O

. , kikhsiap@panafonet.gr
.

()

()

aO2

( ... aO2 < 50,

, ,
)

50-60 => ,

> 60 => ,

( aO2 > 60 mmHg, Hb

90 % )

( )

Pa02 mmHg

S02

150

99

100-103

99

80-100

95-99

40-50

75-85

20

30-36

1-20

<30

aO2

( )

, = 103.5 - (42.) + 4 mmHg,

(
)

(
) :

:
: 2

:
: 2

.: ( v2 )

v2 40 mmHg

( .
.)

Hb

.
.
, .

. .,

( ),
(), .

( CO),

, ( ,)

, ,

, , Shynne-Stokes,

( ).

PaO2
PvO2
, .. ,

( )

(
)

!
8800 ()
253
< 14% (2 =
43 mmHg )

PaO2=28 mm Hg & PvO2=21

(PaCO2=7.5, Ph=7.7)

1
100

( 1 )
: Hb
( . 2)

SO2 100
b
,


,
Hb

. : , , ,
, , ...
(
, )

100

PaO2

1945,

,
( ,
)

25%
50%
35%

,
50-100 psis, 2500 psis (pounds
/square inch gauge) ( }

( )
( )
( )

( )
90% 2

, ,


( )

( )

50mmHg (0,5 ml 10

, ,
4-6 Lt / min
(
, , )

,
Venturi
(:
)

100%

() 2

1)
2)

2 2 100%
Lt / min

1
5-6

5-6
8-10

5-6
10
Venturi
4A

>>
CPAP
>>
T
7-10

3-8

2
(FiO2)
21-24
38-40
38-45
55-60
35-50
65100
28,35,40,50
21-100
21-100
21-100
40-50
>40%

1)

()
( )



( ).
:

300-700 ml ( BSA
)
< 25 / min

1) :

, , , :

:

(br / min )
(idal Volume )
( Insp. Time)




( 44% )

..
.
..
..
..
..

20 / min
500 ml / br
1 sec
2 sec
50 ml
6 Lt/min 100 ml / sec
= 20 %

2
( / > 6 Lt )

2 40%
2 : (
)

1) :

( )
> 6 / ,

,

,


2 ()

,
80 - 90 %

,


,

1) :

: 100%

,
,


(Scott)

(U)

- /, :

, , -


,

AMBU 2 15 lt/min
100%
(
)

2)

H



(>20 Lt/min
. (
Venturi)

VENTURI (

15 cm o Venturi

,
,


,
2 24 - 50 %


( )
12-14 Lt/min >60%
.

( )

SCOTT

(CPAP)

( Venturi )

( 80 )

:

( - )

,

( )

()
(
)

-
( )

( 2)
.
( 3)

, ,

1.
2.
3.
4.
5.

6.
7.
8.
9.

(, ,
)



- .

:

, ,

> 50 %
(
100% )


(.. ,
, )

1 (PaO2 < 60 mmHg)

2
3 (PaO2 < 50 mmHg)
4
5



( :

, ,
, :- ,
: -)

1.
2.
3.
4.
5.
6.
7.
8.

9.

-

Hb

:
()

<55

55-59

:
1-2 Lt/min (=: < 30%)
:

(, , ,
CPAP )

,
,
: ,
,
,

: , ,
, ,

.
(
)
( -)

.
.


V.

1.

( )

(
)

2.

(78% )

.

: (
30 100%)


V.

1.

2 > 40 %,

2.

( , 2 )

3. -

: 100% 6-7 (
/ : , )

o 70-100% 24

50-60% 3
< 40 % ,

, ,
(
.
,
(), , ,


( , , , )

;


(
, , ,
)

PaO2 2;
60mmHg
50mmHg CO2

75mmHg

;
FiO2