"iron-lungs", whether or not combined with gas breathing means (A61H31/02)
A61H31/02 "iron-lungs", whether or not combined with gas breathing means(339)
FIELD: medicine.SUBSTANCE: artificial ventilation is performed throughout the entire period of artificial circulation with a respiratory volume of 4 ml/kg, respiration rate of 6 in 1 min, PEEP 5 cm H2O, FiO2 0.3-0.4. At that, nitrogen oxide - NO is fed into the extracorporeal circulation circuit at a dose of 40 ppm immediately after the cardiopulmonary bypass is connected and the estimated volumetric rate of perfusion and perfusion balance is achieved throughout the entire period of artificial circulation. Before patient disconnection from mechanical perfusion and transferring to natural circulation, the settings of artificial ventilation are returned to the original pre-perfusion parameters, NO supply to the extracorporeal circulation circuit is stopped.EFFECT: method allows to reduce the number of respiratory complications in the postoperative period in patients operated under IC conditions, to reduce the financial costs of treatment and to improve the results of cardiosurgical interventions.1 ex
FIELD: medicine.SUBSTANCE: special device is used for artificial respiration, containing two coaxially located bellows, hermetically sealed at the ends by flanges containing handles configured to deform the bellows, and a breathing chamber connected via a flexible duct with the face mask of the victim. Through the valves with internal bellows and inter-bellows space, the volume of the inner bellow and the volume of inter-bellow space are connected via valves to the atmosphere, with a possibility of air entering to the inner bellow and exiting from the inter-bellow space to the atmosphere. At that, the volume of the inner bellow is equal to the volume of the inter-bellow space. During artificial inspiration, the volume of bellows is reduced to fill the lungs with the respiratory mixture from the second bellow, and to vent the respiratory mixture from the first bellow. And during artificial exhalation, bellows volume increases to fill the first bellow with the exhalated respiratory mixture and to fill the second bellow with fresh respiratory mixture for subsequent inhalation. The procedure is repeated until the patient's breathing is restored.EFFECT: method and the device allow to increase the efficiency of artificial ventilation during resuscitation.3 cl, 1 dwg
FIELD: medicine.SUBSTANCE: artificial ventilation device contains an inhalation gas generator connected to the flow rate regulator with means for communication with the patient via the rotameter by a low pressure line and an electromagnet valve controlling gas mixture flow direction into the atmosphere or into the patient's lungs. The valve is installed on the exhalation hose and connected to the square-pulse generator and to the computer with the help of corresponding cables. The electronic regulator is represented by a square-pulse generator. The pulses frequency corresponds to that of breathing cycles; pulse relative duration corresponds to that of inhalation and exhalation. The device is equipped with software with a data base and a controller blocking the valve actuating.EFFECT: design improvement.
FIELD: medicine.SUBSTANCE: invention relates to medical technology, in particular, to artificial pulmonary ventilation apparatus applicable both under clinic conditions and outside medical facilities. Natural and industrial catastrophes, terrorist activities and war place raise higher demands to medicine experience and equipment used. The artificial ventilation device contains an inhalation gas generator connected to the flow rate regulator with means for communication with the patient via the rotameter by a low pressure line and an electromagnet flow direction control valve installed on the exhalation hose and connected to the electronic regulator output. The electronic regulator is represented by a square-pulse generator; the frequency of the generator pulses per minute corresponds to that of breathing cycles per minute; the pulse relative duration corresponds to that of inhalation and exhalation. The device is additionally equipped with a computer connected to the square-pulse generator and the electromagnet valve; the computer is equipped with software for pulmonary ventilation performance with dangerous ventilation parameters blocked.EFFECT: one proposes an invention that significantly enhances potential of newborn children rescue due to application of artificial breathing under extreme conditions.
