CARA KERJA VENTILATOR

PERBEDAAN NAFAS SPONTAN & DENGAN

VENTILATOR
NAFAS SPONTAN

VENTILATOR

Awal pernafasan
(initiation)

o.k.rangsangan pd. o.k. mesin

pusat nafas.
otomatis
dirangsang ps

Cara udara masuk

(flow)

Beda tekanan (tek.

intra alveoli <
atmosfir

Alveoli diberi
tekanan dari luar
(tek.positif)

Akhir inspirasi :
ppindahan I E
(cycle)

Reflek

Tgtng seting vtor:

Time
Flow / pressure

Pembatasan udara
masuk
(limitation)

Reflek

Tgtng seting vtor:

volume
pressure

Kontraksi relaksasi dari otot pernafasan utama

PROSES INSPIRASI EKSPIRASI (biasa)

MEKANIKA RESPIRASI

IPPV (intermittent positive pressure

ventilation)

Bagan Ventilator
Gas
Inlet

Inspiratory Valve
Tank

Processor

Pressure & Flow

Transducer

Expiratory Valve

Patien
t

FASE FASE PERNAFASAN DENGAN

VENTILATOR
Flow

Phases of Breath

Time
Inspiration
Triggering Limitation
(initiation) Volume
Machine
Patient
Pressure
Flow

Pressure

Cycling

Expiration

Volume
Pressure
Time
Flow

PEEP

Phase Variables

KURVE P-T

Start of inhalation (Triggering /

Initiation)
1. Machine (time) triggering
Flow

Ttot

Time

Yaitu setelah waktu ekspirasi yang diseting terlampaui

2.

Patients triggering

Paw

Pressure trigger

Flow

Time
Flow trigger

Time

Pressure Trigger
Gas
Inlet

Inspiratory Valve

No
Airflow

Tank

Processor

Pressure
Transducer

Expiratory Valve

Patien
t
Inspir.
Effort

Airway
Pressure
Drop

Flow Trigger
Gas
Inlet

Inspiratory Valve

Inspir.
Airflow

Tank

Processor

Flow
Transducer

Expiratory Valve

Patien
t
Inspir.
Effort

No Airway
Pressure
Drop

PRESSURE TRIGGER vs FLOW

TRIGGER
PRESSURE TRIGGER

FLOW TRIGGER

Paling sensitive : 0,5 cm

H2O

Paling sensitive 0,5 L /

men

Kurang peka

Lebih peka

Inspiration limitation
Volume breath:

Flow
Ideal

Pressure

Pressure breath:

Pressure
Ideal

Flow

CYCLING
Perpindahan dari I ke E :
Volume (Flow x Ti)
Pressure
Time (Ti)
Flow (ETS = expiratory triger sensitivity)

Cycling with ETS

Flow

Time

SISTEM PENGONTROL
1. Open system (OPEN LOOP SYSTEM)
2. Closed system (CLOSED LOOP
SYSTEM)

Maintenance of expiratory pressure

Paw
PEEP

Time

OPEN LOOP SYSTEM

SETING PARAMETER

VENTILATOR

OUT PUT

CLOSED-LOOP CONTROL

e
-/+

u
PENGONTROL

VENTILATOR

y
SENSOR

PASIEN

TERIMA KASIH