飞利浦监护仪简易使用手册.pptx

Guan WeiPCCI2012-12-13飞利浦监护仪简易使用手册飞利浦监护仪简易使用手册ConfidentialPCCI,Guan Wei,2012-12-1328/26/2024ConfidentialPCCI,Guan Wei,2012-12-133IntelliVue Patient Monitor FamilyMP20/30 MP40/50 MP60/70 X2 X2 X2 MP80/90FMSConfidentialPCCI,Guan Wei,2012-12-13更多内容请详读随机配发的使用手册4ConfidentialPCCI,Guan Wei,2012-12-13一般介绍一般介绍5ConfidentialPCCI,Guan Wei,2012-12-13主屏幕信息联网状态床位号病人姓名 病人种类是否起搏日期时间监护设置改变屏幕报警/信息波形显示数字显示数字显示灵巧键自由填空6ConfidentialPCCI,Guan Wei,2012-12-13状态条测量选择状态信息有未工作的参数标名冲突状态正常7ConfidentialPCCI,Guan Wei,2012-12-13报警状态区域三星红色重度报警一星蓝色轻度报警二星黄色中度报警8ConfidentialPCCI,Guan Wei,2012-12-13屏幕上的按键永久键静音报警暂停主设定主屏幕9ConfidentialPCCI,Guan Wei,2012-12-13屏幕上的按键灵巧键10ConfidentialPCCI,Guan Wei,2012-12-13屏幕上的按键跳出键11ConfidentialPCCI,Guan Wei,2012-12-13操作方式旋钮主屏幕静音总报警开关菜单逐级返回操纵杆/旋钮触屏12ConfidentialPCCI,Guan Wei,2012-12-13填满空白处13ConfidentialPCCI,Guan Wei,2012-12-13快捷键-测量选择14ConfidentialPCCI,Guan Wei,2012-12-13病人类别选择15ConfidentialPCCI,Guan Wei,2012-12-13病人是否佩戴起搏器选择16ConfidentialPCCI,Guan Wei,2012-12-13监护仪主设定菜单17ConfidentialPCCI,Guan Wei,2012-12-13待机19ConfidentialPCCI,Guan Wei,2012-12-13ECG(心电)20ConfidentialPCCI,Guan Wei,2012-12-13ECG菜单21ConfidentialPCCI,Guan Wei,2012-12-13导联放置1234S SA AI IE E22ConfidentialPCCI,Guan Wei,2012-12-13调整报警上下限23ConfidentialPCCI,Guan Wei,2012-12-13关闭ECG报警24ConfidentialPCCI,Guan Wei,2012-12-13心律失常报警链25ConfidentialPCCI,Guan Wei,2012-12-13心律失常分析内容Asystole 停搏Ventricular Fibrillation/Tachycardia室颤/室速Extreme Bradycardia极端心动过缓Extreme Tachycardia极端心动过速High heart rate心率快Low heart rate心率慢Ventricular Tachycardia室性心动过速Pacer Not Capture起搏器未捕获Pacer Not Pacing起搏器未起搏PVCs/min HIGH(PVClimit/min频发室早Afib房颤Supraventricular Tach室上性心动过速Missed Beat漏搏Pause暂停Irregular HR心律不齐VENRICULAR RHYTHM室性节律RUN PVCs High多个连发室早Pair PVCs成对室早R-on-T PVCsR-on-TVentricular bigeminy室性二联律Ventricular trigeminy室性三联律Non-sustain VT阵发室速Multiform PVCs多源室早26ConfidentialPCCI,Guan Wei,2012-12-13心律失常心搏标名27ConfidentialPCCI,Guan Wei,2012-12-13ECG菜单ST分析窗口28ConfidentialPCCI,Guan Wei,2012-12-13ECG菜单ST报警范围调整29ConfidentialPCCI,Guan Wei,2012-12-13ST测量点的确定30ConfidentialPCCI,Guan Wei,2012-12-13ECG菜单ST环31ConfidentialPCCI,Guan Wei,2012-12-13调整观察ST环的间隔时间32ConfidentialPCCI,Guan Wei,2012-12-13如何选择优质信号导联33ConfidentialPCCI,Guan Wei,2012-12-13可以监测的导联34ConfidentialPCCI,Guan Wei,2012-12-13RESP(呼吸)35ConfidentialPCCI,Guan Wei,2012-12-13呼吸菜单36ConfidentialPCCI,Guan Wei,2012-12-13调整报警上下限37ConfidentialPCCI,Guan Wei,2012-12-13呼吸检测模式38ConfidentialPCCI,Guan Wei,2012-12-13NIBP(无创血压)39ConfidentialPCCI,Guan Wei,2012-12-13测量原理40ConfidentialPCCI,Guan Wei,2012-12-13注意事项41ConfidentialPCCI,Guan