呼吸末CO2监测(新英格兰杂志)
http://player.youku.com/player.php/sid/XNDgwMTg4MzAw==.html通过记录病人呼出气体中的CO2状况,医生可据此了解病人的代谢、血液循环和呼吸情况。当无法测出CO2时,提示病人已出现多系统的受损。NEJM的这段临床教学视频对呼吸末CO2监测的适应症,操作细节和并发症等进行了详细描述,推荐学习!
Monitoring Ventilation with Capnography
Rafael Ortega, M.D., Christopher Connor, M.D., Ph.D., Sora Kim, B.S., Robin Djang, M.A., and Kunal Patel, M.D.
N Engl J Med 2012; 367:e27November 8, 2012DOI: 10.1056/NEJMvcm1105237
Share:Dr. Ortega reports holding stock in Anesthesia Associates of Massachusetts and the Plexus Management Group, and Dr. Connor reports that his employer has filed a patent application regarding the systems and methods used for the secure transmission of clinical data. No other potential conflict of interest relevant to this article was reported. 英语差了 听不明白 得加强学习啊 楼主,新英格兰上的video一般都配有PDF 的讲解版本的,可否一起上传,好更好学习! 召唤字幕组,实在听不懂啊。。。 听不懂有字幕就好了 我很想问:高峰代表得是吸气还是呼气???请赐教 回复 6# jiale
代表呼气,峰值即为ETCO2 回复 6# jiale
高峰代表呼气末,吸气的开始。 听了很受启发,下面就本人听到的英语,作一下记录,有不妥之处肯请同行指导正。 this is includical video from the journal of new england.
overview :carbin dioxide is generateded in the body as a metabotic by-product.carbin dioxide is dissolved in the blood and is transported in the blood stream until it reachs the lung where it diffuse into is ventilated through opening trochobronchia tree and patent upper airway.carbin dioxide then can be detected in the patients expirated breath. the measurement of expirated carbin dioxide provide an insight ofimportant life sustaining process that include the metabotic ,respiratory and circutory activative .capnography is a standard of care monitoring adequency of ventilation in the patient recieving anesthesia ,it is also used to monitor ventilation during the procedure that porformed while patient is undrgone moderate or deeper sedation
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