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WO2020258097A1 - Procédé et appareil de commande de ventilation, dispositif de ventilation médicale et support de stockage - Google Patents

Procédé et appareil de commande de ventilation, dispositif de ventilation médicale et support de stockage Download PDF

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Publication number
WO2020258097A1
WO2020258097A1 PCT/CN2019/093101 CN2019093101W WO2020258097A1 WO 2020258097 A1 WO2020258097 A1 WO 2020258097A1 CN 2019093101 W CN2019093101 W CN 2019093101W WO 2020258097 A1 WO2020258097 A1 WO 2020258097A1
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WIPO (PCT)
Prior art keywords
ventilation
recruitment
instruction
trigger time
parameter
Prior art date
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Ceased
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PCT/CN2019/093101
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English (en)
Chinese (zh)
Inventor
黄继萍
黄成华
潘瑞玲
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by Shenzhen Mindray Bio Medical Electronics Co Ltd filed Critical Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority to PCT/CN2019/093101 priority Critical patent/WO2020258097A1/fr
Priority to CN201980093585.7A priority patent/CN113543828B/zh
Publication of WO2020258097A1 publication Critical patent/WO2020258097A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes

Definitions

  • the embodiments of the present invention relate to the technical field of medical equipment, in particular to a ventilation control method and device, medical ventilation equipment, and storage media.
  • Atelectasis means that the volume or air content of one or more lung segments or lobes is reduced. If the patient develops atelectasis, it may lead to hypoxemia, loss of alveolar surfactants, obstruction of expiratory airflow, periodic alveolar collapse, recruitment lung injury, aggravation of lung infection and biological lung damage. The patient brought great harm.
  • the doctor can only manually adjust the ventilation parameters to perform ventilation, and the intelligence is low.
  • the embodiments of the present invention expect to provide a ventilation control method and device, medical ventilation equipment, and storage medium, which can automatically perform recruitment ventilation according to the received trigger time command and recruitment ventilation parameter command, and improve The intelligence of lung recruitment ventilation execution.
  • the embodiment of the present invention provides a ventilation control method, the method includes:
  • Recruitment ventilation is initiated according to the trigger time instruction, and the recruitment ventilation is executed by the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the step of initiating recruitment ventilation according to the trigger time instruction, and executing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction includes:
  • the recruitment ventilation is initiated at a preset time indicated by the trigger time instruction, and the recruitment ventilation is executed by the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the step of initiating recruitment ventilation according to the trigger time instruction, and executing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction includes:
  • the lung recruitment ventilation is initiated respectively, and the lung recovery ventilation is executed by the medical ventilation device according to the lung recruitment ventilation parameter instruction.
  • the step of initiating recruitment ventilation according to the trigger time instruction, and executing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction includes:
  • the recruitment ventilation is periodically initiated, and the recruitment ventilation is executed by the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • the recruitment ventilation is stopped according to the stop instruction.
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • the method when performing the step of modifying the recruitment ventilation parameter indicated by the recruitment ventilation parameter instruction according to the modification instruction, the method further includes:
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • One or more of the patient parameters, the recruitment ventilation parameters and the recruitment trigger time are displayed.
  • the method before executing the step of initiating recruitment ventilation according to the trigger time instruction, the method further includes:
  • the Methods when performing the steps of initiating recruitment ventilation according to the trigger time instruction, and performing the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction, the Methods also include:
  • the display form and/or display area of one or more parameters among the patient parameters, the recruitment ventilation parameters, and the recruitment trigger time are adjusted.
  • the patient parameters include at least one of airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and carbon dioxide content.
  • the embodiment of the present invention provides a ventilation control device, which is applied to medical ventilation equipment, and the device includes:
  • Receiving module receiving lung recruitment ventilation parameter commands and trigger time commands
  • the execution module is configured to initiate recruitment ventilation according to the trigger time instruction, and execute the recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter command.
  • the execution module starts the recruitment ventilation at a preset moment indicated by the trigger time instruction, and executes the lung recruitment through the medical ventilation device according to the recruitment ventilation parameter command. Recruitment ventilation.
  • the execution module initiates the recruitment ventilation at each of the at least two preset moments indicated by the trigger time instruction, and passes the command according to the recruitment ventilation parameter
  • the medical ventilation device performs the lung recruitment ventilation.
  • the execution module periodically initiates the recruitment ventilation according to the time interval indicated by the trigger time instruction, and executes all the operations through the medical ventilation device according to the recruitment ventilation parameter command. Description of lung recruitment ventilation.
