Method and apparatus for determining respiratory system...

A - Human Necessities – 61 – M

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A61M 16/00 (2006.01)

Patent

CA 2407159

Method and apparatus are described for determining respiratory system resistance (R) in a patient receiving gas from a ventilator. A negative pulse in the pressure and/or flow output of the ventilator during selected inflation cycles is generated and Paw, V dot and V are measured at a point (To) near the beginning of the pulse, at a point (T1) near the trough of the negative pulse and at a point (T-1) preceding To. The value of R is calculated from the difference between Paw, V dot and V at To and at TI and where the change in patient generated pressure (Pmus) in the interval To - TI is estimated by extrapolation from the different between Paw, V dot and V and To and at T-I, in accordance with Equation 8.

Cette invention a trait à un procédé ainsi qu'à l'appareil correspondant permettant de déterminer la résistance du système respiratoire (R) chez un patient recevant un gaz fourni par un dispositif ventilatoire. On produit une impulsion négative dans la pression et/ou le débit en sortie du dispositif ventilatoire durant des cycles d'insufflation sélectionnés et on mesure la pression des voies aériennes (Paw), le débit et le volume (V· et V) à un point To proche du départ de l'impulsion, à un point T¿1? proche du creux de l'impulsion négative et à un point T¿-1? précédant To. On calcule la valeur de R à partir de la différence existant entre Paw, V· et V à To et à T¿-1? et les changements dans la pression générée par le patient (Pmus) dans l'intervalle To - T¿-1? sont estimés par extrapolation à partir des différences existant entre Paw, V· et V à To et à T¿-1? conformément à l'équation 8.

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