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to anesthesiology, and can be used in patients during and after highly traumatic operations on thoracic and lumbar spine. For this purpose general anesthesia is performed with sevoflurane. Additionally during operation epidural analgesia is performed by infusion of mixture of 0.2% solution of ropivacaine with fentanyl 2 mcg/ml and adrenalin 2 mcg/ml at rate 5-10 ml/hour. In postoperative period anesthesia is performed by constant infusion of mixture at rate 4-8 ml/hour.EFFECT: method makes it possible to ensure adequate and safe anesthesia during surgery due to breaking pain impulsation at the level of spine cord segments in combination with superficial sedation, as well as in postoperative period due to multidirectional action of mixture components.1 ex
FIELD: medicine.SUBSTANCE: group of inventions refers to medicine. A ventilation system comprises a device designed to supply positive pressure ventilation and negative pressure ventilation. A controller uses said device to supply a patient with total ventilation pressure required by synchronising both specific positive pressure ventilation supply, and specific negative pressure ventilation supply. Negative pressure is extrathoracic and supplied to a thoracic interface for the purpose of inspiratory exposure on a patient. There are disclosed versions of the ventilation system characterised by generating total ventilation pressure, and methods of ventilation.EFFECT: invention provides higher patient's comfort and safety.23 cl, 8 dwg
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to pulmonology, and can be used if diagnostic bronchoalveolar lavage required in patients suffering moderately severe and severe bronchial asthma. For this purpose, bronchofiberscopy is combined with single introduction and single aspiration of physiologic saline 8-10 ml heated to 37°C. Simultaneously, high-frequency jet pulmonary ventilation (HF JPV) at inspiration-expiration relation 1:2 and respiratory rate 160 per 1 min for 40-90 seconds is used.EFFECT: technique provides faster and more voluminous fluid flow from alveoli to bronchial tubes due to prevented decrease in blood oxygenation while carrying out the procedure owing to the simultaneous use of HF JPV in a certain mode.2 tbl
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to children's anesthesiology and resuscitation science, and can be used as prevention of bronchopulmonary dysplasia in newborn babies with very low and extremely low body weight. For this purpose, to newborn babies, who have been for not less than 7 days of life on non-invasive ALV in mode Biphasic/DuoPAP through nasal cannulas or in mode CPAP through nasal cannulas and on invasive ALV, introduced is "Surfactant BL" in single dose 53-75 mg/kg. Introduction is performed from 8 to 27 days of life inclusive, in sessions 10-15 minutes long depending on volume of Surfactant BL suspension by nebuliser with aerosol generator OnQ Aeroneb® Pro. At most 5 sessions are carried out.EFFECT: method makes it possible to prevent development of bronchopulmonary dysplasia in said category of patients due to introduction of surfactant BL, which contains surfactant-associated proteins by means of nebuliser, making it possible to introduce medication at rate, optimal for alveolar deposition, preserving its molecular integrity.4 tbl, 4 ex
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely, to anaesthesiology and can be used as anaesthesia care of orthopaedic surgeries in children. That is ensured by an initial inhalation narcosis of Sevoflurane. It is followed with epidural cavity catheterisation and spinal anaesthesia by introduction of Marcain 0.5% isobaric. In 80 minutes after the beginning of spinal anaesthesia, bolus dosing of 0.2% Naropin 0.6 mg/kg in the epidural space follows. Continuous infusion of Naropin in the epidural space is maintained at 0.2-0.3 mg/kg/h during the surgical procedure.EFFECT: method allows improving effectiveness of walking epidural in children, and preventing hemodynamic complications due to minimum pharmacological intervention of the patient's body ensured by low concentration of introduced Naropin.1 ex
FIELD: medicine.SUBSTANCE: inventions relate to medicine, namely, to anesthesiology, and can be used in case of operative interventions in patients with tumor and/or scar stenoses of central bronchi and/or trachea. Artificial lung ventilation is realised by means of special device including compressor of compressed medicinal air, pressure regulator, lever jet interrupter, apparatus for high-frequency artificial lung ventilation and double nozzle with diametre of both nozzles 3 mm, installed in proximal part of tracheobronchoscope tube. One nozzle is connected with said compressor, pressure regulator and lever jet interrupter, and said apparatus for high-frequency jet-stream lung ventilation is connected with other nozzle of double nozzle for realisation of high-frequency jet-stream lung ventilation with pure oxygen. After intubation of trachea with