and the early warning of the corresponding classification Monitoring Data of mark limits simultaneously.
Wherein, described method farther includes:
At least one Monitoring Data is selected from described Monitoring Data, and show the selected Monitoring Data dynamic short trend in one section of duration, described Monitoring Data is PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
In described dynamic short trend, safety limit and the early warning of the corresponding classification Monitoring Data of mark limits.
Wherein, use auxiliary line mark or field color notation methods that safety limit and the early warning limit of corresponding classification Monitoring Data are marked in described real-time waveform or dynamic short trend.
Wherein, described method farther includes:
At least one Monitoring Data is selected from described Monitoring Data, and show selected all kinds of Monitoring Data mean value in a predetermined period of time, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
Wherein, described method farther includes:
At least one Monitoring Data is selected from described Monitoring Data, and show the real-time monitor value of selected all kinds of Monitoring Data, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
Wherein, farther include:
The alarm limit of the mean value of all kinds of Monitoring Data of described display or instantaneous value with described Monitoring Data is compared, if current average or instantaneous value are beyond the alarm limit scope of its correspondence, then described mean value or instantaneous value is carried out alert process.
Wherein, show in the billboard of CPR Monitoring Data, lung ventilator or patient monitor one, use the mode of multi-section display to show described real-time waveform, dynamic short trend, mean value, real-time monitor value.
Wherein, will receive from lung ventilator, patient monitor, Monitoring Data partially or in whole derived of pressing device；Or
Currently displayed content is sent out in real time by network or serial ports.
Correspondingly, the embodiment of the present invention also provides for a kind of equipment showing CPR Monitoring Data, including:
Information receiving module, receives the Monitoring Data from described lung ventilator, patient monitor and/or pressing device；
Display module, for display from lung ventilator, the real-time waveform of the Monitoring Data of patient monitor, the real-time waveform of described display at least includes CO2 waveform, marks safety limit and the early warning limit of corresponding classification Monitoring Data in the real-time waveform of described display simultaneously.
Wherein, described display module show in a waveform district described in include the real-time waveform of CO2 waveform, described real-time wave mode farther includes electrocardio, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, sucks at least one in oxygen waveform.
Wherein, during described display module farther includes following module at least one:
Timer display module, for monitoring the duration at timer district display CPR, and starts/stops timing button and reset timer button；
Mean value display module, for showing the set time cycle in mean value district, and the mean value of all kinds of Monitoring Data selected within the current time cycle set, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
Short tendency chart display module, the dynamic short trend in one section of duration of all kinds of Monitoring Data selected for display in trend district, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
Monitor value display module, the real-time monitor value of all kinds of Monitoring Data from lung ventilator, patient monitor or pressing device selected for display in monitor value district, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
Wherein, farther include:
Safety limit, early warning limit arrange module with alarm limit, for arranging safety limit, early warning limit and the alarm limit that all kinds of Monitoring Data is corresponding.
Wherein, described display module farther includes:
Safety limit limits mark module with early warning, is used for safety limit and the early warning limit of the corresponding classification Monitoring Data of mark on dynamic short tendency chart in described trend district；And/or in oscillogram, safety limit and the early warning of the corresponding classification Monitoring Data of mark limit in described waveform district；
Wherein, described mark uses auxiliary line form be labeled or use field color form to be labeled.
Wherein, described display module farther includes:
Alert process module, for the alarm limit of the mean value of all kinds of Monitoring Data currently displaying to described mean value district and/or described monitor value district or instantaneous value with described Monitoring Data is compared, if current average or instantaneous value are beyond the alarm limit scope of its correspondence, then described mean value or instantaneous value are carried out alert process.
Wherein, farther include:
Data derive module, the data in whole or in part received for derived information receiver module；
Data transmitting module, for sending out the content shown by current each display subregion in real time by network or serial ports.
Correspondingly, the another further aspect of the embodiment of the present invention also provides for a kind of lung ventilator, itself and patient monitor, pressing device interconnection, it is characterised in that it is integrated with the equipment of aforesaid display CPR Monitoring Data.
Correspondingly, the another aspect of the embodiment of the present invention also provides for a kind of patient monitor, itself and lung ventilator, pressing device interconnection, it is characterised in that it is integrated with the equipment of aforesaid display CPR Monitoring Data.
