Chapter 1182 [1182] It is very important to do your homework
The above statement is not very urate. The fact is that the venttor is divided into invasive and non-invasive, and other departments of invasive venttor do not have as many ICUs. There are more than one or two non-invasive venttors in respiratory medicine.
First exin what is invasive and what is non-invasive. The difference lies in one word, trauma. Invasive and non-invasive venttors correspond to invasive mechanical venttion and non-invasive mechanical venttion, respectively.
Mechanical venttion, simply put, refers to the connection between the machine and the patient. Invasive, it is to connect the venttor in the case of intubation of the patient. Non-invasive, it is to connect the venttor and the patient in a harmless way such as a mask.
Non-invasive venttion, which is broadly defined, not only refers to the use of venttors, but also includes diaphragm pacing. Thetter are rarely used clinically and are hard to see. There is always only one reason for the technology that is rarely used clinically, and the cost and effect of treatment are not matched.
Non-invasive venttor can be used more in respiratory medicine. For the same reason, the cost is less, and patients are more affordable than invasive venttion, and the effect is good. Early administration of non-invasive venttion can reduce the possibility of further deterioration of the disease to the need for invasive venttion.
Invasive venttor can also be used for non-invasive venttion. So in icu, you can see that some patients may need non-invasive venttion after extubation, and use invasive venttor directly. Anyway, there are many venttors like icu. However, it is impossible for a non-invasive venttor to be invasive venttion. Because non-invasive venttors are cheap, indicators such aspressor power are destined to fall far short of the requirements of invasive venttion.
The venttor is precious, especially if it is invasive, and must be managed by a dedicated person, usually a designated nurse. It is also a nurse who usually performs maintenance and management such as disinfection of the venttor.
Nurses can adjust some simple parameters through venttor training, but it is only doctors who can adjust venttor parameters for critically ill patients, because only doctors can understand the patient''s monitoring indicators.
How to adjust the parameters of the venttor can be said to be the skill of professional doctors who study human respiration.
I had time this morning, and the enthusiastic teacher Xin Yanjun stood next to the venttor and gave a lecture to the new students: "Do you know what we adjust the venttor parameters ording to?"
"The mostmonly used and most useful monitoring indicator should be the patient''s blood gas analysis." Xie Wanying said.
Hearing her answer quickly, Xin Yanjun was stunned, she didn''t expect her to say so urately. Venttor management has always been the focus of internal medicine. It is not easy for a surgical student toe to the department of respiratory medicine on the first day to learn and answer this question.
Xie Wanying''s answer does not seem to be purely from books, but has some clinical experience. Xin Yanjun wondered if she had learned relevant knowledge clinically.
Teacher Xin''s suspicion is right, Xie Wanying is not easy to confess, she is reborn. I used to work in theboratory department, and it was mostmon for icu to perform blood gas analysis on venttor patients every three days, or even in the middle of the night. With the work experience she has umted over the years, it is entirely possible that she understands the monitoring indicators of venttors better than general physicians.
The work of theboratory should be connected with the clinical work, and the content of these work will follow the clinical study and research.
"The mode of the venttor seems to be many, but the principle of the venttor is like this. At the beginning, there is no sensor, and the machine directly fills the patient''s airway. With the sensor, the machine can sense the patient''s breathing and adjust ordingly. Make the breathing situation of the machine and the patient more coordinated. The adjustment can be controlled by theputer of the machine, or it can be operated by the medical staff. In this principle, there are variousputer modes."