摘要:
A device for supplying a patient with breathing gas, in which an initially high initial pressure paw(t=0) applied from the outside is automatically lowered by means of a control circuit to a lower inspiratory pressure paw(t) as soon as a pulmonary internal pressure plung(t) threatens to exceed a predetermined pulmonary target pressure plung,soll. Overinflation of the lungs due to the respiration is thus ruled out according to the present invention. The device permits, moreover, rapid filling of the lungs with breathing gas and makes thus possible a comparatively long phase of expiration. A process is also provided for regulating a respirator and for respirating a patient.
摘要:
An electroimpedance tomograph is provided with a plurality of electrodes (1), which can be placed on the body of a patient and are connected to a control and evaluating unit (20) via a selector switch (60). The control and evaluating unit (20) cooperates with the selector switch (60) such that two electrodes each are supplied with alternating current from an AC power source (22). The detected analog voltage signals of the other electrodes are sent into the control and evaluating unit (20) via a measuring amplifier (62) and AD converter (64) and are processed there in order to reconstruct the impedance distribution of the body in the plane of the electrodes therefrom. A symmetrical AC power source (22) is used to reduce common-mode signals. To make it possible to suppress errors due to common-mode signals, provisions are made for the control and evaluating unit (20) to be set up for making available an additional common-mode signal at an output during an adjusting mode of operation and to send it to the body via common-mode signal electrodes (4, 90) that can be placed on the body. The control and evaluating unit (20) is prepared, furthermore, to adjust the measuring amplifier (62) according to value and phase for each electrode pair connected by the selector switch (60) such that the common-mode signal at the output of the measuring amplifier (62) is minimized, and the adjusted parameters are stored for each electrode pair.
摘要:
An electroimpedance tomograph is provided with a plurality of electrodes (1), which can be placed on the body of a patient and are connected to a control and evaluating unit (20) via a selector switch (60). The control and evaluating unit (20) cooperates with the selector switch (60) such that two electrodes each are supplied with alternating current from an AC power source (22). The detected analog voltage signals of the other electrodes are sent into the control and evaluating unit (20) via a measuring amplifier (62) and AD converter (64) and are processed there in order to reconstruct the impedance distribution of the body in the plane of the electrodes therefrom. A symmetrical AC power source (22) is used to reduce common-mode signals. To make it possible to suppress errors due to common-mode signals, provisions are made for the control and evaluating unit (20) to be set up for making available an additional common-mode signal at an output during an adjusting mode of operation and to send it to the body via common-mode signal electrodes (4, 90) that can be placed on the body. The control and evaluating unit (20) is prepared, furthermore, to adjust the measuring amplifier (62) according to value and phase for each electrode pair connected by the selector switch (60) such that the common-mode signal at the output of the measuring amplifier (62) is minimized, and the adjusted parameters are stored for each electrode pair.
摘要:
A process is provided for determining the functional residual capacity (FRC) of the lungs during respiration. An environmentally friendly trace gas is used in a process and system for determining the FRC by using fluoropropanes as a trace gas. Values for the FRC can thus be calculated, resolved for individual breaths, from the expiratory trace gas concentration and the expired breathing gas volume and they can be used for determining the FRC depending on their convergence behavior.
摘要:
A process and device for determining mechanical properties of a respiratory system of a patient connected to a respirator, wherein a short-term occlusion of the patient's airways is performed during an inspiration phase and/or an expiration phase. Initiating of the occlusion is at different points in time within the breathing cycle and during a plurality of breaths. The respiratory flow and the inhaled or exhaled volume of the patient is determined at the beginning of this occlusion. The airway pressure is also measured during this occlusion. The change occurring over time in the airway pressure during a measurement time falling within the occlusion time is determined. Also determined is the course over time of the change occurring over time of the muscle pressure of the patient from the measured values. The course over time of the muscle pressure is calculated by integrating this course over time.
摘要:
A respirator with a delivery device, which draws in ambient air via an inlet line and pumps it into an outlet line, with a discharge opening, which branches off from the outlet line and via which a partial flow of the gas being delivered, which can be set with a discharge valve, escapes. Oxygen is added with the smallest possible loss of gas and with good constancy of the concentration by: providing the inlet line with a buffer volume, via which the ambient air drawn in can flow; providing a return line which introduces the partial flow into the buffer volume is present between the discharge opening and the buffer volume; and providing the oxygen source connected to the inlet line and/or to the buffer volume.