Wei,2012-12-13测量限制42ConfidentialPCCI,Guan Wei,2012-12-13测量模式43ConfidentialPCCI,Guan Wei,2012-12-13测量的修正44ConfidentialPCCI,Guan Wei,2012-12-13NBP菜单45ConfidentialPCCI,Guan Wei,2012-12-13NBP报警源调整46ConfidentialPCCI,Guan Wei,2012-12-13调整报警上下限47ConfidentialPCCI,Guan Wei,2012-12-13NBP测压模式48ConfidentialPCCI,Guan Wei,2012-12-13自动测压重复时间49ConfidentialPCCI,Guan Wei,2012-12-13SpO2(血氧饱和度)50ConfidentialPCCI,Guan Wei,2012-12-13SpO2菜单51ConfidentialPCCI,Guan Wei,2012-12-13SpO2报警调整52ConfidentialPCCI,Guan Wei,2012-12-13TEMP(体温)53ConfidentialPCCI,Guan Wei,2012-12-13TEMP菜单54ConfidentialPCCI,Guan Wei,2012-12-13更改标名55ConfidentialPCCI,Guan Wei,2012-12-13调整报警56ConfidentialPCCI,Guan Wei,2012-12-13IBP(有创血压)57ConfidentialPCCI,Guan Wei,2012-12-13IBP菜单数字窗口58ConfidentialPCCI,Guan Wei,2012-12-13IBP菜单脉搏设定59ConfidentialPCCI,Guan Wei,2012-12-13IBP菜单波形窗口60ConfidentialPCCI,Guan Wei,2012-12-13冻结波形61ConfidentialPCCI,Guan Wei,2012-12-13IBP菜单按冻结波形调整光标观察压力62ConfidentialPCCI,Guan Wei,2012-12-13ABParterial blood pressure动脉血压ARTarterial blood pressure(alternative)动脉血压（另一种表示方法）AOaortic pressure主动脉压CVPcentral venous pressure中心静脉压ICPintracranial pressure颅内压LAPleft atrial pressure左房压RAPright atrial pressure右房压Pnon-specific pressure label非特异的压力标名PAPpulmonary artery pressure肺动脉UAPumbilical arterial pressure脐动脉压UVPumbilical venous pressure脐静脉压有创血压标名63ConfidentialPCCI,Guan Wei,2012-12-13归零64ConfidentialPCCI,Guan Wei,2012-12-13IBP常见故障与排除65ConfidentialPCCI,Guan Wei,2012-12-13二氧化碳监护主路Mainstream插管病人，传感器的重量，不适合新生儿和婴幼儿旁路sidestream非插管病人，最小取样容积100-150CC，不适合新生儿微流Microstream TM非插管病人，取样容积50CC，适合新生儿ConfidentialPCCI,Guan Wei,2012-12-13主路CO2 监测优势传感器在气道上，滞后时间短对潮气量没有严格要求ConfidentialPCCI,Guan Wei,2012-12-13主路CO2 M3014A A01 Extension A02 Extension with Mainstream SensorConfidentialPCCI,Guan Wei,2012-12-13旁路CO2A03 Extension with Sidestream SensorSupplies!M2741A Sidestream CO2 Sensor and AccessoriesConfidentialPCCI,Guan Wei,2012-12-13旁路CO2 监测优势没有传感器干扰患者气道一次性采样管可用于插管、非插管患者缺点需要经常校准需要150-250 ml/min气体用于精确采样，影响潮气量延迟的反应时间：没有实时图形分泌物阻塞采样管ConfidentialPCCI,Guan Wei,2012-12-13Microstream CO2灵活多样 -插管和非插管患者口和鼻呼吸输送氧气（低流量O2解决方案；解决高流量O2传输）成人、儿童和婴幼儿ConfidentialPCCI,Guan Wei,2012-12-13测量原理72ConfidentialPCCI,Guan Wei,2012-12-13管路连接方法-主路73ConfidentialPCCI,Guan Wei,2012-12-13管路连接方法-主路74ConfidentialPCCI,Guan Wei,2012-12-13主路管路连接的注意事项75ConfidentialPCCI,Guan Wei,2012-12-13管路连接方法-旁路76ConfidentialPCCI,Guan Wei,2012-12-13管路连接方法-旁路-插管病人77ConfidentialPCCI,Guan Wei,2012-12-13管路连接方法-旁路-非插管病人78ConfidentialPCCI,Guan Wei,2012-12-13旁路管路连接的注意事项79ConfidentialPCCI,Guan Wei,2012-12-13CO2菜单80ConfidentialPCCI,Guan