PiCCO2简介范本.ppt

Die Animation dieser Folie bitte in die vorherige einbauen; zus?tzlich sollte auch auf der Vorlast-Achse der Schnittpunkt animiert werden. When oxygen supply does not match oxygen demand, the oxygen deficit rapidly causes cell and organ injury leading to organ failure and subsequent complications ScvO2 values outside the normal range indicates a threat to tissue oxygenation and necessitates advanced hemodynamic monitoring to verify the cause. When oxygen supply does not match oxygen demand, the oxygen deficit rapidly causes cell and organ injury leading to organ failure and subsequent complications ScvO2 values outside the normal range indicates a threat to tissue oxygenation and necessitates advanced hemodynamic monitoring to verify the cause. One solid foil Smear-proof Light sensor Water protected Keys On/Off with Power LED Help Print Mute with Alarm LED‘s Main (for navigation) Back (for navigation) Navigation dial Control Concepts Touch Screen (?Touch it – Get it“) Navigation by Navigation dial Main key Back key DSt，最大温度变化下降85%－45%的区间 * 肺水肿 severely increased Lung Water ELWI 21 ml/kg BW moderately increased Lung Water ELWI 11 ml/kg BW no Lung Water increase ELWI 5 ml/kg BW Pulmonary Oedema Infiltration of water into the lung tissue caused by inflammatory or cardiac processes disables the gas exchange (oxygenation of blood) and is difficult to quantify by conventional methods * 肺血管通透性指数 PVPI – 肺血管通透性指数 判断肺水肿类型 (inflammatory or cardiogenic) Relation between extra- und intra-vascular fluid (EVLW/PBV) Cardiogenic Lung OedemaIncreased hydrostatic pressure with normal permeability Permeability Lung OedemaNormal hydrostatic pressure with increased permeability Alveolus Alveolus wall Alveolus wall Capillary Capillary * Preload 前负荷不足应当施以扩容 优化前负荷使得CO最大化 进一步扩容将会导致肺水增加同时CO无法获得提高 参数 – 容量管理时的相互关联 7 CO EVLW 3 5 3 * 利尿以期减少肺水可能会影响前负荷从而影响CO的值 容量管理的目标是获得平衡，充分的前负荷，足够的CO并且尽可能的降低肺水量 7 CO EVLW 3 5 3 参数 – 容量管理时的相互关联 * 参数显示 – 从概况到细节 Cont. Cardiac Output Preload Vo