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Bird Respirator / ventilator


 

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&
$ %'!"
$(
 )*+ (assistor)   &
)*+ 
(controller)
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# 5-60.(
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!@
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apneustic flow time (mechanical breath D
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@
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# 0"C
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 Bird

1.
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18.

gas inlet &( # !%


 
ambient compartment 
! G\ 
rotary switch ! K]]
inspiratory flow rate + #$%&
 %&
expiratory power line &( # !!  
manometer #  
pressure relief valve %K N

65 .(
pressure compartment 
 !@)*+ 
starting effort + $ &
)*+ 
demand CPAP control + CPAP
mainstream hose connection & # !! !* )*+ 
air filter $!
G\ 
pressure/time cycle selector +% 
  / - %  
apneustic flow time
pressure selector 
!#(
 !*
!
power-drive line connection &( # !!

!* 
  ((humidifier)%' %K
 
expiratory time control +  % 
center body !  #
%

apneustic flow time +L$%&


%
&!d%

&'(&)**'+,-./(0,-1-&2(Assist - control )
1.  breathing circuit @) e  ( f% (

2. # mouthpiece , mask  endotracheal connector & breathing circuit (#


exhalation valve)
3. # *& # &
!
# 
Z ! $ %  L N
 &

4. ] master switch @#
ON
5. #(
 &&
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 f
pressure
limit C
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& &

( #
k20l  d$)!
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OFF

7. + inspiratory flow rate $ %&##


( #
12
m d$-#&dm'%$%&
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8. C
+ pressure /time cycle ! 8@@#

 pressure cycle
 
@
9. + pressure /time cycle %
$! 8@@#

 pressure and time
cycle
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# 0.3 "C
3 @##
 C
# %' @@#(
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10. + inspiratory flow acceleration control C
* 
%
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+@(  +
inspiratory flowrate L  %@'
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&
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#(
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11. + expiratory flow rate #&dm!(OFF)   #
 
%' 
 
- "+@( &dm!' %'8 D10.(
- 
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)
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#
 starting effort 
12. + starting effort  &

$ $ @'!$& (#

k20l   starting effort '8 D2.()


13. M)*+  %'!
## !
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@(
- % $ &

/!@

-  ) %%'  &
)*+ 
- clinical signs
- $)%##
(

physiological/pharmacological
14. 
&

#LK!

&'(&)**",*"781-&2 ./(0,-(Control Mode)


f $' 
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expiratory time
1. 
#%@ 1 "C
12  )*+ 
2. + controlled expiratory time $ % #@#

3. # breathing circuit &)*+  %'!
#&
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@(
- % $ &


- # * arterial blood gas
- !
# # 
Z
clinical &
)*+ 
4.  tidal volume , minute volume %' Fio2 #)%@$ blood gas
18-!1;7
1. Respiratory Rate (RR = #) #&8'L'8 12-16 (
# @
2. Tidal Volume (VT = # G@&- # %'
( )#@ '8 500 %.
. 10%../(# 1 f%
3. Minute Volume (MV = # G@&  1 @)@  )%*8&
#
 tidal volume
MV = RR X VT
4. I : E ratio = #! ' 
 %& T1/ %  Te #@
 '8 1 : 1.5 "C
1 : 2
Ti = I X 1 X60 @
I+e RR
Te = E x 1 x 60 @
I+E RR

1.
2.
3.
4.

5.

6.

1<=!>?@&'( bird ventilator


@%8xK @  
  Z
! '# &   endotracheal tube  tracheostomy tube
  f  @ ambu bag   o 2  
@#@

$&\ ' f%##(hypotension) %'\ ' #)
 ' (cardiac arrythmia) L @
\ '&
' %'% % 
@(cardioviscular stability)
C # 
Z$
- arterial blood gas
- vital signs
- yN*%'C ' %'% %   EKG, CVP
#(
 # 
Z&

- tidal volume 8-12%./(# 1 f%
- #'8 12-16 (
/@
- I : E ratio '8 1 : 2 ( #! &

 %&/ 
-
 %& 0.5"C
2 @ $   (
-  &&&
& &C( * )%&
arterial blood gas
- #$%&
(peak flow) L ' I : E ratio
8@@)*+ $ !L|K
  #  %  
 %( L &
)*+ !L|K

= ;-B$!C2&'(!"#$ '+,-1-&2
 Bird ventilator $ *%)*+   
%   #$ #@ &C(

$
1. )%# ' %'% % 
-  f%#'%%

- \ '% "*@ (cardiac temponard)


2. )%# ' # ' $!*
!"C
40-80 . 
- "
% #(ruptured alveoli)
- \ '@%
(  (pneumothorax)
- \ ''&
%%'% \ )$!\ '#'!|\L
%%@ %%

3. @)%# \ '%' 
 

-   #$(over ventilation) \ '  
&
 

&C((alkalosis)  CO2 % 
#%
(PaCO2)serum K+%%

-    #$(under ventilation) \ ' &

 
&C((alkalosis) serum K+!*
&C(
4. \ '!% \!
#@%d%
(cerebral vasoconstriction)"PaCO 2#%
 \ '
$ *# (unconscious)
5. \ ' }(atelectasis)

- fixed tidal volume
- G@$@  ($ L@
L
6. )%  (endotracheal tube) %'

-  
% %C%
$ %  #
- 
  #(
 # 
Z$ "*#
 $ "*#

C/)<./(0,-B$&'(!"#$ '+,-1-&2 Bird ventilator


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# ( ' L @!fEL' ( pseudomonas
-  )*+ '! &!'
- )*+   #
(
L !'$%  % % '$*

%' *!' Z
- G@#
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- *% !'   }~ *  #%  !' !
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2. ' 
 !
 % (environmental contamination)
- f  $ !)! f#
% $
L ' G 
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N
 
3. ' 
\ ' } (atelectasis)
- 
mode &

&

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#  f

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O2! *!'# %'(
$   10 @
%'%@%@
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4. N
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Gastric content%'%L   pH 3.5
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feeding @L '    4 .$ #
 
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'!! %   !'! radial
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6. @C# ! L '!\L)*+  
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- @ 
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(respiratory rate) &
 
 && O2@
- @ )*+ C @L  f%# 8\* 8(@$ ~!! ' @
@ %f#$%K pH &
%   &
% 

!<&'(!"#$ '+,-1-&2
(Weaning from mechanical ventilation)
f $'% 
)*+ d# 
1. ' *!C# @
2. \ ' %'% % 
@( stable)
3. $ @# ( &
 '' #
4. @%
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@
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=I; !<&'(!"#$ '+,-1-&2

 4 ''
1. % 
 # 
 %' O2
2. ")*+  @&C(C
% % cuff &
 %'

  %' O2

3. ")*+  
@C
    # 
 O2 
mark  canula
4. % O2 )*+ 
##
% 
 &(# 'd  &C(\ '&
)*+  %''' %@)*+ #


 @(
 @%%

@(
1. @Ld   120 (
# @
2.  % 
(mean arterial pressure) L&C( 15 .     10 @
3. @\ ' #    f%## C
'@%(  &% $%@(

(myocardial ischemia)
4. )*+ @ % ' ' 

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