飞利浦监护仪使用培训

飞利浦监护仪使用培训ConfidentialPCCI,GuanWei,2012-12-132May7,2015PCMSMarketingConfidentialM3150标准型中央站M3140经济型中央站MP5SCMP2X2MP5MX600/700支持ITS和802.11网络支持ITS网络MX800XDS临床工作站/MX云平台性能价格HAMIntelliVue系列全线监护产品MX400MX500MX40MX550ConfidentialPCCI,GuanWei,2012-12-133MP–IntelliVueFamilyMP2X2ConfidentialPCCI,GuanWei,2012-12-13普及型监护UT4800中央监护系统•金科威平台，中国生产•同时联接G系列和UT系列监护CentralExpress中央监护系统•飞利浦美国研发中心平台，中国生产•2015年新出产品，解决VM联网问题•同时联接VM和G系列监护VM系列G系列G系列UT系列ConfidentialPCCI,GuanWei,2012-12-13EfficiaCM10,CM12（二类）EfficiaCMCM10,12，100,120,150（三类）EfficiaCM系列2016年3月，1.0版本二类发布2017年，2.0版本三类发布（预计）ConfidentialPCCI,GuanWei,2012-12-13高级监测参数双血氧饱和度监测（2SPO2）：新生儿先天性心脏病传统心排血量监测（CO）：漂浮导管持续微创心排血量监测（PiCCO）：微创、持续静脉血氧饱和度监测（SO2）：混合静脉血氧饱和度，提供SvO2/ScvO2测量经皮气体监测（TcG10）：新生儿的动脉血气监测麻醉气体监测（AG）：自动监测5种麻醉气体及氧和二氧化碳监测脑电双频指数监测（BisX）：麻醉深度及意识状态肌松监测（NMT）：监测麻醉肌松状态床旁超声：USB床旁超声，引导穿刺床旁喉镜：床旁喉镜，显示实时画面ConfidentialPCCI,GuanWei,2012-12-138临床决策支持系统IntelliVue病人监护仪的CDS•水平趋势•STMap,心肌缺血判断及预后•新生儿CDS软件包，新生儿事件回顾，包括CAR•基本事件监视•高级事件监视•参数直方图•ProtocolWatch•信息之门技术•脉搏压力变异PPV•数学/药物计算器•计时器信息中心的CDS•临床回顾•趋势显示IntelliVue临床信息包ICIP的CDS•临床咨询通过设备整合的CDS•DeviceLinkII和VueLinkConfidentialPCCI,GuanWei,2012-12-13一般介绍9ConfidentialPCCI,GuanWei,2012-12-13主屏幕信息联网状态床位号病人姓名病人种类是否起搏日期时间监护设置改变屏幕报警/信息波形显示数字显示数字显示灵巧键自由填空10ConfidentialPCCI,GuanWei,2012-12-13状态条测量选择状态信息有未工作的参数标名冲突状态正常11ConfidentialPCCI,GuanWei,2012-12-13报警状态区域三星红色重度报警一星蓝色轻度报警二星黄色中度报警12ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键永久键静音报警暂停主设定主屏幕13ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键灵巧键14ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键跳出键15ConfidentialPCCI,GuanWei,2012-12-13操作方式旋钮主屏幕静音总报警开关菜单逐级返回操纵杆/旋钮触屏16ConfidentialPCCI,GuanWei,2012-12-13填满空白处17ConfidentialPCCI,GuanWei,2012-12-13快捷键-测量选择18ConfidentialPCCI,GuanWei,2012-12-13病人类别选择19ConfidentialPCCI,GuanWei,2012-12-13病人是否佩戴起搏器选择20ConfidentialPCCI,GuanWei,2012-12-13监护仪主设定菜单21ConfidentialPCCI,GuanWei,2012-12-13待机23ConfidentialPCCI,GuanWei,2012-12-13ECG(心电)24ConfidentialPCCI,GuanWei,2012-12-13ECG菜单25ConfidentialPCCI,GuanWei,2012-12-13导联放置1234SAIE26ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限27ConfidentialPCCI,GuanWei,2012-12-13关闭ECG报警28ConfidentialPCCI,GuanWei,2012-12-13心律失常报警链29ConfidentialPCCI,GuanWei,2012-12-13心律失常分析内容•Asystole停搏•VentricularFibrillation/Tachycardia室颤/室速•ExtremeBradycardia极端心动过缓•ExtremeTachycardia极端心动过速•Highheartrate心率快•Lowheartrate心率慢•VentricularTachycardia室性心动过速•PacerNotCapture起搏器未捕获•PacerNotPacing起搏器未起搏•PVCs/minHIGH(PVClimit/min频发室早•Afib房颤•SupraventricularTach室上性心动过速•MissedBeat漏搏•Pause暂停•IrregularHR心律不齐•VENRICULARRHYTHM室性节律•RUNPVCsHigh多个连发室早•PairPVCs