Implement the embodiment of the present invention, have the advantages that
First, the embodiment of the present invention provides a kind of comprehensive billboard of CPR Monitoring Data, or in existing lung ventilator or patient monitor, it is integrated with the function of this comprehensive billboard, can be that medical personnel concentrate offer from the monitoring data of lung ventilator, patient monitor and pressing device, facilitate medical personnel to understand the current monitoring data of patient timely and effectively；
Additionally, owing to the type of the Monitoring Data needing display can be arranged in advance, the medical worker implementing CPR can be allowed quickly and intensively to obtain or customize the important parameter monitor value of patient required in display CPR first aid procedures on CPR billboard, and CPR sue and labour during compression frequency and the monitoring of the degree of depth, and use such as graphical (oscillogram, tendency chart) display mode and assistant analysis instrument, observation and the record burden of doctor can be reduced；
Simultaneously, when providing dynamic trend figure and oscillogram, the safety limit and the early warning that mark Monitoring Data above limit, and can automatically report to the police in limited time beyond early warning in Monitoring Data, contribute to doctor and be the most effectively monitored the analysis of data, improve efficiency and the CPR mass of doctor；
And, the timing during using timer that CPR can be assisted to rescue, provide observation convenient to doctor；
Finally, data during carrying out CPR can allow out, alleviates medical personnel and records the burden of data, and provides data remote transmission and connection, so that field first aid personnel can obtain guidance and the suggestion of medical practitioner in time, it is ensured that the promptness sued and laboured and validity.
Accompanying drawing explanation
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, the accompanying drawing used required in embodiment or description of the prior art will be briefly described below, apparently, accompanying drawing in describing below is only some embodiments of the present invention, for those of ordinary skill in the art, on the premise of not paying creative work, the accompanying drawing obtaining other according to these accompanying drawings still falls within scope of the invention.
The main flow schematic diagram of one embodiment of a kind of method showing CPR Monitoring Data that Fig. 1 provides for the present invention；
The main flow schematic diagram of another embodiment of a kind of method showing CPR Monitoring Data that Fig. 2 provides for the present invention；
Fig. 3 is the schematic diagram of one embodiment in multi-section display interface in Fig. 2；
Fig. 4 is the schematic diagram of a waveform display effect in Tu3Zhong waveform district；
Fig. 5 is the schematic diagram of the display interface in Tu3Zhong trend district；
Fig. 6 is the schematic diagram of the display interface in average district in Fig. 3；
Fig. 7 is to arrange CPR billboard in main menu in Fig. 2 to arrange interface schematic diagram；
Fig. 8 is to arrange the schematic diagram arranging interface of monitor value in main menu in Fig. 2；
The structural representation of one embodiment of a kind of equipment showing CPR Monitoring Data that Fig. 9 provides for the present invention；
Figure 10 is the structural representation arranging module in Fig. 9；
Figure 11 is the structural representation of display module in Fig. 9.
Detailed description of the invention
In order to make the purpose of the present invention, technical scheme and advantage clearer, below in conjunction with drawings and Examples, the present invention is further elaborated.Should be appreciated that specific embodiment described herein, only in order to explain the present invention, is not intended to limit the present invention.
As shown in Figure 1, it is shown that an enforcement of a kind of method showing CPR Monitoring Data that the present invention provides.In this embodiment, the method comprises the steps:
Step S10, during CPR, receives the Monitoring Data from lung ventilator, patient monitor and/or pressing device；
Step S20, shows the real-time waveform of at least part of Monitoring Data, and the real-time waveform of display at least includes CO2 waveform, and in the real-time waveform of display, the safety of the corresponding classification Monitoring Data of mark limits and early warning limit simultaneously.
Wherein, ecg wave form, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform can be shown in step S20 further, suck at least one real-time waveform in oxygen waveform, and the safety of the corresponding classification Monitoring Data of mark limits and early warning limit in the real-time waveform of described display simultaneously.
It addition, at least one in following steps can be farther included in the method that the embodiment of the present invention provides:
At least one Monitoring Data is selected from described Monitoring Data, and show the selected Monitoring Data dynamic short trend in one section of duration, described Monitoring Data is PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one, the safety limit of the corresponding classification Monitoring Data of mark and early warning limit in described dynamic short trend；Wherein, use auxiliary line mark or field color notation methods that safety limit and the early warning limit of corresponding classification Monitoring Data are marked in described real-time waveform or dynamic short trend.
