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

Partes: 1, 2

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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

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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

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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

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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.

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Mesa de Anestesia

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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

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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