Heinrichs W, Beckmann P, Dany D, Weiler N, Halmágyi M
Klinik für Anästhesiologie, Johannes Gutenberg-Universität, Mainz.
Anaesthesist. 1992 Nov;41(11):694-8.
Respiratory data monitored in ventilated patients commonly consists of monitoring some inspiratory and expiratory pressures and volumes. For a more sophisticated analysis of respiratory mechanics in ventilated patients, a combined hardware and software system is presented that allows for continuous monitoring of airway pressure and gas flow. Gas flow is measured using a pneumotach. The "Hyper-DAQ" is an 8-channel 12-bit analog to a digital converter that can be connected to IBM PCs as well as to Macintosh computers using a standard RS 232 link. A special module consisting of three pressure transducers (airway pressure, differential pressure for a Fleisch head and ambient pressure) and five additional analog inputs is used for recording respiratory data. Once set up, the Hyper-DAQ records all the data in real time, independently of the host system that can query the data via the RS 232 link. The software runs on IBM and compatible PCs, as well as on Macintosh computers. The software simulates a strip-chart recorder and can be controlled by the keyboard and the mouse. We developed special software for the calibration of pressure and flow. Using models of the gas distribution in the lung compliance, resistance and lung time constants can be calculated from the raw data. For special purposes the data can be transferred to spread-sheet software. A mainstream CO2-detector connected to one of the additional analog inputs allows for additional data: alveolar ventilation, series deadspace, etc. The system presented can be recommended in routine work as well as for scientific studies in ventilated patients.
对接受通气治疗的患者进行监测的呼吸数据通常包括监测一些吸气和呼气压力及容积。为了对接受通气治疗的患者的呼吸力学进行更复杂的分析,本文介绍了一种硬件和软件相结合的系统,该系统能够持续监测气道压力和气体流量。气体流量通过呼吸流速计进行测量。“Hyper - DAQ”是一个8通道12位模拟数字转换器,可使用标准RS 232链路连接到IBM个人计算机以及苹果麦金塔电脑。一个由三个压力传感器(气道压力、用于 Fleisch 头的压差和环境压力)和五个额外模拟输入组成的特殊模块用于记录呼吸数据。一旦设置好,Hyper - DAQ会独立于主机系统实时记录所有数据,主机系统可通过RS 232链路查询这些数据。该软件可在IBM及其兼容个人计算机以及苹果麦金塔电脑上运行。该软件模拟了一个带状图表记录仪,可通过键盘和鼠标进行控制。我们开发了用于压力和流量校准的特殊软件。利用肺部顺应性、阻力和肺时间常数的气体分布模型,可以从原始数据中计算出这些参数。出于特殊目的,数据可以传输到电子表格软件中。连接到一个额外模拟输入的主流二氧化碳探测器可提供额外数据:肺泡通气量、串联死腔等。所介绍的系统在对接受通气治疗的患者的日常工作以及科学研究中都值得推荐。