成对室早•R-on-TPVCsR-on-T•Ventricularbigeminy室性二联律•Ventriculartrigeminy室性三联律•Non-sustainVT阵发室速•MultiformPVCs多源室早30ConfidentialPCCI,GuanWei,2012-12-13心律失常心搏标名31ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST分析窗口32ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST报警范围调整33ConfidentialPCCI,GuanWei,2012-12-13ST测量点的确定34ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST环35ConfidentialPCCI,GuanWei,2012-12-13调整观察ST环的间隔时间36ConfidentialPCCI,GuanWei,2012-12-13如何选择优质信号导联37ConfidentialPCCI,GuanWei,2012-12-13可以监测的导联38ConfidentialPCCI,GuanWei,2012-12-13RESP(呼吸)39ConfidentialPCCI,GuanWei,2012-12-13呼吸菜单40ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限41ConfidentialPCCI,GuanWei,2012-12-13呼吸检测模式42ConfidentialPCCI,GuanWei,2012-12-13NIBP(无创血压)43ConfidentialPCCI,GuanWei,2012-12-13测量原理44ConfidentialPCCI,GuanWei,2012-12-13注意事项45ConfidentialPCCI,GuanWei,2012-12-13测量限制46ConfidentialPCCI,GuanWei,2012-12-13测量模式47ConfidentialPCCI,GuanWei,2012-12-13测量的修正48ConfidentialPCCI,GuanWei,2012-12-13NBP菜单49ConfidentialPCCI,GuanWei,2012-12-13NBP报警源调整50ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限51ConfidentialPCCI,GuanWei,2012-12-13NBP测压模式52ConfidentialPCCI,GuanWei,2012-12-13自动测压重复时间53ConfidentialPCCI,GuanWei,2012-12-13SpO2(血氧饱和度)54ConfidentialPCCI,GuanWei,2012-12-13SpO2菜单55ConfidentialPCCI,GuanWei,2012-12-13SpO2报警调整56ConfidentialPCCI,GuanWei,2012-12-13TEMP(体温)57ConfidentialPCCI,GuanWei,2012-12-13TEMP菜单58ConfidentialPCCI,GuanWei,2012-12-13更改标名59ConfidentialPCCI,GuanWei,2012-12-13调整报警60ConfidentialPCCI,GuanWei,2012-12-13IBP(有创血压)61ConfidentialPCCI,GuanWei,2012-12-13IBP菜单数字窗口62ConfidentialPCCI,GuanWei,2012-12-13IBP菜单脉搏设定63ConfidentialPCCI,GuanWei,2012-12-13IBP菜单波形窗口64ConfidentialPCCI,GuanWei,2012-12-13冻结波形65ConfidentialPCCI,GuanWei,2012-12-13IBP菜单按冻结波形调整光标观察压力66ConfidentialPCCI,GuanWei,2012-12-13•ABParterialbloodpressure动脉血压•ARTarterialbloodpressure(alternative)动脉血压（另一种表示方法）•AOaorticpressure主动脉压•CVPcentralvenouspressure中心静脉压•ICPintracranialpressure颅内压•LAPleftatrialpressure左房压•RAPrightatrialpressure右房压•Pnon-specificpressurelabel非特异的压力标名•PAPpulmonaryarterypressure肺动脉•UAPumbilicalarterialpressure脐动脉压•UVPumbilicalvenouspressure脐静脉压有创血压标名67ConfidentialPCCI,GuanWei,2012-12-13归零68ConfidentialPCCI,GuanWei,2012-12-13IBP常见故障与排除69ConfidentialPCCI,GuanWei,2012-12-13二氧化碳监护•主路Mainstream•插管病人，传感器的重量，不适合新生儿和婴幼儿•旁路sidestream•非插管病人，最小取样容积100-150CC，不适合新生儿•微流MicrostreamTM•非插管病人，取样容积50CC，适合新生儿ConfidentialPCCI,GuanWei,2012-12-13主路CO2监测•优势–传感器在气道上，滞后时间短–对潮气量没有严格要求ConfidentialPCCI,GuanWei,2012-12-13主路CO2M3014AA01ExtensionA02ExtensionwithMainstreamSensorCo