tube of rigid tracheobronchoscope with installed in its proximal part double nozzle, high-frequency apparatus jet-stream ventilation with pure oxygen is performed through first nozzle with frequency 100-180 cycles per minute, with working pressure 100-200 kPa. Additionally, through second nozzle simultaneously parallel standard-frequency manual jet-stream lung ventilation with compressed medical air is performed with frequency 20-40 cycles per minute with working pressure 100-150 kPa until patient's state is compensated. At the stage of mechanical manipulations simultaneously or successively parallel or alternately combined or only high-frequency apparatus jet-stream lung ventilation with pure oxygen is performed. At the stage of argonoplasma coagulation with high activity of argon arc successively alternately standard-frequency manual jet-stream lung ventilation with compressed medical air is performed.EFFECT: inventions allow to reduce considerably risk of respiratory mixture inflammation and occurrence of respiratory way burn when performing argonoplasma manipulations due to controlled change of oxygen concentration in respiratory mixture in process of operation, ensuring at the same time optimal blood oxygenation and adequate removal of carbon dioxide when carrying out artificial lung ventilation.2 cl, 3 dwg, 4 ex
FIELD: medicine.SUBSTANCE: invention relates to medical equipment, namely to devices of auxiliary lung ventilation in adults and children with diminished breath and can be used in intensive care departments, as well as in specialised respiratory rooms for non-drug treatment of patients with chronic nonspecific lung diseases. Apparatus contains patient's T-piece, flow rate sensor, gas-distributing device, control device, device of breath signal processing, including accumulating adder, five multipliers, adder, two dividers, count metre, converter, two comparison devices and device of logical addition, on the first input of patient's T-piece air is supplied, its first output being directed into atmosphere, second output is connected with input of flow rate sensor, whose output is connected with first input of control device, first output of control device is connected with input of gas-distributing device, whose output is connected with second input of patient's T-piece, its third output is connected with man, second output of control device is connected with device of breath signal processing, namely with input of accumulating adder, whose second input is connected with first input of count metre, output of accumulating adder is connected with input of first multiplier, whose second input is connected with output of first divider, output of said divider is connected with input of second multiplier and sixth output of control device, output of first multiplier is connected with input of adder, whose second input is connected with output of converter, whose input is connected with output of count metre, output of adder is connected with input of fourth multiplier, whose other input is connected with output of third multiplier, first input of third multiplier is connected with output of second multiplier, output of second divider is connected with second input of third multiplier, input of second divider is connected with output of fifth multiplier, output of fourth multiplier is connected with first input of both comparison devices, on other inputs of these comparison devices threshold values are supplied, outputs of comparison devices are connected with input of device of logic addition, whose output is connected with second input of count metre and second input of control device.EFFECT: invention ensures extension of functional possibilities of apparatus of artificial lung ventilation and increase of efficiency of its application in medical practice due to introduction of device providing sequential analysis of input data basing on collected information about dispersion and input signal expectation value.2 dwg
FIELD: medicine; psychiatry.SUBSTANCE: course of trainings is carried out with hypercapnic hypoxia created by increase of additional volume of "dead" space; thus CO2 concentration in inhaled air gradually rises from 3 to 7% from the first to fifth day of training, O2 deficiency - from 0 to 11%. The total amount of trainings makes 14 sessions about 20 minutes daily.EFFECT: increase of neurosises and psychoemotional disorders treatment efficiency with the help hypercapnic hypoxia, increase of brain neurones resistance to hypoxia and cerebral circulation improvement.1 dwg, 1 ex
