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METHOD AND APPARATUS FOR END EXPIRATORY LUNG VOLUME ESTIMATION

机译:呼气末肺容积估计的方法和装置

摘要

In a method, ventilator and ventilator control unit for determining an end-expertorial lung volume (EELV) for a mechanically ventilated patient, a breathing gas is provided to the patient that has a first fixed N2/O2 gas composition, at least until the N2/O2 gas composition in air expired from the patient is constant. At least once, at a first predetermined point in time, the N2/O2 gas composition in the breathing gas is changed to a second fixed composition. The change in the N2/O2 gas composition exhaled by the patient for each breath is measured until a second point in time at which the level of expired O2 in at least two subsequent breadths is substantially stable. The measurement is made downstream of the expiratory tube of the ventilator. The total gas volume is determined for each breath, and the EELV of the patient's lungs is determined based on the change in O2 level between the first and second points in time.
机译:在一种用于确定机械通气患者的末梢肺通气量(EELV)的方法,通气机和通气机控制单元中,向患者提供呼吸气体,该气体具有第一固定的N2 / O2气体成分,至少直到N2患者呼出的空气中的/ O2气体成分恒定。在第一预定时间点至少一次,将呼吸气体中的N2 / O2气体成分更改为第二固定成分。测量患者每次呼吸呼出的N2 / O2气体成分的变化,直到第二个时间点为止,在该第二个时间点,至少两个后续宽度中的呼出氧气水平基本稳定。在呼吸机的呼气管下游进行测量。确定每次呼吸的总气体量,并根据第一和第二时间点之间的氧气水平变化确定患者肺部的EELV。

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