  • the receiving module also receives a stop instruction
  • the execution module Upon receiving the stop instruction output by the receiving module, the execution module stops performing the recruitment ventilation according to the stop instruction.
  • the receiving module also receives a modification instruction
  • the execution module When the execution module receives the modification instruction output by the receiving module, it modifies the corresponding recruitment ventilation parameters and/or the recruitment trigger time according to the modification instruction; and modifies the recruitment ventilation according to the modified instruction. Parameters and/or recruitment trigger time to initiate the next recruitment ventilation.
  • the execution module modifies the recruitment ventilation parameter indicated by the recruitment ventilation parameter command according to the modification command, if the modified recruitment ventilation parameter indicated by the modification command is If the preset parameter modification range is exceeded, an out-of-range prompt message will be output.
  • the device further includes a display module
  • the execution module also outputs one or more of the patient parameter, the recruitment ventilation parameter, and the recruitment trigger time to the display module for display through the display module; and/or
  • the execution module also outputs the time and/or the time until the next recruitment of the lung to start the recruitment to the display module to pass the The display module displays the time of the next start of the recruitment ventilation and/or the time since the next start of the recruitment ventilation.
  • the receiving module also receives a display setting instruction
  • the execution module receives the display setting instruction output by the receiving module, according to the display setting instruction, adjust one or more of the displayed patient parameters, recruitment lung ventilation parameters, and recruitment lung ventilation trigger time Display form and/or display area.
  • the patient parameter includes at least one of airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and carbon dioxide content.
  • the embodiment of the present invention provides a medical ventilation device including the above ventilation control device, and the medical ventilation device further includes: a gas source and a breathing circuit;
  • the gas source is connected to the ventilation control device, and provides gas during the execution of the ventilation control;
  • the breathing circuit is connected with the air source and the ventilation control device, and provides a breathing path during the execution of the ventilation control.
  • the ventilation device is an anesthesia machine.
  • the embodiment of the present invention provides a computer-readable storage medium, wherein the computer-readable storage medium stores a ventilation control program, and the ventilation control program can be executed by a processor to realize the above-mentioned ventilation control method.
  • a recruitment ventilation parameter command and a trigger time command are received; recruitment ventilation is initiated according to the trigger time command, and recruitment ventilation is performed according to the recruitment ventilation parameter command. That is to say, the technical solution provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.
  • FIG. 1 is a schematic structural diagram of a ventilation control device provided by an embodiment of the present invention
  • FIG. 2 is a schematic flowchart of a ventilation control method provided by an embodiment of the present invention.
  • Fig. 3 is a schematic diagram of an exemplary display of lung recruitment ventilation parameters provided by an embodiment of the present invention.
  • FIG. 4 is a schematic diagram showing an exemplary airway pressure-volume loop provided by an embodiment of the present invention.
  • FIG. 5 is an exemplary display diagram of peak airway pressure, positive end expiratory pressure, compliance and tidal volume provided by an embodiment of the present invention
  • Fig. 6 is an exemplary countdown display diagram provided by an embodiment of the present invention.
  • FIG. 7 is a schematic diagram of a window layout of an exemplary display interface provided by an embodiment of the present invention.
  • Fig. 8 is a schematic structural diagram of a medical ventilation device provided by an embodiment of the present invention.
  • the embodiment of the present invention provides a ventilation control method, which is applied to medical ventilation equipment.
  • the ventilation control method may be executed by a ventilation control device or a medical ventilation device.
  • the medical ventilation equipment may be an anesthesia machine.
  • Fig. 1 is a schematic structural diagram of a ventilation control device provided by an embodiment of the present invention. As shown in FIG. 1, the ventilation control device includes: a receiving module 101 and an executing module 102.
  • the receiving module 101 may specifically be a touch screen, a keyboard, etc., for receiving related instructions or input parameters sent by the user.
  • the execution module 102 may specifically be a controller, a processor, etc., constituted by software, hardware, firmware, or a combination thereof, and used to implement the corresponding steps in the ventilation control method provided by the present invention.
  • the specific receiving module 101 and execution module 102 are not limited in the embodiment of the present invention.
  • Fig. 2 is a schematic flowchart of a ventilation control method provided by an embodiment of the present invention. As shown in Figure 2, the ventilation control method mainly includes the following steps:
  • S201 Receive a lung recruitment ventilation parameter instruction and a trigger time instruction.
  • the receiving module 101 in the ventilation control device can receive the lung recruitment ventilation parameter instruction and the trigger time instruction.