FIELD: medicine; anesthesiology.SUBSTANCE: ventilation of the lungs is carried out by means of use of the artificial lungs ventilation apparatus including the rebreathing system, consisting of an endotracheal tube connected with hoses using a connector. Thus the connector has three connecting parts with the channels, two of them are connected to the hoses. Internal surfaces of channels of the hoses are executed with helicoid twisting to the right or to the left and step of a screw line equal π D where π the number peer 3.14, D - diametre of channels of the hoses. One of the connector channels is connected to an endotracheal tube supplied with a helicoid dividing plate which divides the tube channel into two halves and is executed with step of a screw line peer π D. The apparatus also contains a distributing device, switching mechanism, inspiration generator and input of compressed air. Periodic moving of respiratory gas and-or its admixture with anaesthetics between an environment and lungs of the patient is carried out through the rebreathing system. Thus screw counterflow movement of respiratory gas and-or its admixture with anaesthetics to the right or to the left is provided in an artificial inspiration of the patient before supply in the respiratory system of the patient, and also to the fulfilled gas in an endotracheal tube and-or in hoses provide. Respiratory gas with the right direction of rotation is supplied to the patients with normal location of internal organs, and with the left direction of rotation - to the patients with a mirror location of internal organs.EFFECT: optimum and effective pulmonary ventilation and gas exchange at the expense of reproduction during inspiration of helicoid movement of gas which is the most physiologic and allows reaching alveoluses and small bronchioles.2 cl, 1 tbl, 3 dwg
FIELD: medical equipment.SUBSTANCE: for determination of sequence of gas supply under pressure, carry out the current control of physiological parameter which is an activation indicator. Define, whether specifies this physiological parameter in the beginning of activation and regulate sequence of gas supply under pressure for activation avoidance. Also define whether the beginning of activation is induced by resistance of the upper respiratory tracts or gas supply and carry out resetting of gas supply on the basis of it. Performance of the apparatus for observation or the control of a stream of gases, the apparatus for gas supply, the apparatus for monitoring of a physiological condition of the sleeping person, the apparatus for giving of a medical product and electro cardio-stimulator system is resulted.EFFECT: inventions allow providing minimisation of activation during therapy.7 dwg, 57 cl
FIELD: medicine.SUBSTANCE: invention relates to medicine and can be made used of in anesthesiology and critical care medicine, in particular for provision of biomechanics monitoring of breath and gas mixture composition in the process of jet pulmonary ventilation. Parameters of breath mechanism and the gas mixture composition are measured together with estimated result in accordance with physiologic norms. Respiratory support is also implemented, as well as a pause during 3-6 seconds, the beginning of which is chosen in arbitrary respiratory cycle simalteneousle with termination of the inhale phase and the beginning of the exhale phase 0.1-0.2 seconds prior the pause termination the measurement of alveolar pressure and carbonic acid and oxygen content are implemented. The ventilation is implemented with the frequency of 60-300 cycles a minute and turbulent current with the speed above 5 m/second.EFFECT: provision of respiratory support parameters control registration.5 dwg
FIELD: medicine.SUBSTANCE: the present innovation deals with treating sleep disorders. During a patient's sleep it is necessary to register the episodes of chin muscles' activation on the electromyogram and after the 5th episode of this activation one should supply a doubled air pressure against that registered before the sleep. The present innovation widens the number of means for treating the snore in such patients.EFFECT: higher efficiency of therapy.1 dwg, 2 ex
FIELD: medicine.SUBSTANCE: method involves applying sedation and setting laryngeal mask after having done combined spinal epidural anesthesia. Next, controlled mechanical lung ventilation is carried out without total myorelaxation being applied in CMV mode selecting respiration volume being equal to 6-8 ml/kg of body weight, peak flow of 50-65 l/min in applying rectangular gas mixture injection mode or 65-85 l/min in applying descending gas mixture injection mode. Inspiration-to-expiration ratio is selected 1:1.3-1:1.7, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, forced breathes frequency equal to 10-16 per 1 min, basic positive pressure value at the expiration end being equal to 3-4 cm of water column. The operation being over, the laryngeal mask is removed and auxiliary non-invasive lung ventilation with air and oxygen mixture is applied via facial mask in breathing support mode with PSV pressure. The support pressure is equal to 10-15 cm of water column on inhaling, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, positive pressure value at the expiration end being equal to 3-4 cm of water column, trigger sensitivity being 2-3l/min. Respiration support is continued until respiration volume is not less than 6-7 ml/kg of body weight.EFFECT: reduced risk of negative consequences; accelerated respiratory rehabilitation.
