Lub capnograph yog ib qho khoom siv kho mob tseem ceeb uas feem ntau siv los ntsuas kev noj qab haus huv ua pa. Nws ntsuas qhov concentration ntawm CO₂ hauv exhaled pa thiab feem ntau hu ua ib qhokawg-tidal CO₂ (EtCO2) saib.Cov cuab yeej no muab kev ntsuas lub sijhawm tiag tiag nrog rau cov duab kos duab waveform (capnograms), muab cov kev nkag siab zoo rau tus neeg mob lub tshuab ua pa.
Capnography ua haujlwm li cas?
Nov yog qhov nws ua haujlwm hauv lub cev: oxygen nkag mus rau hauv cov hlab ntsha los ntawm lub ntsws thiab txhawb nqa lub cev cov txheej txheem metabolic. Raws li ib tug byproduct ntawm metabolism, carbon dioxide yog tsim, thauj rov qab mus rau lub ntsws, thiab ces exhaled. Kev ntsuas tus nqi CO₂ nyob rau hauv cov pa exhaled muab cov ntaub ntawv tseem ceeb txog tus neeg mob txoj kev ua pa thiab metabolic.
Yuav ua li cas Capnograph Measures CO2?
Lub capnograph saib ntsuas exhaled ua pa los ntawm kev tso saib ib feem ntawm lub siab ntawm CO₂ hauv waveform hom ntawm daim phiaj x- thiab y-axis. Nws qhia ob qho tib si waveforms thiab cov lej ntsuas. Kev nyeem ntawv kawg-tidal CO₂ (EtCO₂) feem ntau yog nyob ntawm 30 txog 40 mmHg. Yog tus neeg mob EtCO2poob qis dua 30 mmHg, nws yuav qhia tau tias muaj teeb meem xws li endotracheal tube ua haujlwm tsis zoo lossis lwm yam teebmeem kev kho mob uas cuam tshuam rau kev noj cov pa oxygen.
Ob txoj hauv kev tseem ceeb rau Exhaled Gas Measurement
Mainstream EtCO2 Saib xyuas
Nyob rau hauv txoj kev no, ib tug pa adapter nrog ib tug integrated sampling chamber yog muab tso ncaj qha rau hauv lub pa ntawm lub pa Circuit Court thiab lub endotracheal raj.
Sidestream EtCO2Monitoring
Lub sensor yog nyob rau hauv lub ntsiab chav tsev, deb ntawm cov pa. Ib lub twj tso kua mis me me txuas ntxiv aspirates exhaled gas kuaj los ntawm tus neeg mob los ntawm ib qho qauv mus rau lub ntsiab chav tsev. Cov kab sampling tuaj yeem txuas nrog T-thooj ntawm lub raj endotracheal, ib qho tshuaj loog daim npog qhov ncauj adapter, lossis ncaj qha mus rau qhov ntswg kab noj hniav ntawm tus qauv nasal cannula nrog qhov ntswg adapters.
Kuj tseem muaj ob hom kev saib xyuas tseem ceeb.
Ib qho yog portable mob siab rau EtCO₂ capnograph, uas tsom rau qhov ntsuas no nkaus xwb.
Lwm qhov yog EtCO₂ module ua ke rau hauv ib qho kev saib xyuas multiparameter, uas tuaj yeem ntsuas ntau tus neeg mob tsis tau ib zaug. Cov saib hauv txaj, cov khoom siv hauv chav ua haujlwm, thiab EMS defibrillators feem ntau suav nrog EtCO₂ ntsuas peev xwm.
Dab tsiyog Cov Ntawv Thov Kev Kho Mob ntawm Capnograph?
- Teb ceev xwm ceev: Thaum tus neeg mob tab tom ua pa nres lossis mob plawv, kev saib xyuas EtCO2 pab cov neeg ua haujlwm kho mob sai sai rau tus neeg mob qhov ua pa.
- Kev soj ntsuam tas li: Rau cov neeg mob hnyav uas muaj kev pheej hmoo ntawm kev ua pa tsis zoo tam sim ntawd, kev soj ntsuam tas li ntawm CO₂ tidal muab cov ntaub ntawv hauv lub sijhawm los kuaj xyuas thiab teb cov kev hloov tam sim ntawd.
- Sedation txheej txheem: Txawm hais tias nws yog me los yog kev phais loj, thaum tus neeg mob sedated, EtCO2 xyuas xyuas kom tus neeg mob tswj tau qhov cua txaus thoob plaws hauv cov txheej txheem.
- Pulmonary Function Assessment: Rau cov neeg mob uas muaj mob ntev xws li pw tsaug zog apnea thiab mob ntsws obstructive pulmonary disease (COPD), capnographs pab ntsuas lawv lub ntsws ua haujlwm.
Vim li cas EtCO₂ Kev Saib Xyuas Yog Tus Qauv Saib Xyuas?