At least one Monitoring Data is selected from described Monitoring Data, and show selected all kinds of Monitoring Data mean value in a predetermined period of time, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
At least one Monitoring Data is selected from described Monitoring Data, and show the real-time monitor value of selected all kinds of Monitoring Data, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
The alarm limit of the mean value of all kinds of Monitoring Data of described display or instantaneous value with described Monitoring Data is compared, if current average or instantaneous value are beyond the alarm limit scope of its correspondence, then described mean value or instantaneous value is carried out alert process.
It is understood that can show in the billboard of CPR Monitoring Data, lung ventilator or patient monitor one, the mode of multi-section display is used to show described real-time waveform, dynamic short trend, mean value, real-time monitor value.
As in figure 2 it is shown, gone out a more detailed embodiment of a kind of method showing CPR Monitoring Data that the present invention provides, Fig. 3 to Fig. 8 can be combined in the lump.In this embodiment, the method comprises the following steps that
Step S20, receives the Monitoring Data from lung ventilator, patient monitor and/or pressing device；Specifically, in an embodiment of the present invention, can realize the collection of data in the equipment of a comprehensive billboard, this comprehensive billboard interconnects mutually with lung ventilator, patient monitor, pressing device etc., thus obtains from Monitoring Data one or more in lung ventilator, patient monitor, pressing device；Alternatively, it is also possible in existing lung ventilator the function of this comprehensive billboard integrated, and this lung ventilator is interconnected with patient monitor, pressing device, thus obtains from patient monitor and the Monitoring Data of pressing device；Or, it is also possible to the function of this comprehensive billboard integrated in existing patient monitor, and this patient monitor is interconnected with lung ventilator, pressing device, thus obtain from lung ventilator and the Monitoring Data of pressing device.
Step S22, the Monitoring Data shown as required, determines the type of display subregion, and each display subregion Monitoring Data to display type, wherein, display subregion type include following at least one: timer district, mean value district, trend district, waveform district and monitor value district；Specifically, the Monitoring Data can paid close attention to according to doctor during current CPR, determine in this comprehensive billboard in timer district to be shown, mean value district, trend district, waveform district and monitor value district partially or in whole, and determine each display subregion is particularly shown which Monitoring Data type and the display format of correspondence；I.e. this determines that process can be to be determined according to predetermined strategy, it is also possible to be adjusted according to actual needs；
It is understood that can include in this step arranging safety limit, early warning limit and the alarm limit that all kinds of Monitoring Data is corresponding, wherein alarm limit can be a scope, including the alarm limit upper limit and alarm limit lower limit.
Step S24, in corresponding display subregion, shows the Monitoring Data type corresponding with display subregion and corresponding Monitoring Data, in this step S24, at least to show the real-time waveform including CO2 waveform.
Specifically, this step S24 farther includes:
In timer district, show that CPR monitors the duration, and start/stop timing button and reset timer button；
nullThe set time cycle is shown in mean value district，And the mean value of all kinds of Monitoring Data selected within the current time cycle set，All kinds of Monitoring Data are PetCO2(partial pressure of carbon dioxide in endexpiratory gas)、EtCO2(end-expiratory carbon dioxide)、SpO2(blood oxygen saturation)、HR(heart rate)、Art(aortic pressure)、pArt、PA(pulmonary arterial pressure)、NIBP(non-invasive blood pressure)、PR(pulse frequency)、The total respiratory rate of ftot()、Ppeak(surge pressure)、TVe、TVe/IBW(breathes out tidal volume/ideal body weight)、MV(minute ventilation)、PEEP(end-expiratory positive pressure)、WOB(work of breathing)、RI(inspiratory resistance)、RE(expiratory resistance)、Cstat(static compliance)、Cdyn(dynamic compliance)、RSBI(Rapid-shallow-breathing index)、RCexp(time constant)、FiO2(fraction of inspired oxygen)、Pplat(platform airway pressure)、Pmean(Map)、Compression frequency、According to pressing depth etc. in Monitoring Data at least one；Wherein, when
When EtCO2 unit is mmHg, this EtCO2 is PetCO2；It is understandable that, above-mentioned only list from lung ventilator, patient monitor, the main monitoring parameter of part of pressing device, in other examples, can include from lung ventilator, patient monitor, pressing device above-mentioned unlisted, for reflecting other monitoring parameters of patient's physical signs, reflection patient's metabolic index, or other ventilation parameters and other CPR operating parameter；
The dynamic short trend in one section of duration of all kinds of Monitoring Data that display select in trend district, all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth etc. monitor at least one in parameter；
In waveform district display select from lung ventilator or the real-time waveform of patient monitor, real-time waveform is at least one in electrocardio, pulse wave, CO2 waveform, airway pressure waveform, flow velocity waveform, volume waveform, the suction waveform such as oxygen waveform；
Showing the real-time monitor value from lung ventilator, patient monitor or pressing device select in monitor value district, real-time monitor value is PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth etc. monitor at least one in parameter.