FIELD: medicine.SUBSTANCE: method involves applying sedation and setting laryngeal mask after having done epidural anesthesia. Next, controlled mechanical lung ventilation is carried out without total myorelaxation being applied in CMV mode selecting respiration volume being equal to 6-8 ml/kg of body weight, peak flow value of 50-65 l/min in applying rectangular gas mixture injection mode or 65-85 l/min in applying descending gas mixture injection mode. Inspiration-to-expiration ratio is selected 1:1.3-1:1.7, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, forced breathes frequency equal to 10-16 per 1 min, basic positive pressure value at the expiration end being equal to 3-4 cm of water column. The operation being over, the laryngeal mask is removed and auxiliary non-invasive lung ventilation with air and oxygen mixture is applied via facial mask in breathing support mode with PSV pressure. The support pressure is equal to 10-15 cm of water column on inhaling, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, positive pressure value at the expiration end being equal to 2-3 cm of water column, trigger sensitivity being 2-3 l/min. Respiration support is continued until respiration volume is not less than 6-7 ml/kg of body weight.EFFECT: reduced risk of negative consequences; accelerated respiratory rehabilitation.
FIELD: medicine, medicinal equipment.SUBSTANCE: one should carry out additional pulmonary ventilation at the background of stabilized positive end-expiratory pressure (PEEP). At expiration in case of PEEP one should expect a patient's independent respiratory attempt, moreover, it is necessary to compare the current PEEP value at permissible threshold value of pressure fluctuation in a patient's lungs to identify a patient's own respiratory attempt. Additional act of inhalation should be carried out at identifying a patient's own respiratory attempt or the time of inhalation delay achieved maximally permissible value. One should create PEEP by applying an effort that creates the pressure of respiratory mixture at inhalation line of respiratory contour, up to a reverse respiratory valve; one part of this respiratory mixture should be supplied towards the exit of respiratory contour for overlapping the expiration line and, additionally, it is necessary to force respiratory mixture into respiratory contour out of inhalation line, if the value of the pressure behind reverse valve of inhalation being below the pressure before reverse valve of inhalation. At the entrance of the reverse valve of inhalation respiratory mixture exists constantly. The innovation deals with additional pulmonary ventilation, compensation of leakages out of respiratory contour and maintaining constant level of PEEP at waiting for the onset of a patient's respiratory attempt at expiration. The innovation enables to automatically maintain the constant level of PEEP while waiting for a patient's respiratory attempt at expiration.EFFECT: higher efficiency.5 cl, 2 dwg
FIELD: medicine.SUBSTANCE: method involves after performance of spinal anesthesia applying sedation with the subsequent installation laryngeal masks. Then controllable mechanical ventilation of lungs is carried out without total myorelaxation in CMV-mode with respiratory volume of 6-8 ml/kg of body weight, peak flow rate of 50-65 l/min when using rectangular pattern of gas mixture supply or 65-85 l/min when using descending pattern of gas mixture supply. Inhalation-to-exhalation ratio is equal to 1:1.3-1:1.7, oxygen fraction on inhaling FiO2 is 0.25-0.3, compulsory breathing frequency is 10-16 breathings per 1 min, positive base pressure at the end of exhalation is equal to 3-4 cm of water column. Laryngeal mask is removed at the end of operation and auxiliary noninvasive ventilation of lungs is applied using air-oxygen mixture through facial mask in pressure breathing support mode of PSV. Thus, breathing support pressure is equal to 10-15 cm of water column. Oxygen fraction on inhaling FiO2 is equal to 0.25-0.3, positive pressure at the end of exhalation is equal to 2 3 cm of water column, trigger sensitivity is 2-3 l/min. Respiratory support is carried out until respiratory volume achieves the level not less than 6-7 ml/kg of body weight.EFFECT: prevented negative effects accompanying total myorelaxation and trachea intubation anesthesia; fast respiratory rehabilitation of patients after operation.
