Why PEEP Valves Are So Important
1:24
YouTubeMaster Your Medics
Why PEEP Valves Are So Important
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13.8K viewsNov 9, 2022
Positive end-expiratory pressure PEEP Ventilation
Mechanical Ventilation- PEEP (Positive End Expiratory Pressure). - Critical Care Practitioner
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我的救護日誌 - 救護車上的柯南道爾 on Instagram: "日前略為談及了一些呼吸機設定的相關函數，隨後便收到讀者問及甚麼是 PEEP (Positive End Expiratory Pressure)。 嘗試把肺部的氣囊 (air sac) 幻想作氣球，便不難明白每次呼氣時氣囊也會因為內裏失去氣壓塌縮 (collapse)。由於氣囊塌縮會使肺部作出氣體交換的面積減少，身體有自然機制防止氣囊塌縮 (如: surfactants)。 然而，當肺部出現限制性 (restrictive) 的病理轉變，防止氣囊塌縮的自然機制便會失效。 PEEP 是一種維持患者呼氣時肺內氣壓的治療，透過額外氣壓保持氣囊膨脹。片段中的 BVM 便是安裝了 PEEP 活瓣，所以手套在 BVM 作出泵氣後仍維持充氣狀態。 PEEP 的確可以增加肺部能用作氣體交換的面積來改善供養狀況 (improve oxygenation by recruiting more alveolar for gaseous exchange)，但也會增加患者呼氣時的阻力。當遇上氣道出現阻塞性 (obstructive) 病變的患
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我的救護日誌 - 救護車上的柯南道爾 on Instagram: "日前略為談及了一些呼吸機設定的相關函數，隨後便收到讀者問及甚麼是 PEEP (Positive End Expiratory Pressure)。 嘗試把肺部的氣囊 (air sac) 幻想作氣球，便不難明白每次呼氣時氣囊也會因為內裏失去氣壓塌縮 (collapse)。由於氣囊塌縮會使肺部作出氣體交換的面積減少，身體有自然機制防止氣囊塌縮 (如: surfactants)。 然而，當肺部出現限制性 (restrictive) 的病理轉變，防止氣囊塌縮的自然機制便會失效。 PEEP 是一種維持患者呼氣時肺內氣壓的治療，透過額外氣壓保持氣囊膨脹。片段中的 BVM 便是安裝了 PEEP 活瓣，所以手套在 BVM 作出泵氣後仍維持充氣狀態。 PEEP 的確可以增加肺部能用作氣體交換的面積來改善供養狀況 (improve oxygenation by recruiting more alveolar for gaseous exchange)，但也會增加患者呼氣時的阻力。當遇上氣道出現阻塞性 (obstructive) 病變的患
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