CN106798958A - 一种基于呼吸机波形精准发现呼吸系统漏气的方法 - Google Patents

一种基于呼吸机波形精准发现呼吸系统漏气的方法 Download PDF

Info

Publication number
CN106798958A
CN106798958A CN201710102502.9A CN201710102502A CN106798958A CN 106798958 A CN106798958 A CN 106798958A CN 201710102502 A CN201710102502 A CN 201710102502A CN 106798958 A CN106798958 A CN 106798958A
Authority
CN
China
Prior art keywords
waveform
ventilator
gas leakage
lung
normal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201710102502.9A
Other languages
English (en)
Other versions
CN106798958B (zh
Inventor
吴洪磊
顾志峰
史加海
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Affiliated Hospital of Nantong University
Original Assignee
Affiliated Hospital of Nantong University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Affiliated Hospital of Nantong University filed Critical Affiliated Hospital of Nantong University
Priority to CN201710102502.9A priority Critical patent/CN106798958B/zh
Publication of CN106798958A publication Critical patent/CN106798958A/zh
Application granted granted Critical
Publication of CN106798958B publication Critical patent/CN106798958B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/18—General characteristics of the apparatus with alarm
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3327—Measuring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • External Artificial Organs (AREA)

Abstract

本发明公开了一种基于呼吸机波形精准发现呼吸系统漏气的方法，以临床工作中呼吸机管路8处容易漏气点作为检查点，发现漏气波形后，依次排除各种情况后，精准发现漏气问题；这款呼吸机能够更加精准快速的配合其方法发现漏气问题。其优点在于：本发明能够精确快速的找到呼吸系统漏气问题所在，提高工作效率，降低患者的痛苦，保障患者的生命安全。

Description

一种基于呼吸机波形精准发现呼吸系统漏气的方法
技术领域
本发明涉及呼吸机使用过程中呼吸系统漏气检测方法，特别是一种基于呼吸机波形精准发现呼吸系统漏气的方法。
背景技术
呼吸机是抢救呼吸衰竭病人、治疗呼吸系统疾病的必要医疗设备，可通过气管插管式的有创通气或佩戴面罩、口鼻罩等通气接口的无创通气实现，主要通气模式包括容量控制通气模式与压力控制通气模式。尽管无创通气因其无需进行气管插管、患者耐受性好、不易引起继发性肺损伤等优点，正越来越多地应用于家庭与临床，然而呼吸通路漏气是无创通气中不可避免的问题。漏气可能导致患者通气量不足，降低通气耐受性，严重影响通气效果，甚至可能威胁生命。
发明内容
本发明的目的克服现有技术的不足，提供一种高效的基于呼吸机波形精准发现呼吸系统漏气的方法。
本发明解决其技术问题所采取的技术方案是：
一种基于呼吸机波形精准发现呼吸系统漏气的方法，其创新点在于，以临床工作中呼吸机管路8处容易漏气点作为检查点，具体步骤包括：
1）呼吸机显示屏上发现漏气波形后，自动报警呼吸机管路漏气，提示：检测1、2、3、4、5、6处是否出现漏气；若6处漏气点均未发现漏气，而波形也未恢复正常；呼吸机报警提示：则断开呼吸机管道与病人的人工气道连接处，呼吸机管道连接模肺.
2）若连接模肺后，波形还是未恢复正常，呼吸机报警提示：呼吸机出现问题；若波形恢复正常，呼吸机报警提示：检测气管插管的气囊压力7处；
3）若检测气管插管的气囊压力正常，但是波形未恢复正常，呼吸机报警提示：患者可能出现气胸，需拍胸片确诊8处；若检测插管的气囊压力不足，呼吸机报警提示：增加气囊压力至正常范围，再观察波形是否恢复正常；
4）若气囊压力充气后在1分钟之内呈下降趋势，呼吸机报警提示：更换气管插管。
本发明的有益效果如下：
本发明能够精确快速的找到呼吸系统漏气问题所在，提高工作效率，降低患者的痛苦，保障患者的生命安全。
附图说明
下面结合附图和具体实施方式对本发明做进一步详细说明。
图1为本发明的实施流程图；
图2为呼吸管路中8处易漏气点的结构示意图；
图3为呼吸机正常波形图；
图4为呼吸机漏气波形图。
具体实施方式
如图1所示的基于呼吸机波形精准发现呼吸系统漏气的方法，以临床工作中呼吸机管路8处容易漏气点（如图2所示）作为检查点，具体步骤包括：
1）呼吸机显示屏上发现漏气波形（如图4所示）后，自动报警呼吸机管路漏气，提示：检测1、2、3、4、5、6处是否出现漏气；若6处漏气点均未发现漏气，而波形也未恢复正常；呼吸机报警提示：则断开呼吸机管道与病人的人工气道连接处，呼吸机管道连接模肺.
2）若连接模肺后，波形还是未恢复正常，呼吸机报警提示：呼吸机出现问题；若波形恢复正常，呼吸机报警提示：检测气管插管的气囊压力7处；
3）若检测气管插管的气囊压力正常，但是波形未恢复正常，呼吸机报警提示：患者可能出现气胸，需拍胸片确诊8处；若检测插管的气囊压力不足，呼吸机报警提示：增加气囊压力至正常范围，再观察波形是否恢复正常（如图3所示）；
4）若气囊压力充气后在1分钟之内呈下降趋势，呼吸机报警提示：更换气管插管。
以上所述是本发明的优选实施方式，不能以此来限定本发明之权利范围。应当指出，对于本技术领域的普通技术人员来说，对本发明的技术方案进行修改或者等同替换，都不脱离本发明的保护范围。