FIELD: medicine.SUBSTANCE: method involves increasing respiration minute volume after applying carbodioxyperitoneum in a way that CO2 concentration is to be within 32-38 mm of mercury column and remaining at this level during the carbodioxyperitoneum treatment course. The CO2 concentration is supported at 30-32 mm of mercury column for 5-10 min after canceling the carbodioxyperitoneum with following respiration minute volume reduction until CO2 concentration reaches normal values.EFFECT: reduced frequency of postoperative nausea and vomiting attacks.1 dwg, 4 tbl
FIELD: medicine.SUBSTANCE: method involves treating biological object placed in medium containing at least one gas, with gas mixture containing oxygen as one of its ingredients. The treatment is carried out during at least one procedure in cyclic mode keeping given pattern providing saturation and/or desaturation of at least one gas mixture ingredient in biological object tissue cells according to given algorithm. The number of procedures and their periodicity are selected depending on the number of saturated and/or desaturated gases and their saturation and/or desaturation degree.EFFECT: activated oxidation-reduction and energetic processes.21 cl
FIELD: medicine, pediatrics, anesthesiology.SUBSTANCE: at induction of general anesthesia one should conduct traditional two-lung ventilation at the mode of positive pressure at the end of expiration, on visualizing pleural cavity one should change for high-frequency pulmonary ventilation at respiration frequency being 130-150 cycles/min, respiratory volume of 3-6 l, the ratio of inhalation to expiration being 1:1 and fractional content of oxygen being 0.7-0.8. During performing the stage requiring lung's stillness it is necessary to conduct artificial ventilation in counter-lateral lung at the mode of positive pressure being at the end of expiration, on finishing that stage one should start high-frequency artificial ventilation; operation should be finished with traditional two-lung ventilation. The innovation provides stabilization of hemodynamics and safety of gaseous homeostasis.EFFECT: higher efficiency.2 ex
FIELD: medicine.SUBSTANCE: method involves introducing catheter via nasal passage into the rhinopharynx and fixed above the entrance to larynx and artificial high frequency jet ventilation is carried out with frequency of 140-150 cycles per min in three stages. Compressed gas working pressure is increased at the first stage to 2.0-2.5 kg of force/cm2 during 7-10 min. The compressed gas working pressure is supported at this level to the moment the clinic manifestations of pulmonary edema being removed and gas exchange normalization being achieved at the second stage. The working pressure is stepwise dropped during 1-2 h at the third stage hold during 10-15 min at each step.EFFECT: enhanced effectiveness in normalizing hemodynamics.