It is possible to further on dynamic short tendency chart, safety limit and the early warning of the corresponding classification Monitoring Data of mark limit in trend district；And/or in oscillogram, safety limit and the early warning of the corresponding classification Monitoring Data of mark limit in waveform district；Wherein, mark can use auxiliary line mark or field color labeling form.
Meanwhile, farther include in step s 24:
The alarm limit of the mean value of all kinds of Monitoring Data types currently displaying to mean value district and/or monitor value district or instantaneous value with Monitoring Data type is compared, if current average or instantaneous value are beyond the alarm limit scope (such as the upper limit higher than alarm limit or the lower limit less than alarm limit) of its correspondence, then corresponding mean value or instantaneous value are carried out alert process.
It is understood that while current composite billboard display Monitoring Data or afterwards, following work can be carried out:
To receive the partially or in whole derived of the Monitoring Data from lung ventilator, patient monitor and/or pressing device, specifically, doctor can derive the data in comprehensive billboard according to demand, as purposes such as treatment record, illness analysis diagnostic materials or scientific researches；Or
Content shown by current each display subregion is sent out in real time by network or serial ports, the most in one example, the lung ventilator being integrated with comprehensive billboard function transfers data to patient monitor by serial ports, patient monitor sends the data to long-range Surveillance center, the medical personnel of Surveillance center can obtain these data, and understand the current Monitoring Data of patient and circumstance of salvage, thus provide the guidance of specialty.
For the ease of understanding present disclosure, following the details related in method provided by the present invention will be described in detail with reference to Fig. 3 to Fig. 8.
As shown in Figure 3, it illustrates the schematic diagram of one embodiment in multi-section display interface in the comprehensive billboard of the present invention, in fig. 2, this multi-section display interface of comprehensive billboard is divided into multiple display subregion, including: timer district 90, mean value district 91, trend district 92, waveform district 93 and monitor value district 94.It is understood that merely illustrative in Fig. 2, in actual applications, above-mentioned each display subregion can be configured to display or do not shows (hereinafter can illustrate), and the arrangement of each display subregion is not limited to the mode shown in Fig. 2.
Specifically, timer region 90 is used for providing CPR clocking capability, has stopping timing, reset timer and the function of beginning timing；Wherein, starting timing and stop the timing same button of employing, in timing course, on this button, the printed words of display are " stopping timing ", now press this button, then can stop current timing；After timer stops, on this button, the printed words of display are " beginning timing ", now press this button, then start timing；Pressing reset timer button, then timer reset resets, and timer becomes 00:00:00；Start timing button when clicking on after timer reset, then timer will restart timing from 00:00:00.
Mean value district 91 is for showing some Monitoring Data mean value within a period of time, for the effect of doctor analysis and evaluation CPR.Wherein, user can be provided for calculating the duration of mean value, and arrange this region and wish to show the mean value of which Monitoring Data；When the mean value of certain Monitoring Data in this region exceeds alarm limit scope (such as the upper limit higher than alarm limit or the lower limit less than alarm limit), then this Monitoring Data can be carried out alert process, such as, the background at this Monitoring Data place is become the red background or yellow background such as flashed.
Trend district 92 is for showing the dynamic short tendency chart in one section of duration of some Monitoring Data, analyze for doctor and assessment CPR effect and quality, specifically can show the dynamic short trend of the Monitoring Data such as PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP in a period of time；Wherein, user can arrange the duration of dynamic short trend, and arrange this region and wish to show the dynamic short trend of which Monitoring Data.It is understood that vernier can be shown in these dynamic short tendency charts, when this vernier mobile and stop, then on short tendency chart, dynamically show the numerical value of Monitoring Data that vernier indicating positions is corresponding at this.Simultaneously, these dynamic short tendency charts can mark early warning limit and safety limit, in fig. 2, this early warning limit is marked in the way of dotted line boost line, safety limit is marked in the way of solid line boost line, wherein, if less than early warning limit, the numerical value in short tendency chart represents that patient is in the hole, represent that patient is in if above safety limit and take a turn for the better or be temporarily disengaged from dangerous state, so by marking early warning limit and safety limit on dynamic short tendency chart, medical personnel can be helped the most intuitively Monitoring Data to be analyzed and judges.It is understandable that, the mark of this early warning limit and safety limit can be in the way of using other, the most in one example, will early warning limit following tendency chart retouch line be shown as warn look (such as redness), and safety is limited above tendency chart and retouches line and be shown as safety and indicate look (such as green), the tendency chart that will be between early warning limit with safety limit is retouched line and is shown as normally indicating look (such as black)；Or, in another example, can limit according to early warning, the background of tendency chart is divided into three regions by different colours by safety limit: normal background look (such as white), safety zone background colour (such as green), prewarning area background colour (such as redness) etc..It addition, user can also arrange safety limit and the occurrence of early warning limit；Can also select in this tendency chart, do not mark safety limit and early warning limits.