  • medical staff can analyze the actual condition of the patient to determine the time to perform recruitment ventilation for the patient and the relevant parameters for performing recruitment ventilation, that is, recruitment ventilation parameters .
  • the receiving module 101 can receive the recruitment module ventilation parameter command and trigger time command, among which the recruitment ventilation parameter command indicates Ventilation parameters for lung recruitment.
  • recruitment ventilation includes controlled lung expansion and positive end-expiratory pressure increasing method. Therefore, the recruitment ventilation parameters indicated by the recruitment ventilation instruction can also be used. To correspond to the control parameters involved in these two methods.
  • Recruitment ventilation parameters indicated by the recruitment ventilation parameter command can specifically include recruitment pressure, recruitment pressure increment, recruitment duration, recruitment cycle, and end expiration after recruitment.
  • Specific lung recruitment ventilation parameters are not limited in the embodiment of the present invention, and can be selected and determined by medical staff according to specific patient conditions.
  • the trigger time instruction may indicate one preset moment, at least two preset moments, and time intervals.
  • the preset time trigger indicates to start recruitment ventilation at a preset time, that is, recruitment ventilation can be performed when the time is reached.
  • triggering at a preset time can also indicate to start recruitment ventilation at multiple preset moments and perform recruitment ventilation.
  • Triggered at time intervals that is, recruiting lung ventilation is started every certain period of time, and recruitment ventilation is performed.
  • the specific trigger time command is not limited in the embodiment of the present invention, and can be selected and determined by the medical staff according to the specific patient's condition.
  • the medical staff only need to send specific recruitment ventilation parameter commands and trigger time commands to the ventilation control device, and the ventilation control device can automatically follow the parameters and parameters indicated by the two instructions.
  • Recruitment ventilation is activated at all times, and recruitment ventilation is performed, thereby improving the intelligence of lung recruitment ventilation.
  • S202 Initiate recruitment ventilation according to the trigger time instruction, and perform recruitment ventilation through the medical ventilation device according to the lung recruitment ventilation parameter instruction.
  • the execution module 102 can start recruitment ventilation according to the trigger time instruction after the receiving module 101 receives the recruitment module 101 ventilation parameter instruction and the trigger time instruction, and pass the instruction according to the recruitment ventilation parameter instruction. Medical ventilation equipment performs recruitment ventilation.
  • the recruitment ventilation parameters indicated by the recruitment ventilation parameter instruction may be different types of parameters, and the trigger time instruction may also indicate different types of trigger time. Therefore, the execution module 102 There are many forms of performing recruitment ventilation.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameter instruction.
  • the steps include: a preset command indicated at the trigger time Recruitment ventilation is activated at all times, and recruitment ventilation is performed according to the instruction of the recruitment ventilation parameters.
  • the trigger time instruction can specifically indicate a preset moment. Therefore, the execution module 102 starts recruitment ventilation at a preset time indicated by the trigger time instruction, that is, turns on the lungs. Recruitment ventilation function, thereby performing recruitment ventilation according to the recruitment ventilation parameters indicated by the recruitment ventilation parameter command.
  • the trigger time instruction indicates a preset time
  • the preset time is time k1
  • the recruitment lung ventilation parameters indicated by the recruitment lung ventilation parameter command specifically include: recruitment pressure V1, the duration of lung recruitment T1, and the positive end-expiratory pressure V2 after the end of lung recruitment. Therefore, when the time k1 is reached, the execution module 102 initiates recruitment ventilation to control the alveolar pressure to V1 and continue for the duration of T1. At the end of the duration of T1, control the alveolar pressure to V2, which realizes the automatic execution of a lung rehabilitation. Zhang Tongqi.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameter instruction.
  • the steps include: at least two instructions indicated at the trigger time At each of the preset moments, recruitment ventilation is initiated separately, and recruitment ventilation is executed according to the lung recruitment ventilation parameter instruction.
  • the trigger time instruction may specifically indicate multiple preset moments, that is, indicate at least two preset moments. Therefore, the execution module 102 initiates recruitment ventilation at each of the at least two preset moments indicated in accordance with the trigger time instruction, that is, turns on the lung recruitment ventilation function, and thus according to the instruction of the lung recruitment ventilation parameter instruction Recruitment ventilation parameters perform recruitment ventilation.
  • the recruitment ventilation parameter command may specifically indicate each lung Recruitment ventilation parameters are instructions with the same parameters.
  • the recruitment ventilation parameter command may also be a command indicating different recruitment ventilation parameters each time, that is, the recruitment ventilation ventilation parameter that is performed at different times indicates different recruitment ventilation parameters.