FIELD: medicine.SUBSTANCE: method involves setting respirator operation parameter values taking into account height h, age a and patient body mass m; proper value of thoracic pulmonary extensibility Cprop is determined with patient body mass taken into account. Positive pressure at the end of expiration as forced ventilation characteristic with thoracic pulmonary extensibility taken into account. Then, forced volume-controlled artificial pulmonary ventilation is carried out. Breathing frequency and inhaled volume are adjusted to achieve normal lung ventilation followed by auxiliary lung ventilation.EFFECT: reduced negative influence upon lungs, systemic and cerebral hemodynamic characteristics; retained pulmonary gas exchange.4 cl, 3 dwg
FIELD: medicine; artificial respiration apparatuses.SUBSTANCE: apparatus has support, actuating mechanism and drive. Support is made in form of frame provided with rigid wheels, four bosses provided hole and placed in pairs in opposite and symmetrically to longitudinal axis extendable bed onto solid rollers; bed is provided with head support and lock. Actuating mechanism is mounted onto top part of frame and has four guides having smooth part inserted into hole of bosses, four elastic elements put onto smooth parts of guides, breast cuff placed among guides, arm with ears which has bushings to be housed onto threaded part of guides, working tool placed above breast cuff. Working tool is made of disc provided with axis which has ends to be embedded into rollers of ears of the arm. Apparatus also has aid for influencing breast cuff which aid is fixed onto disc for movement relatively the axis. Breast cuff has elastic sheet made in form of rectangle provided with bushings at the angles, solid plank fastened in the middle of the sheet, two cords which have first ends to fasten to opposite side faces. Drive has electric motor, redactor provided with speed gear-box, coupling and chain gear with bridle. Elastic elements are made in form of coil cylindrical or conical springs. Aid for influencing breast cuff has Π-shaped groove in the middle and slot at side surfaces. Slot has length determined by ratio of Λ=2D, where Λ is length of slot and D is diameter of disc. Width of slot allows moving axes and screws inside it.EFFECT: simplified kinematical design of apparatus.11 dwg
FIELD: medicine.SUBSTANCE: method involves applying dosed load to cardiac respiration system due to compressed gas working pressure being reduced by 0.4 kg/m2 keeping it constant during 5-20 min. Then, the working pressure is reduced depending on patient state starting with a rate of 0.02-0.08 kg/m2/min. Gas exchange and hemodynamic parameters being in norm, the selected rate is increased. The parameters deviating from a norm, the selected rate is adjusted by increasing working pressure to reach their normal values. Optimum gas flow rate is determined and the working pressure is reduced at this rate, continuing to adjust its value under unchanged gas exchange and hemodynamic parameter values or their deviation from norm.EFFECT: accelerated treatment course.2 cl
FIELD: medicine.SUBSTANCE: method involves applying auxiliary non-invasive lung ventilation with air-and-oxygen mixture in PSV mode with supporting pressure being equal to 8-12 cm of water column at inspiration phase, FiO2 0.25-0.3, positive pressure at expiration phase end equal to 2-4 cm of water column being applied. Inspiration trigger sensitivity being equal to 15-2 cm of water column relative to positive pressure at expiration phase end level to reach tidal respiratory volume not less than 6-7 ml/kg under SpO2 and blood gases control.EFFECT: prevented acute respiratory insufficiency; improved alveolar ventilation; reduced venous bypass.
FIELD: medical engineering.SUBSTANCE: device has oxygen inhalation sets and artificial lung ventilation means enclosed into dust- and moisture-proof envelopes usable as oxygen-delivery unit. Portable thermochemical oxygen-producing units are connected to the means. Every thermochemical oxygen-producing unit is cylindrical and has casing and cover which flanges are connected to each other via sealing ring by means of removable yoke. The casing has three metal cups inserted one into another and fixed in upper part in the flange. Reactor cartridge provided with hard oxygen-containing composition for setting starter device having striking mechanism is placed in the internal cup. The external cup is perforated and serves as protection casing. Oxygen production unit cover is divided into two parts one of which has safety valve connected to the first output of the reactor cartridge, dust collection filter connected to the second reactor cartridge output on one side and connected to additional cleaning filter via heat exchange unit on the other side, heat exchanger, gas connection nipples, guide member usable in striking mechanism, safety valve and dust collection filter are fixed on cover flange. Additional cleaning filter body is placed on the second part of oxygen production unit cover. Cavity for letting striking mechanism guide pass is arranged along central axis of the additional cleaning filter body. Nipple for releasing oxygen is available on the additional cleaning filter body cover. The nipple has captive nut for making connection to feeding pipe. Starter unit is fixed on the oxygen-producing unit cover and has capsule. The striking mechanism has striker and spring arranged in guiding tube. Air-convection heat exchange unit has coiled pipe manufactured from copper tube. Reflexogenic therapy instrument is available for making anesthesia of wounded person.EFFECT: enhanced effectiveness of complex treatment with delivering oxygen anesthesia.2 cl, 4 dwg