Waveform district 93 is for showing the real-time waveform obtained from lung ventilator and/or patient monitor and showing, the physiological situation of patient can be shown, it is provided that the combination of any several roads waveform in the waveform such as such as electrocardio, pulse wave, CO2 waveform, airway pressure waveform, flow velocity waveform, volume waveform, suction oxygen waveform；It is understood that vernier can be shown in these real-time waveforms, when moving this vernier and stopping, then on this real-time waveform figure, show the numerical value of the Monitoring Data that vernier indicating positions is corresponding.User can arrange this region and wish to show the real-time waveform of which Monitoring Data.Meanwhile, can mark early warning limit and limit safely on these real-time waveform figures, the mark mode that this early warning limit and safety limit is referred to aforementioned limit early warning in trend district 92 and the mark mode description of safety limit, does not repeats at this.
Monitor value district 94 is for showing the real-time monitor value from lung ventilator, patient monitor and/or pressing device, monitoring patient's physiology or CPR status of implementation in real time, it is provided that PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, the most isoparametric real-time monitor value.Wherein, user can arrange this region wishes to show which monitor value.Additionally, when the monitor value of certain Monitoring Data in this region limits (such as less than early warning limit) beyond early warning, then this Monitoring Data can be carried out alert process, such as the background at this Monitoring Data place is become the red background or yellow background such as flashed, it is understood that in other examples, other type of alarm can be used, such as can indicate warning by changing text color, or indicate warning by changing text importing mode (such as word flickering display).
As shown in Figure 4, the schematic diagram of a waveform display effect in Shi Tu3Zhong waveform district；Fig. 5 shows the schematic diagram of display interface in Tu3Zhong trend district simultaneously；Wherein, show or when real-time short trend carrying out waveform, provide the mark function of safety limit and early warning limit simultaneously, user is after arranging safety limit or early warning limit, in the tendency chart of Fig. 4 or the oscillogram of Fig. 5, in the position of safety limit or the corresponding numerical value of early warning limit by the boost line of display level (solid line is safety limit in figure, and dotted line is early warning limit), user is helped to judge waveform or tendency chart；When the physiological parameter of patient limits less than early warning, then need improve CPR mass or change CPR strategy；When the physiological parameter of patient is stablized within a period of time more than safety limits, then it represents that after CPR, patient has taken a turn for the better, and can proceed treatment.
Fig. 6 is the schematic diagram of the display interface in average district in Fig. 3；Thering is provided the display of the mean value of Monitoring Data in a period of time in the figure, user can select valuable Monitoring Data (in figure display for Art, EtCO2, SpO2 and HR), and its mean value can be carried out in the region.In figure, and show this period of time time a length of 15 minutes；When the mean value of certain Monitoring Data is prescribed a time limit less than alarm limit or the early warning of user setup, and the mean value region of corresponding Monitoring Data can show (SpO2 in such as figure) in the way of warning.
Fig. 7 is to arrange CPR billboard in main menu in Fig. 2 to arrange interface schematic diagram；As can be seen from Figure 7, in this interface, first can be arranged in comprehensive billboard and to show which shows subregion, can be seen that from Fig. 7 lower right, in this example, monitor value district, waveform district, timer district, mean value district and trend district are disposed as " display is opened " state at " display of CPR billboard is arranged " place by user, it is possible to understand that, user can also select one or more is set to " display is closed " state.
Furthermore it is possible to arrange type and the order of waveform district 93 Monitoring Data to display, showing, at " setting of CPR billboard waveform " place, waveform 1 is set to ECG in figure, waveform 2 is set to Pleth and waveform 3 arranges CO2；Therefore the real-time waveform figure of ECG, Pleth and CO2 can be shown in order in waveform district.