  • the recruitment ventilation parameter command can also indicate a recruitment ventilation parameter and indicate a certain change rule.
  • the recruitment ventilation parameters used by the execution module 102 each time recruitment is performed are based on the change rule.
  • the parameters obtained after the lung recruitment ventilation parameters are changed, and the specific recruitment ventilation parameter commands are not limited in the embodiment of the present invention.
  • the trigger time instruction indicates two preset moments
  • the two preset moments are k1 and k2 respectively
  • k1 is before k2
  • the lung recruitment ventilation parameter command indicates
  • the ventilation parameters for lung recruitment include: the first recruitment pressure V1, the first recruitment duration T1, the positive end-expiratory pressure after the first recruitment, V2, and the second recruitment Pressure V3, duration of the second lung recruitment T2, and positive end-expiratory pressure V4 after the second lung recruitment. Therefore, when the time k1 is reached, the execution module 102 initiates recruitment ventilation, thereby controlling the alveolar pressure to V1 and continuing for T1. At the end of the T1 period, controlling the alveolar pressure to V2, which realizes the first automatic execution Recruitment ventilation.
  • the execution module 102 starts recruitment ventilation again, thereby controlling the alveolar pressure to V3 for a duration of T2.
  • controlling the alveolar pressure to V4 which realizes the automatic execution of the first Second lung recruitment ventilation.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameter instruction.
  • the steps include: according to the time interval indicated by the trigger time instruction, Recruitment ventilation is initiated periodically, and recruitment ventilation is performed according to the instruction of the recruitment ventilation parameters.
  • the trigger time instruction may specifically indicate a time interval. Therefore, the execution module 102 automatically initiates recruitment ventilation every time interval according to the trigger time instruction, that is, turns on the lungs. Recruitment ventilation function, thereby performing recruitment ventilation according to the recruitment ventilation parameters indicated by the recruitment ventilation parameter command.
  • the recruitment ventilation parameter instruction may specifically indicate the recruitment ventilation for each cycle.
  • the parameters are instructions with the same parameters.
  • it can also be instructions that indicate different recruitment ventilation parameters for each cycle, that is, the recruitment ventilation performed in different cycles indicates different recruitment ventilation parameters.
  • recruitment The ventilation parameter command can also indicate a recruitment ventilation parameter and indicate a certain change rule.
  • the recruitment ventilation parameters used by the execution module 102 when performing recruitment ventilation every cycle are based on the change rule to the indicated recruitment ventilation parameters.
  • the parameters obtained after the changes, and the specific recruitment ventilation parameter commands are not limited in the embodiment of the present invention.
  • the trigger time instruction indicates the time interval T0
  • the recruitment ventilation parameters indicated by the recruitment ventilation parameter instruction specifically include: recruitment pressure V1, recruitment duration T1, As well as the positive end-expiratory pressure V2 after lung recruitment is completed, therefore, the execution module 102 automatically initiates recruitment ventilation at every interval T0, so as to periodically control the alveolar pressure to V1 and continue for the duration of T1. At the end of time, the alveolar pressure is controlled to V2, which realizes the periodic recruitment ventilation.
  • the execution module 102 when the execution module 102 initiates recruitment ventilation according to the trigger time instruction and executes recruitment ventilation according to the recruitment ventilation parameters, it may further include the following steps: if a stop instruction is received , According to the stop instruction to stop recruitment ventilation.
  • the medical staff may need to control the cessation of recruitment ventilation according to the actual condition of the patient, or for periodic execution of lung rehabilitation.
  • Zhang ventilation it is necessary to stop periodic recruitment ventilation at a certain time.
  • the medical staff can send a stop instruction to the receiving module 101 through a touch operation, so that the receiving module 101 receives the stop instruction, and then the execution module 102 stops performing recruitment ventilation according to the stop instruction output by the receiving module 101.
  • the execution module 102 starts recruitment ventilation according to the trigger time instruction, and according to lung recruitment
  • the ventilation parameter instruction executes the steps of lung recruitment ventilation, it also includes: if a modification instruction is received, modify the corresponding recruitment ventilation parameters and/or the recruitment trigger time according to the modification instruction; according to the modified recruitment lung Ventilation parameters and/or recruitment ventilation trigger time initiates the next recruitment ventilation.
  • the user can input a modification instruction through the receiving module 101 to modify the corresponding recruitment ventilation parameter and/or recruitment ventilation trigger time.
  • the user can click on the recruitment ventilation parameters or the trigger time of recruitment ventilation displayed on the touch screen, and enter the modification instruction through touch, gesture, etc. in the pop-up window; or, the user can also use the keyboard, mouse, etc. Enter the modification instruction.