Capnography yog tam sim no dav lees paub tias yog tus qauv zoo tshaj plaws ntawm kev saib xyuas hauv ntau qhov chaw kho mob. Cov koom haum kho mob thiab cov koom haum tswj hwm - xws li American Heart Association (AHA) thiab American Academy of Pediatrics (AAP) - tau muab cov ntaub ntawv sau npe rau hauv lawv cov lus qhia thiab cov lus pom zoo. Feem ntau, nws suav hais tias yog ib qho tseem ceeb ntawm kev saib xyuas tus neeg mob thiab kev saib xyuas ua pa.
American Heart Association (AHA) Cov Lus Qhia rau Cardiopulmonary Resuscitation (CPR) thiab Emer gency Cardiovascular Care (ECC) ntawm Pediatric and Neonatal Patients: Neonatal Resuscitation Guidelines
Ntu 8: Cov Neeg Laus Advanced Cardiovascular Life Support
8.1: Adjuncts rau Airway Control thiab Ventilation
Advanced Airways - Endotracheal Intubation Nruam waveform capnography raug pom zoo ntxiv rau kev soj ntsuam kev soj ntsuam raws li txoj kev ntseeg siab tshaj plaws ntawm kev lees paub thiab saib xyuas qhov raug tso ntawm lub raj endotracheal (Class I, LOE A). Cov kws kho mob yuav tsum tau soj ntsuam qhov tsis tu ncua capnographic waveform nrog lub qhov cua kom paub meej thiab saib xyuas qhov chaw ntawm lub raj endotracheal hauv thaj chaw, hauv lub tsheb thauj khoom, thaum tuaj txog hauv tsev kho mob, thiab tom qab ib tus neeg mob hloov mus los txhawm rau txo qhov kev pheej hmoo ntawm kev tsis lees paub lub raj misplacement lossis hloov chaw. Kev ua pa zoo los ntawm lub tshuab pa supraglottic yuav tsum ua rau lub cev muaj zog capnograph thaum CPR thiab tom qab ROSC (S733).
EtCO2 Saib Xyuas vs SpO2Saib xyuas
Piv rau pulse oximetry (SpO₂),EtCO2kev saib xyuas muaj qhov zoo sib xws. Vim EtCO₂ muab kev nkag siab ntawm lub sijhawm tiag tiag rau hauv lub qhov cua alveolar, nws teb sai dua rau cov kev hloov pauv hauv kev ua pa. Hauv cov xwm txheej ntawm kev ua pa tsis zoo, EtCO₂ qib hloov pauv yuav luag tam sim ntawd, thaum poob hauv SpO₂ tej zaum yuav poob los ntawm ob peb feeb mus rau feeb. Kev soj ntsuam tas li ntawm EtCO2 ua rau cov kws kho mob tuaj yeem kuaj pom kev ua pa tsis zoo ua ntej, muab lub sijhawm tseem ceeb rau kev cuam tshuam raws sijhawm ua ntej cov pa oxygen saturation poob.
EtCO2 saib xyuas
Kev soj ntsuam EtCO2 muab kev ntsuas lub sijhawm tiag tiag ntawm kev sib pauv pa roj pa thiab alveolar qhov cua. EtCO2 qib teb sai sai rau kev ua pa txawv txav thiab tsis cuam tshuam los ntawm cov pa oxygen ntxiv. Raws li kev soj ntsuam tsis muaj kev cuam tshuam, EtCO2 tau siv dav hauv ntau qhov chaw kho mob.
Pulse Oximetry Monitoring
Pulse oximetry (SpO₂) saib xyuasSiv cov ntiv tes tsis muaj qhov ntsuas ntsuas ntsuas ntshav cov pa oxygen saturation, ua kom muaj txiaj ntsig zoo ntawm hypoxemia. Cov txheej txheem no yog cov neeg siv-phooj ywg thiab zoo haum rau kev saib xyuas lub txaj tas li ntawm cov neeg mob uas tsis mob hnyav.
Daim ntawv thov kev kho mob | SPO₂ | EtCO2 | |
Mechanical Ventilator | Esophageal intubation ntawm endotracheal raj | qeeb | Ceev ceev |
Bronchial intubation ntawm endotracheal raj | qeeb | Ceev ceev | |
Ua pa ntes lossis xoob txuas | qeeb | Ceev ceev | |
Hypoventilation | x | Ceev ceev | |
Hyperventilation | x | Ceev ceev | |
Txo cov pa oxygen txaus | Ceev ceev | qeeb | |
Tshuab tshuaj loog | Soda txiv qaub qaug zog / ua pa | qeeb | Ceev ceev |
Tus neeg mob | Tsawg kev tshoov siab oxygen | Ceev ceev | qeeb |
Intrapulmonary shunt | Ceev ceev | qeeb | |
Pulmonary embolism | x | Ceev ceev | |
Malignant hyperthermia | Ceev ceev | Ceev ceev | |
Circulatory ntes | Ceev ceev | Ceev ceev |
Yuav Ua Li Cas Xaiv CO₂ Accessories thiab Consumables?