Furthermore, it is possible to arrange the type of trend district Monitoring Data to display, order and trend duration value；Figure shows and at " setting of CPR billboard trend " place, trend 1 is set to EtCO2, be set to SpO2 at trend 2, at trend 3, be set to HR, at trend 4, be set to Art, and trend duration value is set to 30 minutes.Therefore can show that in trend district tetra-Monitoring Data of EtCO2, SpO2, HR and Art were at nearest 30 minutes interior dynamic short tendency charts in order.
Fig. 8 is to arrange the schematic diagram arranging interface of monitor value in main menu in Fig. 2；Type and the order of monitor value district Monitoring Data to display can be set in this Fig. 8.In this example embodiment, monitor value district divide into four parts from top to bottom, each part can show one to three parameter.It is provided with representing not display in monitor value district for the monitor value of " OFF ".
As shown in Figs. 9 to 11, it is shown that an embodiment of a kind of equipment showing CPR Monitoring Data that the present invention provides.In this embodiment, the equipment of this display CPR Monitoring Data can be a comprehensive billboard, itself and lung ventilator, patient monitor, pressing device interconnection, comprising:
Information receiving module 12, receives the Monitoring Data from lung ventilator, patient monitor and/or pressing device；
Module 14 is set, for the Monitoring Data shown as required, the type of selected display subregion, and each display subregion Monitoring Data to display type, the type of display subregion include following at least one: timer district, mean value district, trend district, waveform district and monitor value district；
Display module 16, for in corresponding display subregion, show the Monitoring Data type corresponding with display subregion and corresponding Monitoring Data, it at least shows from lung ventilator, the real-time waveform of the Monitoring Data of patient monitor, and the real-time waveform of display at least includes CO2 waveform, in the real-time waveform of display, mark safety limit and the early warning limit of corresponding classification Monitoring Data simultaneously；
Data derive module 18, the data in whole or in part received for derived information receiver module；
Data transmitting module 19, for sending out the content shown by current each display subregion in real time by network or serial ports.
Wherein, arrange module 14 to farther include:
Viewing area arranges unit 140, for being arranged on the quantity that the viewing area of current billboard needs the display subregion of display；
Average parameters arranges unit 142, is used for arranging the calculative time cycle, and is selected in the Monitoring Data type that mean value district needs to show；
Short trend parameter set unit 144, for arranging the duration of needs, and is selected in the Monitoring Data type that trend district needs to show；
Waveform parameter arranges unit 146, for being selected in the type that waveform district needs the Monitoring Data of display；
Monitor value parameter set unit 148, for being selected in the type that monitor value district needs the Monitoring Data of display；
Safety limit, early warning limit arrange module 149 with alarm limit, and for arranging safety limit, early warning limit and the alarm limit that all kinds of Monitoring Data is corresponding, wherein alarm limit can be a scope, including the alarm limit upper limit and alarm limit lower limit.
Wherein, display module 16 farther includes:
Timer display module 160, for monitoring the duration at timer district display CPR, and starts/stops timing button and reset timer button；
Mean value display module 162, for showing the set time cycle in mean value district, and the mean value of all kinds of Monitoring Data select within the current time cycle set, all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth etc. monitor at least one in parameter；
Short tendency chart display module 164, the dynamic short trend in one section of duration of Monitoring Data select for display in trend district, Monitoring Data is PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth etc. monitor at least one in parameter；
Waveform display module 166, for display in waveform district select from lung ventilator or the real-time waveform of patient monitor, real-time waveform is at least one in electrocardio, pulse wave, CO2 waveform, airway pressure waveform, flow velocity waveform, volume waveform, the suction waveform such as oxygen waveform；
Monitor value display module 167, for showing the real-time monitor value from lung ventilator, patient monitor or pressing device select in monitor value district, real-time monitor value is PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth etc. monitor at least one in parameter；
Safety limit limits mark module 168 with early warning, is used for safety limit and the early warning limit of the corresponding classification Monitoring Data of mark on dynamic short tendency chart in trend district；And/or in oscillogram, safety limit and the early warning of the corresponding classification Monitoring Data of mark limit in waveform district；Wherein, mark uses auxiliary line form be labeled or use field color form to be labeled；
Alert process module 169, for the alarm limit of the mean value of all kinds of Monitoring Data currently displaying to mean value district and/or monitor value district or instantaneous value with Monitoring Data type is compared, if current average or instantaneous value are beyond the alarm limit scope of its correspondence, then mean value or instantaneous value are carried out alert process.
It is understood that more details, refer to the aforementioned description to Fig. 3 to Fig. 8, be not described in detail at this.