  • the modification instructions There are many ways to enter the modification instructions, which are not described here. For example, if the trigger time of recruitment ventilation is modified from the preset time A to the preset time B through the modification instruction, the execution module 102 will start the next recruitment ventilation at the preset time B.
  • the ventilation control device may further include a display module 103.
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and executes recruitment ventilation according to the recruitment ventilation parameters.
  • One or more of the patient parameters, recruitment ventilation parameters, and recruitment trigger time can be output to the display module 103 for display.
  • the display module 103 can display one or more of patient parameters, recruitment ventilation parameters, and recruitment ventilation trigger time.
  • the medical staff think that the display is not needed currently, they can also input the closing instruction through the receiving module 101, and the receiving module 101 outputs the closing instruction to the execution module 102, and the execution module 102 can further control the display module 103 to close the related content displayed.
  • the execution module 102 if the trigger time instruction indicates a preset moment, the execution module 102 only needs to initiate recruitment ventilation at the preset moment; if the trigger time instruction indicates at least two At a preset time, the execution module 102 needs to start recruitment ventilation at each of at least two preset moments; if the trigger time instruction indicates a time interval, the execution module 102 periodically activates according to the time interval Recruitment ventilation.
  • the execution module 102 can display one or more of the patient parameters, the recruitment ventilation parameters and the recruitment ventilation trigger time through the display module 103 after receiving the recruitment ventilation parameter command and the trigger time command, so that View the information about recruitment ventilation that has been set for the user.
  • the recruitment ventilation parameters displayed by the display module 103 are the parameters required to perform recruitment ventilation indicated by the recruitment ventilation parameter instruction, for example, the aforementioned recruitment pressure , The positive end-expiratory pressure after lung recruitment is performed, etc., which are not limited in the embodiment of the present invention.
  • Fig. 3 is a schematic diagram of an exemplary display of lung recruitment ventilation parameters provided by an embodiment of the present invention.
  • the display module 103 can display the parameters for performing recruitment ventilation indicated by the recruitment ventilation parameter command, which specifically include: recruitment pressure, recruitment duration, and end expiration after recruitment ends. Positive pressure.
  • the recruitment pressure indicated by the lung recruitment ventilation parameter command is 27 cmH 2 O
  • the recruitment duration is 15 sec
  • the positive end-expiratory pressure after lung recruitment is completed is 5 cmH 2 O.
  • the display module 103 displays the recruitment ventilation parameters
  • the time interval indicated by the trigger time instruction can also be displayed by adding the recruitment ventilation parameters, and the specific display time interval is 1 min.
  • the display module 103 can display patient parameters. After viewing the patient parameters, the medical staff can determine whether to modify the recruitment settings. If you want to modify the recruiting lung settings, you can input the modification instruction through the receiving module 101; after the execution module 102 receives the modification instruction output by the receiving module 101, it will perform recruitment ventilation parameters and/or recruitment trigger time according to the modified instruction. Modify and perform recruitment ventilation using the modified recruitment ventilation parameters and/or the trigger time of recruitment ventilation.
  • the execution module 102 modifies the recruitment ventilation parameters indicated by the recruitment ventilation parameter command according to the modification command, it further includes the following steps: if the modified lung indicated by the modification command is modified Recruitment ventilation parameters beyond the preset parameter can be modified range, output over-range prompt message.
  • the ventilation control device may also pre-store preset parameter modification ranges.
  • the value range of lung recruitment ventilation parameters can be modified if the user determines After the lung recruitment ventilation parameters exceed this range, during the modification process, when the execution module 102 determines the situation, it can output an over-range prompt message.
  • the medical staff can judge whether it is necessary to re-determine the modified post-modification according to the over-range prompt information.
  • the specific preset parameters can be modified within the scope of lung recruitment ventilation parameters, which are not limited by the embodiment of the present invention.
  • the out-of-range prompt information output by the execution module 102 may be a preset alarm prompt sound or text prompt information. If the output is text prompt information, the text prompt The information may also include a preset parameter modifiable range, so that the display module 103 may further display and present, and the specific out-of-range prompt information is not limited in the embodiment of the present invention.
  • the display module 103 may provide relevant signs after the lung recruitment ventilation parameters, such as the triangle sign after the parameter value in FIG. 3.
  • a window for modifying the corresponding parameter value will pop up or display.
  • the medical staff touches the triangle mark corresponding to the recruitment pressure, the values 25, 26, 27, 28, 29, and 30 will pop up or display on the display screen, that is, the available values for the recruitment pressure.