Claims (1)

1.一种基于呼吸机波形精准发现呼吸系统漏气的方法，其特征在于，以临床工作中呼吸机管路8处容易漏气点作为检查点，具体步骤包括：
1）呼吸机显示屏上发现漏气波形后，自动报警呼吸机管路漏气，提示：检测1、2、3、4、5、6处是否出现漏气；若6处漏气点均未发现漏气，而波形也未恢复正常；呼吸机报警提示：则断开呼吸机管道与病人的人工气道连接处，呼吸机管道连接模肺；
2）若连接模肺后，波形还是未恢复正常，呼吸机报警提示：呼吸机出现问题；若波形恢复正常，呼吸机报警提示：检测气管插管的气囊压力7处；
3）若检测气管插管的气囊压力正常，但是波形未恢复正常，呼吸机报警提示：患者可能出现气胸8处，需拍胸片确诊；若检测插管的气囊压力不足，呼吸机报警提示：增加气囊压力至正常范围，再观察波形是否恢复正常；
4）若气囊压力充气后在1分钟之内呈下降趋势，呼吸机报警提示：更换气管插管。
CN201710102502.9A 2017-02-24 2017-02-24 一种基于呼吸机波形精准发现呼吸系统漏气的方法 Active CN106798958B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710102502.9A CN106798958B (zh) 2017-02-24 2017-02-24 一种基于呼吸机波形精准发现呼吸系统漏气的方法

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710102502.9A CN106798958B (zh) 2017-02-24 2017-02-24 一种基于呼吸机波形精准发现呼吸系统漏气的方法

Publications (2)

Publication Number Publication Date
CN106798958A true CN106798958A (zh) 2017-06-06
CN106798958B CN106798958B (zh) 2020-07-07

Family

ID=58987653

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201710102502.9A Active CN106798958B (zh) 2017-02-24 2017-02-24 一种基于呼吸机波形精准发现呼吸系统漏气的方法

Country Status (1)