Correspondingly, the another further aspect of the embodiment of the present invention also provides for a kind of lung ventilator, and itself and patient monitor, pressing device interconnection, it is integrated with the equipment of aforesaid display CPR Monitoring Data.
Correspondingly, the another aspect of the embodiment of the present invention also provides for a kind of patient monitor, and itself and lung ventilator, pressing device interconnection, it is integrated with the equipment of aforesaid display CPR Monitoring Data.
Implement the embodiment of the present invention, have the advantages that
First, the embodiment of the present invention provides a kind of comprehensive billboard of CPR Monitoring Data, or in existing lung ventilator or patient monitor, it is integrated with the function of this comprehensive billboard, can be that medical personnel concentrate offer from the monitoring data of lung ventilator, patient monitor and pressing device, facilitate medical personnel to understand the current monitoring data of patient timely and effectively；
Additionally, owing to the type of the Monitoring Data needing display can be arranged in advance, the medical worker implementing CPR can be allowed quickly and intensively to obtain or customize the important parameter monitor value of patient required in display CPR first aid procedures on CPR billboard, and CPR sue and labour during compression frequency and the monitoring of the degree of depth, and use such as graphical (oscillogram, tendency chart) display mode and assistant analysis instrument, observation and the record burden of doctor can be reduced；
Simultaneously, when providing dynamic trend figure and oscillogram, the safety limit and the early warning that mark Monitoring Data above limit, and can automatically report to the police in limited time beyond early warning in Monitoring Data, contribute to doctor and be the most effectively monitored the analysis of data, improve efficiency and the CPR mass of doctor；
And, the timing during using timer that CPR can be assisted to rescue, provide observation convenient to doctor；
Finally, data during carrying out CPR can allow out, alleviates medical personnel and records the burden of data, and provides data remote transmission and connection, so that field first aid personnel can obtain guidance and the suggestion of medical practitioner in time, it is ensured that the promptness sued and laboured and validity.
One of ordinary skill in the art will appreciate that all or part of step realizing in above-described embodiment method can be by program and completes to instruct relevant hardware, program can be stored in a computer read/write memory medium, storage medium, such as ROM/RAM, disk, CD etc..
These are only presently preferred embodiments of the present invention, not in order to limit the present invention, all any amendment, equivalent and improvement etc. made within the spirit and principles in the present invention, should be included within the scope of the present invention.
Claims (18)
1. the method showing CPR Monitoring Data, it is characterised in that described method comprises the steps:
During CPR, receive the Monitoring Data from lung ventilator, patient monitor and/or pressing device；
Showing the real-time waveform of at least part of described Monitoring Data, the real-time waveform of described display at least includes CO2 waveform, and in the real-time waveform of described display, safety limit and the early warning of the corresponding classification Monitoring Data of mark limits simultaneously.
A kind of method showing CPR Monitoring Data the most as claimed in claim 1, it is characterized in that, the real-time waveform of at least part of described Monitoring Data of described display, described real-time waveform at least includes CO2 waveform, and in described real-time waveform, the safety limit of the corresponding classification Monitoring Data of mark and the step of early warning limit farther include simultaneously:
At least one real-time waveform in display ecg wave form, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, suction oxygen waveform, and in the real-time waveform of described display, safety limit and the early warning of the corresponding classification Monitoring Data of mark limits simultaneously.
A kind of method showing CPR Monitoring Data the most as claimed in claim 1, it is characterised in that described method farther includes:
At least one Monitoring Data is selected from described Monitoring Data, and show the selected all kinds of Monitoring Data dynamic short trend in one section of duration, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
In described dynamic short trend, safety limit and the early warning of the corresponding classification Monitoring Data of mark limits.
4. the method for the display CPR Monitoring Data as described in any one of claims 1 to 3, it is characterized in that, use auxiliary line mark or field color notation methods that safety limit and the early warning limit of corresponding classification Monitoring Data are marked in described real-time waveform or dynamic short trend.
5. the method showing CPR Monitoring Data as claimed in claim 1, it is characterised in that described method farther includes:
At least one Monitoring Data is selected from described Monitoring Data, and show selected all kinds of Monitoring Data mean value in a predetermined period of time, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
6. the method showing CPR Monitoring Data as claimed in claim 1, it is characterised in that described method farther includes:
At least one Monitoring Data is selected from described Monitoring Data, and show the real-time monitor value of selected all kinds of Monitoring Data, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
7. a kind of method showing CPR Monitoring Data as described in claim 5 or 6, it is characterised in that farther include:
The alarm limit of the mean value of all kinds of Monitoring Data of described display or instantaneous value with described Monitoring Data is compared, if current average or instantaneous value are beyond the alarm limit scope of its correspondence, then described mean value or instantaneous value is carried out alert process.