North America tam sim no tswj hwm kev lag luam, suav txog kwv yees li 40% ntawm cov nyiaj tau los thoob ntiaj teb, thaum thaj av Asia-Pacific xav kom sau npe qhov kev loj hlob sai tshaj plaws, nrog kev kwv yees CAGR ntawm 8.3% nyob rau tib lub sijhawm. Cov thawj coj thoob ntiaj tebtus neeg mob saib xyuasmanufacturers-xws liPhilips (Respironics), Medtronic (Oridion), Masimo, thiab Mindray-yog niaj hnub tsim kho tshiab hauv EtCO2 thev naus laus zis kom ua tau raws li cov kev xav tau hloov zuj zus ntawm kev siv tshuaj loog, kev kho mob tseem ceeb, thiab tshuaj kho mob xwm txheej ceev.
Txhawm rau ua kom tau raws li kev kho mob thiab txhim kho kev ua haujlwm zoo rau cov neeg ua haujlwm kho mob, MedLinket tsom rau kev tsim thiab tsim cov khoom siv tau zoo, xws li cov kab piv txwv, cov khoom siv hauv nruab nrog cev, thiab cov cuab yeej dej. Lub tuam txhab tau mob siab rau muab cov chaw kho mob nrog cov kev daws teeb meem siv tau zoo rau ob qho tib si tseem ceeb thiab kev saib xyuas sab nraud, uas tau sib xws nrog ntau tus neeg saib xyuas cov npe, pab txhawb rau kev txhim kho ntawm kev soj ntsuam ua pa.
Mainstream thiab lwm yam 2 sensorsthiabairway adaptersyog cov khoom siv ntau tshaj plaws thiab cov khoom siv rau kev saib xyuas lub ntsiab.
Rau kev saib xyuas sab nraud,xav txog xws li, sidestream sensors, thiabdej ntxiab, CO2 Sampling kab, nyob ntawm seb koj xav tau kev teeb tsa thiab tu.
Dej Trap Series | ||||||||||
OEM Chaw Tsim Tshuaj & Qauv | Ref duab | OEM # | Order Code | Cov lus piav qhia | ||||||
Tau tshaj Mindray (Tuam Tshoj) | ||||||||||
Rau BeneView, iPM, iMEC, PM, MEC-2000 series saib, PM-9000/7000/6000 series, BeneHeart defibrillator | ![]() | 115-043022-00 ib (9200-10-10530) | RE-WT001A | Dryline dej ntxiab, Cov Neeg Laus / Pediatirc rau dual-slot module, 10pcs / thawv | ||||||
![]() | 115-043023-00 ib (9200-10-10574) | RE-WT001N | Dryline dej ntxiab, Neonatal rau dual-slot module, 10pcs / thawv | |||||||
Rau BeneVision, BeneView series saib | ![]() | 115-043024-00 ib (100-000080-00) | RE-WT002A | Dryline II dej ntxiab, Cov Neeg Laus / Pediatirc rau ib qhov-slot module, 10pcs / thawv | ||||||
![]() | 115-043025-00 ib (100-000081-00) | RE-WT002N | Dryline II dej ntxiab, Neonatal rau ib lub qhov rooj module, 10pcs / thawv | |||||||
Tau tshaj GE | ||||||||||
GE Solar Sidestream EtCO₂ Module, GE MGA-1100 Mass Spectrometer GE Advantage System, EtCO₂ Sampling Systems | ![]() | 402668-008 | CA 20-013 | Ib tus neeg mob siv 0.8 micron Fitter, tus qauv Luer Lock, 20pcs / lub thawv | ||||||
GE Healthcare gventilator, saib, tshuaj loog tshuab nrog E-miniC roj module | ![]() | 8002174 ib | CA 20-053 | Internal Container ntim yog> 5.5mL, 25pcs / box | ||||||
Tau tshaj Drager | ||||||||||
Tau tshaj Drager Babytherm 8004/8010 Babylog VN500 ventilator | ![]() | 6872130 ib | WL-01 | Ib tus neeg mob siv Waterlock, 10pcs / box | ||||||
Tau tshaj Philips | ||||||||||
Compatible Module:Philips - IntelliVue G5 | ![]() | M1657B / 989803110871 | CA 20-008 | Philips dej ntxiab, 15pcs / thawv | ||||||
Tau tshaj Philips | ![]() | CA 20-009 | Philips dej khib nyiab | |||||||
Compatible Module:Philips - IntelliVue G7 yog qhov zoo tshaj plaws rau cov neeg siv khoom | ![]() | 989803191081 ib | WL-01 | Ib tus neeg mob siv Waterlock, 10pcs / box |
CO2 Sampling kab | ||||
Tus neeg mob connector | Tus neeg mob connector duab | Instrument interface | Instrument interface duab | |
Luer Plug | ![]() | Luer plug | ![]() | |
T-type sampling kab | ![]() | Philips (Respironics) plug | ![]() | |
L-type sampling kab | ![]() | Medtronic (Oridion) plug | ![]() | |
Nasal sampling kab | ![]() | Masimo plug | ![]() | |
Nasal / Oral sampling kab | ![]() | / |
|
Post lub sij hawm: Jun-03-2025