Country Link
CN (1) CN106798958B (zh)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080202526A1 (en) * 2007-02-23 2008-08-28 Erkki Paavo Heinonen Inhalation anaesthesia delivery system and a method for leak detection in the inhalation anaesthesia delivery system
CN101883603A (zh) * 2007-09-17 2010-11-10 印度洋医药公司 用于监视诸如气管导管的气道装置的设备和方法
CN201877054U (zh) * 2010-08-20 2011-06-22 上海中山医疗科技发展公司 一种可调节模拟肺
CN102114290A (zh) * 2009-12-31 2011-07-06 北京谊安医疗系统股份有限公司 呼吸机的检测方法、设备及系统
WO2013134166A1 (en) * 2012-03-05 2013-09-12 Sonarmed, Inc. Leak detection system and method for tube or catheter placement
CN105031784A (zh) * 2014-04-30 2015-11-11 张焕祯 呼吸器的警报方法及呼吸器警报系统

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080202526A1 (en) * 2007-02-23 2008-08-28 Erkki Paavo Heinonen Inhalation anaesthesia delivery system and a method for leak detection in the inhalation anaesthesia delivery system
CN101883603A (zh) * 2007-09-17 2010-11-10 印度洋医药公司 用于监视诸如气管导管的气道装置的设备和方法
CN102114290A (zh) * 2009-12-31 2011-07-06 北京谊安医疗系统股份有限公司 呼吸机的检测方法、设备及系统
CN201877054U (zh) * 2010-08-20 2011-06-22 上海中山医疗科技发展公司 一种可调节模拟肺
WO2013134166A1 (en) * 2012-03-05 2013-09-12 Sonarmed, Inc. Leak detection system and method for tube or catheter placement
CN105031784A (zh) * 2014-04-30 2015-11-11 张焕祯 呼吸器的警报方法及呼吸器警报系统

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
（美）沃: "《呼吸机波形快速解读》", 28 February 2015 *
吴欣娟: "《北京协和医院护理技术操作指南》", 30 January 2007, 中国协和医科大学出版社 *

Also Published As

Publication number Publication date
CN106798958B (zh) 2020-07-07

Similar Documents

Publication Publication Date Title
US20220370744A1 (en) Method and apparatus for evaluating an airway status
US10485940B2 (en) Apparatus and method for improved assisted ventilation
CN106110457B (zh) 一种排痰机及其呼吸机系统
CN102333559A (zh) 具有机器输送呼吸的压力支持系统
CN103977493A (zh) 可用于无创通气漏气检测的实验平台
US20170239431A1 (en) Device for evacuating and/or monitoring gas leaking from a patient during surgery or anesthetization
CN106668998A (zh) 一种基于呼吸机波形精准控制人工气道气囊压力的专用呼吸机
WO2015078204A1 (zh) 一种安全三通道喉罩
SE522361C2 (sv) Ventilatortub
CN201727823U (zh) 双气道喉罩
CN106798958A (zh) 一种基于呼吸机波形精准发现呼吸系统漏气的方法
CN208693966U (zh) 一种带有红外装置的新型气管导管装置
Robards et al. A potential hazard involving the gas sampling line and the adjustable pressure limiting valve on the Drager Apollo® Anesthesia Workstation
CN204766921U (zh) 气管切开急救设备
CN204582219U (zh) 一种可定位式气管导管
US20210178097A1 (en) End-expiratory co2 guided tracheal intubation device
CN105343981A (zh) 封闭式吸痰管
CN209662385U (zh) 一种中医内科临床诊断检测呼吸装置
CN205796187U (zh) 一种经气管导管给氧和呼吸监测装置
CN204671691U (zh) 一种带呼吸监测功能的口咽通气道
CN213220226U (zh) 一种吸痰呼吸插管
CN103536994A (zh) 多功能气管插管引导器
CN202015407U (zh) 带吸痰孔的无创呼吸机面罩
CN216824408U (zh) 一种可快速判断位置的气管导管
CN210462088U (zh) 一种通用型多功能紧闭式气道衔接管

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
CB03 Change of inventor or designer information
CB03 Change of inventor or designer information

Inventor after: Wu Honglei

Inventor after: Shi Jiahai

Inventor after: Gu Zhifeng

Inventor before: Wu Honglei

Inventor before: Gu Zhifeng

Inventor before: Shi Jiahai

GR01 Patent grant
GR01 Patent grant