8. the method for the CPR Monitoring Data as described in claim 1-3,5,6 any one, it is characterized in that, show in the billboard of CPR Monitoring Data, lung ventilator or patient monitor one, use the mode of multi-section display to show described real-time waveform, dynamic short trend, mean value, real-time monitor value.
A kind of method showing CPR Monitoring Data the most as claimed in claim 1, farther includes:
To receive from lung ventilator, patient monitor, Monitoring Data partially or in whole derived of pressing device；Or
Currently displayed content is sent out in real time by network or serial ports.
10. the equipment showing CPR Monitoring Data, it is characterised in that including:
Information receiving module, receives the Monitoring Data from described lung ventilator, patient monitor and/or pressing device；
Display module, for showing the real-time waveform of at least part of described Monitoring Data, the real-time waveform of described display at least includes CO2 waveform, and in the real-time waveform of described display, the safety of the corresponding classification Monitoring Data of mark limits and early warning limit simultaneously.
11. a kind of equipment showing CPR Monitoring Data as claimed in claim 10, it is characterized in that, described display module includes the real-time waveform of CO2 waveform described in showing in a waveform district, and described real-time wave mode farther includes electrocardio, pulse wave, airway pressure waveform, flow velocity waveform, volume waveform, sucks at least one in oxygen waveform.
12. a kind of equipment showing CPR Monitoring Data as claimed in claim 11, it is characterised in that described display module farther includes at least one in following module:
Timer display module, for monitoring the duration at timer district display CPR, and starts/stops timing button and reset timer button；
Mean value display module, for showing the set time cycle in mean value district, and the mean value of all kinds of Monitoring Data selected within the current time cycle set, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
Short tendency chart display module, the dynamic short trend in one section of duration of all kinds of Monitoring Data selected for display in trend district, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one；
Monitor value display module, the real-time monitor value of all kinds of Monitoring Data from lung ventilator, patient monitor or pressing device selected for display in monitor value district, described all kinds of Monitoring Data are PetCO2, EtCO2, SpO2, HR, Art, pArt, PA, NIBP, PR, ftot, Ppeak, TVe, TVe/IBW, MV, WOB, RI, RE, Cstat, Cdyn, RSBI, RCexp, FiO2, Pplat, Pmean, PEEP, compression frequency, according to pressing depth at least one.
13. a kind of equipment showing CPR Monitoring Data as claimed in claim 12, it is characterised in that farther include:
Safety limit, early warning limit arrange module with alarm limit, for arranging safety limit, early warning limit and the alarm limit that all kinds of Monitoring Data is corresponding.
14. a kind of equipment showing CPR Monitoring Data as claimed in claim 13, it is characterised in that described display module farther includes:
Safety limit limits mark module with early warning, is used for safety limit and the early warning limit of the corresponding classification Monitoring Data of mark on dynamic short tendency chart in described trend district；And/or in oscillogram, safety limit and the early warning of the corresponding classification Monitoring Data of mark limit in described waveform district；
Wherein, described mark uses auxiliary line form be labeled or use field color form to be labeled.
15. a kind of equipment showing CPR Monitoring Data as claimed in claim 13, it is characterised in that described display module farther includes:
Alert process module, for the alarm limit of the mean value of all kinds of Monitoring Data currently displaying to described mean value district and/or described monitor value district or instantaneous value with described Monitoring Data is compared, if current average or instantaneous value are beyond the alarm limit scope of its correspondence, then described mean value or instantaneous value are carried out alert process.
The 16. a kind of equipment showing CPR Monitoring Data as described in any one of claim 10 to 15, it is characterised in that farther include:
Data derive module, the data in whole or in part received for derived information receiver module；
Data transmitting module, for sending out the content shown by current each display subregion in real time by network or serial ports.
17. 1 kinds of lung ventilators, itself and patient monitor, pressing device interconnection, it is characterised in that its integrated equipment just like the display CPR Monitoring Data described in any one of claim 10 to 16.
18. 1 kinds of patient monitors, itself and lung ventilator, pressing device interconnection, it is characterised in that its integrated equipment just like the display CPR Monitoring Data described in any one of claim 10 to 16.
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