  • the medical staff can specify the value of 29 through a specific button, or directly touch the displayed value of 29, the receiving module 101 receives the selection operation, and the execution module 102 determines the value of 29 as the modified value according to the selection operation.
  • Recruitment pressure of the lung, and when the next recruitment ventilation is initiated, the next recruitment ventilation will be initiated according to the revised recruitment pressure.
  • the specific parameters display the access port and the revised lung recruitment ventilation parameters without limitation in the embodiment of the present invention.
  • patient parameters include at least airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and carbon dioxide content.
  • peak airway pressure is the maximum value of the airway pressure during one breath of the patient, that is, within one breathing cycle, and the specific patient parameters are not limited in the embodiment of the present invention.
  • the patient parameters displayed by the display module 103 can be displayed in the form of a circular graph, or can be displayed in the form of a short trend graph, a waveform graph, a numerical value, etc., for example, according to the patient parameter
  • the display mode of the airway pressure-volume loop, and the specific patient parameters is not limited in the embodiment of the present invention.
  • Fig. 4 is a schematic diagram showing an exemplary airway pressure-volume loop provided by an embodiment of the present invention. As shown in FIG. 4, when the execution module 102 executes recruitment ventilation, the display module 103 can display the relationship between airway pressure and volume in real time, that is, the airway pressure-volume loop.
  • Fig. 5 is an exemplary display diagram of peak airway pressure, positive end expiratory pressure, compliance, and tidal volume provided by an embodiment of the present invention. As shown in FIG. 5, when the execution module 102 performs recruitment ventilation, the display module 103 can display specific values related to peak airway pressure, positive end expiratory pressure, compliance, and tidal volume in real time.
  • the display module 103 may display the time and/or display distance of the next initiation of recruitment ventilation according to the trigger time instruction The time to initiate recruitment next time.
  • Fig. 6 is an exemplary countdown display diagram provided by an embodiment of the present invention. As shown in Figure 6, it can be displayed on the display module 103 that there are 9 seconds left until the next recruitment ventilation is initiated. Of course, the display module 103 can also display the changes of relevant parameters of the medical ventilation equipment during ventilation. Figures, for example, the patient's breathing waveform, ventilation mode, etc., are not limited in the embodiment of the present invention.
  • the display module 103 can directly display the preset moment and/or display the time from the preset moment, that is, Shows the time from lung recruitment to ventilation.
  • the execution module 102 when the trigger time instruction indicates at least two preset moments, or indicates a time interval, the execution module 102 actually needs to perform multiple recruitment ventilation.
  • the display module 103 can automatically display the time when the next recruitment ventilation is started and/or the time until the next recruitment ventilation is started each time the execution module 102 performs a recruitment ventilation.
  • the medical staff can also use touch operations to receive
  • the module 101 sends an instruction to view recruitment ventilation parameters and patient parameters.
  • the execution module 102 can output the recruitment ventilation parameters to the display module 103 for display according to the instruction for medical staff View.
  • the display module 103 can display recruitment ventilation parameters, patient parameters, and information such as the time until the next recruitment ventilation is initiated, the time at which recruitment ventilation is initiated, etc.
  • Different types of information can be displayed in different windows.
  • the recruitment ventilation parameters are displayed in window A1, and the patient parameters are displayed in window A2.
  • the time until the next recruitment ventilation is started Display in window A3.
  • the type-related information can also be displayed in one window.
  • recruitment parameters and patient parameters can be displayed in one window.
  • the window can be divided There are two upper and lower parts, the upper part displays the lung recruitment ventilation parameters, and the lower part displays the patient parameters.
  • the receiving module 101 can also receive and output display setting instructions; the execution module 102 adjusts the display patient parameters, lung recruitment ventilation parameters, and parameters according to the display setting instructions output by the receiving module 101.
  • the display form and/or display area of one or more parameters in the trigger time of recruitment ventilation For example, for windows that display different parameters, the medical staff can send display setting instructions such as enlargement, reduction, and position drag to the receiving module 101 through a selection tool such as a touch screen or a mouse, and the execution module 102 can respond according to the display setting instructions. Adjust the window size, change the display area, etc.
  • the specific display form and/or display area are not limited in the embodiment of the present invention.
  • the window for displaying recruitment ventilation parameters, patient parameters, and the time until the next recruitment ventilation is started, the time when recruitment ventilation is started, etc. can be displayed in a specific window. Automatically display or close the time of, for example, in the process of periodically performing recruitment ventilation, after each recruitment ventilation is performed, a window including the time until the next recruitment ventilation is initiated will be automatically displayed , And the window will be closed automatically when it is time to start the next recruitment ventilation.
