, . , MSc, Phd...

( - ) ( ) monitoring

;

: (PaO2) 60mmHg SaO2 90%.

: .

PaO2 15-85 : 104,2 - ( x 0,27)mmHg.

: (, ), ( ), shunt (ARDS). : (, CO). () : (). : ATP.

monitoring

Ro CT MRI

, , () (Ca)

( ) ()

(Shunt)

: PO2

(Ventouri)

Ambu

CPAP

, . , , ,

, , , (. 351/1989) .. 683/48 ,

(/ ): , .

: :- ( ),- - .

1-5m: (6-17 ).

:- ( ),- ,- , , .

:- ,- ,- ( FRC TLC),- 10sec ( ).

:- : , ,- : , - ,- : , ,- .

:- : - ,- ,- : .

:- ,- : ,- /: ,- : .

:- ( ),- 5-10min, ,- , 1-5m.

: 40-60%, - . , 370C 100% ( ) .

: - . - : , , , . - : : FRC, , .

(1 ): () 0,5ml 10lt 2. - (2 ): , , .

- : -,- : , , -,- : ,- : .

: . ( ): . . : , .

:

Yeaw. Am J Nursing 1992, 3: 26 , Rowat. Nursing Times 2001, 97: 30

(ARDS): : : >25mmHg , , Murray TA, Crit Care Nurs 2002, 22: 52Curley MA, Am J Crit Care 1999, 8: 397

ARDS , V/QMarion BS, Am J Nursing 2001, 101: 26

? Meade M. Evidence Based Nursing 2002, 5: 52

(ARDS): Fowler 45 , FowlerRichard JCM, Intensive Care Med 2006, 32: 1623Messerole E, Am J Respir Crit Care Med 2002, 165: 1359

(VAP): CDC: 30 45

> 24

Tablan OC, MMWR Recomm Rep 2004, 53: 1Grap MJ, Am J Crit Care 2005, 14: 325

, . /Wheeler , Nursing in Critical Care, 1997, 2: 129 Lasater, Erhard, Critical Care Nurse 1995, 15: 31

:

( ) : ( ) ( )Moore, Nursing in Critical Care 2002, 7: 278Yeaw, American J of Nursing 1992, 3: 26

VC (volume control): PC (pressure control):

PS (pressure support): . . .SIMV (Synchronized Intermittent Mandatory Ventilation): , ,

CPAP (Continuous positive airway pressure): . (PEEP): . .

(weaning): 2 < 350mmHg VC >10 -15 ml/kg < 20cmH2O

Nurse led weaning : Walsh Br J Anaesthesia 2004, 92:793Crocker Int Crit Care Nurs 2002, 18: 272Price Int Crit Care Nurs 2001, 17: 167