Sistemas de diagnóstico y tratamiento para enfermedades respiratorias (página 2)

13 Normas para ventiladores IEC 60601 – 24-Oct-2001 Medical electrical equipment – Part 2-12: Particular requirements for the safety of lung ventilators – Critical care ventilators. CSA Z168.5.2 – M1991 – 20-Mar-2000 Critical Care Ventilators (Preliminary standard) ASTM F1100-90 – 01-Jun-1990 Standard Specification for Ventilators Intended for Use in Critical Care. ASTM F1101-90 – 01-Jun-1990 Standard Specification for Ventilators Intended for Use During Anesthesia

14 Normas para ventiladores For Tracheal Tube Connectors and Adapters ANSI/Z79.2-1976 For Anesthetic Equipment- Oropharyngeal and Nasopharyngeal airways – ANSI/Z79.3 – 1983 For Anesthic equipment- Reservoir bags – ANSI/Z79.4 -1983 For Breathing Tube – ANSI/Z79.6 – 1975 For Breathing machines for Medical Use – ANSI/Z79.7-1976 Minimum Peformance and Safety requirements for Components and Systems of Continous-Flow Anesthesia Machines for Human Use – ANSI/Z79.8 – 1979

15 Normas para ventiladores For Humidifiers and Nebulizers for Medical Use ANSI/Z79.9-1979 Requirments for Oxygen Analyzers for Monitoring Patient Breathing-Mixtures ANSI/Z79.10-1979 For Anesthetic Equipment- scavenging Systems for Excess Anesthetic Gases ANSI/Z79.11-1982 For Oxygen Concentrators for Medical Use- ANSI/Z79.13-1981 For Anesthetic Equipment- Tracheal Tubes ANSI/Z79.14-1983 For Anasthetic Equipment- cuffed oral Trachea and Nasal Tracheal Tubes for Prolonged Use ANSI/Z79.16-1983

16 Ventiladores para Anestesia Son sencillos y confibles. Tienen mezclador de gases externo múltiple y capacidad para adicionar Vaporizadores Anestésicos. Tienen un reservorio para mezclar y “reciclar” el aire hacia el paciente. Tienen mando manual y pocos modos ventilatorios.

17 Mesa de Anestesia

18 Referencias Lachmann B., Open the lung and keep the lung open. – Intensive Care Medicine, 1992; 18: 319 – 321 Suter P, Wolf G., Positive pressure ventilation and the function of the other organs. – Int. Care Medicine, 1982; 8:59 Lachmann B., Danzmann E., Ventilator settings and gas exchange in RDS – Parkash editorial: Applied physiology in clinical respiratory care -pp 141 – 176 Nielsen J.B., Sjostrand U., Experimental Randomized study of five ventilatory modes in a piglet model of severe respiratory distress. – Intensive Care Med.,18: 339 – 347 Gattinoni L., Pelosi P., Regional effects and mechanism of positive end expiratory press. in early ARDS. – JAMA 1993; 269: 2122 – 2127

19 Referencias Marini J.J: New options for the ventilatory management of acute lung injury. New Horizons 1993- 1:489 – 503 Rappaport S.: Randomised, prospective trial of pressure-limited versus volume-controlled ventilation in severe respitatory failure. Crit. Care Med. 1994. 22: 22- 32 Suter PM: Current techniques of full or partial ventilatory support for acute pulmonary failure. In Artigas A. Lemaire Sassoon CS. Ventilator Modes: Old and New. Crit. Care Clinics 1990. 6: 605 – 634