  • a window including recruitment ventilation parameters and patient parameters can be automatically displayed, and the window can be automatically closed when recruitment ventilation is performed.
  • the window that displays information can also include a close icon.
  • the open icon corresponding to the window can also be selected through a touch operation to open the corresponding window at any time and display the corresponding type of information.
  • the specific window opening and closing manners are not limited in the embodiment of the present invention.
  • Fig. 7 is a schematic diagram of a window layout of an exemplary display interface provided by an embodiment of the present invention.
  • window 1, window 2 and window 3 respectively display different types of ventilation-related waveforms.
  • the user can control the closing of the corresponding window by clicking the close icon at the upper right of the different windows to stop displaying the corresponding waveform .
  • window 1 is used to display the change waveform of carbon dioxide
  • window 2 is used to display the change waveform of airway pressure
  • window 3 is used to display the change waveform of air flow rate.
  • Window 4 is used to display the countdown of the next recruitment ventilation. The user can close window 4 by double-clicking anywhere in window 4.
  • the window 5 may include two areas, area 1 and area 2, where area 1 can display lung recruitment ventilation parameters, and area 2 can display airway pressure-volume loops.
  • area 1 can display lung recruitment ventilation parameters
  • area 2 can display airway pressure-volume loops.
  • the user can close the control window 5 by clicking the close icon at the upper left of area 1 in the window 5, and clicking the OK icon at the upper right can save the currently set lung recruitment ventilation parameters.
  • a stop sign is also set at the bottom of window 5, and the user can control the cessation of lung recruitment and ventilation by clicking the stop sign.
  • the bottom of the display interface also includes icon 1, icon 2, icon 3, icon 4, and icon 5, which correspond to window 1, window 2, window 3, window 4, and window 5 respectively.
  • the user can click the corresponding icon to display the corresponding window.
  • the layout of each window, and operations such as opening and closing each window can be implemented in other ways, which are not described here.
  • the embodiment of the present invention provides a ventilation control method, which receives a lung recruitment ventilation parameter instruction and a trigger time instruction; initiates lung recruitment ventilation according to the trigger time instruction, and performs lung recruitment through a medical ventilation device according to the lung recruitment ventilation parameter instruction Ventilation. That is to say, the technical solution provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.
  • FIG. 1 is a schematic structural diagram of a ventilation control device provided by an embodiment of the present invention. As shown in Figure 1, the ventilation control device includes:
  • Receiving module 101 receiving lung recruitment ventilation parameter instructions and trigger time instructions
  • the execution module 102 initiates recruitment ventilation according to the trigger time instruction, and performs recruitment ventilation through the medical ventilation device according to the lung recruitment ventilation parameter instruction.
  • the execution module 102 initiates recruitment ventilation at a preset time indicated by the trigger time instruction, and executes recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the execution module 102 initiates recruitment ventilation at each of at least two preset moments indicated by the trigger time instruction, and executes recruitment ventilation through the medical ventilation device according to the lung recruitment ventilation parameter instruction .
  • the execution module 102 periodically initiates recruitment ventilation according to the time interval indicated by the trigger time instruction, and executes recruitment ventilation through the medical ventilation device according to the recruitment ventilation parameter instruction.
  • the receiving module 101 also receives a stop instruction
  • the execution module 102 When the execution module 102 performs recruitment ventilation, if it receives a stop instruction output by the receiving module, it stops performing recruitment ventilation according to the stop instruction.
  • the receiving module 101 also receives a modification instruction
  • the execution module 102 When the execution module 102 is performing recruitment ventilation, if it receives a modification instruction output by the receiving module 101, it modifies the corresponding recruitment ventilation parameters and/or recruitment ventilation trigger time according to the modification instruction; according to the modified lung recovery The expansion ventilation parameters and/or recruitment ventilation trigger time initiates the next recruitment ventilation.
  • the execution module 102 modifies the recruitment ventilation parameter indicated by the recruitment ventilation parameter command according to the modification command, if the revised recruitment ventilation parameter indicated by the modification command exceeds the preset parameter modification range, the output exceeds the range Prompt information.
  • the above device further includes a display module 103;
  • the execution module 102 executes the steps of recruitment ventilation according to the recruitment ventilation parameter instructions, it also outputs one or more of the patient parameters, recruitment ventilation parameters, and recruitment trigger time to the display module 103 to pass the The display module 103 performs display.