Wei,2012-12-13报警调整81ConfidentialPCCI,Guan Wei,2012-12-13刻度调整82ConfidentialPCCI,Guan Wei,2012-12-13笑气开关83ConfidentialPCCI,Guan Wei,2012-12-13氧气校正84ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体校正85ConfidentialPCCI,Guan Wei,2012-12-13注意事项86ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块麻醉气体模块开关M1658AGas Sample Tubing气体采样管M1657B Watertrap 集水器 13902AElbow Airway Adapter气道弯接头M1612AStraight Airway Adapter气道平接头麻醉气体模块待机按键进入麻醉气体模块菜单87ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体附件的连接88ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块应用的注意事项89ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-麻醉气体监测在主屏幕的显示90ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-打开麻醉气体窗口91ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-麻醉气体窗口显示92ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-设定呼吸报警范围93ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-CO2设定窗口94ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-设定CO2报警范围95ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-CO2波形刻度设定96ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-设定吸入麻醉气体报警97ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-设定O298ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-设定某种麻醉气体的波形刻度99ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-归零校准100ConfidentialPCCI,Guan Wei,2012-12-13麻醉气体模块-麻醉气体报警范围调整101ConfidentialPCCI,Guan Wei,2012-12-13是来自自然脑电图的衍生值是来自自然脑电图的衍生值利用能量和双频谱的特性集成的数据为单一数利用能量和双频谱的特性集成的数据为单一数仅仅需要仅仅需要5个电极个电极刻度范围从刻度范围从0到到100BISBIS模块模块（The Bispectral IndexThe Bispectral Index ）ConfidentialPCCI,Guan Wei,2012-12-13103BIS监测原理监测原理麻醉（Anesthesia）：麻醉是指借助于药物等方法而产生的全身或局部感觉(特别是痛觉)的消失及记忆遗忘状态全麻：通过引起可逆的中枢神经系统的抑制和兴奋,从而达到意识消失和止痛的目的麻醉深度：全身麻醉的深度镇静（睡眠，无意静（睡眠，无意识）肌松肌松镇痛痛ConfidentialPCCI,Guan Wei,2012-12-13BIS监测原理监测原理BIS（The Bispectral Index）：是来自自然脑电图的衍生值利用能量和双频谱集成的单一数据，刻度范围从0到100BIS的特征：加入相位变化的信息，产生一个比功率谱更全面的来自Fourier变换的数字化脑电信息，能更好地表现各种临床情况发生的EEG变化全貌仅仅需要5个电极BIS技术的关键：收集数千患者EEG资料建库，以统计学为基础，经验地运用描记波组合，而不是单个描记波。ConfidentialPCCI,Guan Wei,2012-12-13BIS模块及电缆模块及电缆ConfidentialPCCI,Guan Wei,2012-12-13BIS应用应用5cmConfidentialPCCI,Guan Wei,2012-12-13BIS 在在 ICU镇静治疗中的作用镇静治疗中的作用BIS反应镇静程度100病人清醒100-80对平常声音有反应焦虑80-60对强声音有反应 摇晃和温和刺激病人有 反应中度镇静60-40对外界刺激反应低下唇刺激迟钝重度镇静40-20大脑去皮层状态重度镇静0脑电图直线死亡ConfidentialPCCI,Guan Wei,2012-12-13BIS 阻抗指示器阻抗指示器ConfidentialPCCI,Guan Wei,2012-12-13BIS 传感器接触检查窗口传感器接触检查窗口ConfidentialPCCI,Guan Wei,2012-12-13BISBIS监测脑功能状态潜在的好处监测脑功能状态潜在的好处监测脑功能状态潜在的好处监测脑功能状态潜在的好处较快地苏醒和康复较快地苏醒和康复更合理、更有效地使用药物更合理、更有效地使用药物减少术中不必要的刺激反映减少术中不必要的刺激反映ConfidentialPCCI,Guan Wei,2012-12-13基本保养和常见故障ConfidentialPCCI,Guan Wei,2012-12-13基本保养和常见故障118