FIELD: medical engineering.SUBSTANCE: device has flow generator, compressed oxygen source, gas distribution device, patient T-branch, control system having microprocessor controller connected to the gas distribution device with all its outlets, flow velocity and upper airway pressure sensors pneumatically connected to the patient T-branch. The device has unit containing arterial blood pressure sensor, heart beat rate sensor, sensor of hemoglobin saturation with oxygen, electric output terminals of which form data bus with those of flow velocity and upper airway pressure sensors. The control system is additionally provided with fuzzy controller and three memory units having their inputs connected via electrical link to fuzzy controller output and their outputs to microprocessor controller input, to data bus output and fuzzy controller input connected to PC with its input.EFFECT: enhanced effectiveness of treatment; accelerated transition to natural breathing.2 dwg
The invention relates to medicine, resuscitation, and can be used to assess the effectiveness of assisted ventilation (WL)
The invention relates to medical equipment, namely, devices for artificial ventilation of the lungs, and is intended for use in the departments of surgery, anesthesiology and intensive care
The invention relates to medicine, namely to resuscitation, and can be used to assess the adequacy of assisted ventilation
The invention relates to medicine, in particular to methods and means for restoring proper breathing patients after artificial ventilation of the lungs
The invention relates to medicine, namely anesthesiology, and can be used to provide intraoperative monitoring of the spinal cord through the implementation of planned urgent Wake-up the patient on the stage surgical correction of scoliosis or other spinal deformities
The invention relates to medicine, pediatric anesthesiology and can be used for anesthetic management video thoracoscopic surgery in children
The invention relates to medical equipment, namely, devices for artificial lung ventilation (ALV), and will find application in the departments of surgery, anesthesiology and intensive care
The invention relates to medical equipment, namely to methods of artificial controlled or assisted ventilation (ALV), and can be used in the process of intensive care clinical hospitals and medical research institutions, can also be used in neonatology for respiratory support
The invention relates to medicine, namely to devices active compression-decompression of the chest during resuscitation
The invention relates to medicine and is intended to improve the functions of circulation and respiration in patients with a decrease in these functions in the various branches of the profile, and can also be used for the resuscitation of
The invention relates to medicine and is designed to regulate the flow of gas to the patient, and the flow is adjusted to maintain a physiological process, such as an effective respiratory function and/or lack of revivals
The invention relates to medicine and can be used for the correction of cardio-respiratory status, including non-specific lung disease
The invention relates to the field of medical equipment and can be used in intensive care and resuscitation, as well as in specialized respiratory rooms for non-medicamental treatment of patients with chronic non-specific lung diseases
The invention relates to medical equipment, namely, devices, high-frequency ventilation, designed for intensive care, anesthesiology and critical care medicine
The invention relates to medical engineering, in particular to medical devices and health-improving practices and can be used for respiratory training for the prevention and treatment of diseases associated with the occurrence of hyperventilation of the lungs, and increase the adaptive capacities of the organism
The invention relates to medical equipment, namely, devices for artificial lung ventilation (ALV), and will find application in conditions of emergency, emergency medicine, anesthesiology, resuscitation and intensive care when replacing temporarily lost the ventilation function of the body
The invention relates to medicine and can be used in vehicles emergency disaster medicine, in the field and in the hospital
The invention relates to medical equipment and used for artificial lung ventilation (ALV) in the departments of surgery, anesthesiology and intensive care
The invention relates to medical engineering, in particular to apparatus for artificial ventilation of lungs