  • the above device further includes a display module 103;
  • the execution module 102 outputs the time when the next recruitment ventilation is started and/or the time until the next recruitment ventilation is started to the display module 103;
  • the display module 103 displays the time when recruitment is initiated next time and/or the time until recruitment is initiated next time.
  • the receiving module 101 also receives a display setting instruction
  • the execution module 102 if receiving the display setting instruction output by the receiving module, adjust the display form and/or display of one or more of the patient parameters, recruitment ventilation parameters, and recruitment trigger time according to the display setting instructions area.
  • the patient parameters include at least one of airway pressure, peak airway pressure, positive end expiratory pressure, compliance, tidal volume, blood oxygen, blood pressure, heart rate, cardiac output, and sputum dioxide content.
  • An embodiment of the present invention provides a ventilation control device that receives a recruitment ventilation parameter command and a trigger time command; initiates recruitment ventilation according to the trigger time command, and executes recruitment ventilation according to the recruitment ventilation parameter command. That is to say, the ventilation control device provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.
  • FIG. 8 is a schematic structural diagram of a medical ventilation device provided by an embodiment of the present invention.
  • the medical ventilation equipment includes the above-mentioned ventilation control device 801, and also includes: a gas source 802 and a breathing tube 803;
  • the air source 802 is connected to the ventilation control device 801, and provides air during recruitment ventilation;
  • the breathing tube 803 is connected with the air source 802 and the ventilation control device 801, and provides a breathing path during the execution of lung recruitment ventilation.
  • the embodiment of the present invention provides a computer-readable storage medium, and the computer-readable storage medium stores a ventilation control program, and the ventilation control program can be executed by a processor to realize the above ventilation control method.
  • the computer-readable storage medium may be a volatile memory (volatile memory), such as random-access memory (Random-Access Memory, RAM); or a non-volatile memory (non-volatile memory), such as read-only memory (Read Only Memory). -Only Memory, ROM, flash memory, Hard Disk Drive (HDD) or Solid-State Drive (SSD); it can also be a respective device including one or any combination of the above-mentioned memories, Such as mobile phones, computers, tablet devices, personal digital assistants, etc.
  • the embodiments of the present invention may be provided as methods, systems, or computer program products. Therefore, the present invention may adopt the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware. Moreover, the present invention may adopt the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, optical storage, etc.) containing computer-usable program codes.
  • a computer-usable storage media including but not limited to disk storage, optical storage, etc.
  • These computer program instructions can also be stored in a computer-readable memory that can guide a computer or other programmable signal processing equipment to work in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture including the instruction device.
  • the device implements the functions specified in one process or multiple processes in the flowchart and/or one block or multiple blocks in the block diagram.
  • These computer program instructions can also be loaded on a computer or other programmable signal processing equipment, so that a series of operation steps are executed on the computer or other programmable equipment to produce computer-implemented processing, so as to execute on the computer or other programmable equipment.
  • the instructions provide steps for implementing functions specified in a flow or multiple flows in the flowchart and/or a block or multiple blocks in the block diagram.
  • a recruitment ventilation parameter command and a trigger time command are received; recruitment ventilation is initiated according to the trigger time command, and recruitment ventilation is performed by a medical ventilation device according to the recruitment ventilation parameter command. That is to say, the technical solution provided by the embodiment of the present invention can automatically perform recruitment ventilation according to the received trigger time instruction and the recruitment ventilation parameter command, which improves the intelligence of the execution of recruitment ventilation.

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

La présente invention concerne un procédé de commande de ventilation, comprenant : la réception d'une commande de paramètre de ventilation de recrutement pulmonaire et d'une commande de temps de déclenchement (S201) ; et le démarrage d'une ventilation de recrutement pulmonaire conformément à la commande de temps de déclenchement, et l'exécution d'une ventilation de recrutement pulmonaire au moyen d'un dispositif de ventilation médicale conformément à la commande de paramètre de ventilation de recrutement pulmonaire (S202).
PCT/CN2019/093101 2019-06-26 2019-06-26 Procédé et appareil de commande de ventilation, dispositif de ventilation médicale et support de stockage Ceased WO2020258097A1 (fr)

Priority Applications (2)

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PCT/CN2019/093101 WO2020258097A1 (fr) 2019-06-26 2019-06-26 Procédé et appareil de commande de ventilation, dispositif de ventilation médicale et support de stockage
CN201980093585.7A CN113543828B (zh) 2019-06-26 2019-06-26 一种通气控制方法及装置、医用通气设备、存储介质

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