CN101966361B - Apnea alarm method and device for anaesthesia machine - Google Patents

Apnea alarm method and device for anaesthesia machine Download PDF

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CN101966361B
CN101966361B CN200910089911.5A CN200910089911A CN101966361B CN 101966361 B CN101966361 B CN 101966361B CN 200910089911 A CN200910089911 A CN 200910089911A CN 101966361 B CN101966361 B CN 101966361B
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timing
pressure
predetermined
tidal volume
predetermined pressure
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CN101966361A (en
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丛玉孟
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Beijing Aeonmed Co Ltd
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Abstract

The invention provides an apnea alarm method and an apnea alarm device for an anaesthesia machine. The method comprises the following steps of: detecting the pressure intensity in a breathing circuit of the anaesthesia machine at intervals of scheduled time, and calculating the average pressure intensity in the scheduled time of scheduled number; comparing the average pressure intensity with the first predetermined pressure intensity; when the average pressure intensity is lower than the first predetermined pressure intensity, starting first timing; and when the first timing period is full, if the average pressure intensity in the first timing period is lower than the first predetermined pressure intensity, generating apnea alarm, wherein the first timing period is greater than the scheduled time. The method and the device solve the problem that the health of a patient is harmed by missing judgment possibly caused by only detecting the tidal volume to generate the apnea alarm in the related technology, and further achieve the effect of benefiting the health of the patient.

Description

Suffocate alarm method and device for anesthetic machine
Technical field
The present invention relates to medical instruments field, in particular to a kind of suffocate alarm method and device for anesthetic machine.
Background technology
At anesthetic machine duration of work, if do not detected while breathing, will produce the warning that suffocates within the time of setting, to notify doctor and bright the patient who suffocates to be rescued.
Whether the tidal volume of the breathing pipeline that the alarm method that suffocates for anesthetic machine conventionally adopting detects by judgement is less than the minimum tidal volume threshold value of setting and determines whether to trigger the warning that suffocates.This method of reporting to the police of suffocating easily realizes, and directly perceived.
Inventor finds, the alarm method that suffocates that passes through that detection of moisture amount realizes for anesthetic machine in correlation technique disconnects while causing patient to suffocate at breathing pipeline, because breathing pipeline is now communicated with atmosphere, cause the tidal volume monitoring still will be greater than minimum tidal volume threshold value, thereby do not trigger the warning that suffocates, harm patient health.
Summary of the invention
The invention provides a kind of suffocate alarm method and device for anesthetic machine, can solve the technical problem that only produces the harm patient health of failing to judge that suffocating reports to the police may cause in correlation technique by detection of moisture amount.
According to an aspect of the present invention, provide a kind of alarm method that suffocates for anesthetic machine, having comprised: every the scheduled time, detected the pressure in the breathing pipeline of anesthetic machine, and calculate the average pressure in scheduled time of predetermined number; Average pressure and the first predetermined pressure are compared; When average pressure is less than the first predetermined pressure, start the first timing; When the first timing expires, if the average pressure during the first timing is all less than the first predetermined pressure, produce the warning that suffocates, wherein, the first timing is greater than the scheduled time.
Preferably, when average pressure equals the first predetermined pressure, also comprise: detect end expiratory positive pressure; End expiratory positive pressure and the second predetermined pressure are compared; When end expiratory positive pressure is less than or equal to the second predetermined pressure, start the first timing; When the first timing expires, if the average pressure during the first timing is equal to the first predetermined pressure, and end expiratory positive pressure is all less than or equal to the second predetermined pressure, produces the warning that suffocates, and wherein, the first timing is greater than the time of respiration gas.
Preferably, the scheduled time is 0.01 second, and predetermined number is 100, and the first predetermined pressure is 1 centimeter water column, and the second predetermined pressure is 0 centimeter water column, and when the respiratory frequency arranging on anesthetic machine is more than or equal to 6 beats/min, the first timing is 30 seconds; When the respiratory frequency arranging on anesthetic machine is less than 6 beats/min, the first timing is 35 seconds.
Preferably, alarm method also comprises: the tidal volume in the breathing pipeline of detection anesthetic machine; Tidal volume and predetermined tidal volume are compared; When tidal volume is less than predetermined tidal volume, start the second timing; When the second timing expires, if the tidal volume during the second timing is all less than predetermined tidal volume, produce the warning that suffocates.
Preferably, predetermined tidal volume is 20 milliliters/second, and the second timing is 60 seconds.
According to another aspect of the present invention, also provide a kind of alarm device that suffocates for anesthetic machine, having comprised: module has been set, for the scheduled time, predetermined number, the first predetermined pressure and the first timing are set; Pressure detection module, for detecting the pressure of the breathing pipeline of anesthetic machine every the scheduled time; Calculate and comparison module, for calculating the average pressure in scheduled time of predetermined number, and average pressure and the first predetermined pressure are compared; The first timing module, for starting the first timing according to the comparative result of calculating and comparison module; Alarm module, for producing according to the comparative result of the timing result of the first timing module and calculating and comparison module the warning that suffocates, wherein, the first timing is greater than the scheduled time.
Preferably, when average pressure equals the first predetermined pressure, module is set also for the second predetermined pressure is set; Pressure detection module is also for detection of end expiratory positive pressure; Calculating and comparison module are also for comparing end expiratory positive pressure and the second predetermined pressure.
Preferably, the scheduled time is 0.01 second, and predetermined number is 100, and the first predetermined pressure is 1 centimeter water column, and the second predetermined pressure is 0 centimeter water column, and when the respiratory frequency arranging on anesthetic machine is more than or equal to 6 beats/min, the first timing is 30 seconds; When the respiratory frequency arranging on anesthetic machine is less than 6 beats/min, the first timing is 35 seconds.
Preferably, alarm device also comprises: tidal volume detection module, for detection of the tidal volume in the breathing pipeline of anesthetic machine; Comparison module, for comparing tidal volume and predetermined tidal volume; The second timing module, for starting the second timing according to the comparative result of comparison module.
Preferably, predetermined tidal volume is 20 milliliters/second, and the second timing is 60 seconds.
In embodiments of the present invention, the average pressure of breathing pipeline by detecting anesthetic machine in the scheduled time, then relatively this average pressure and predetermined pressure, finally according to comparative result, determine whether to produce and report to the police, so overcome, in correlation technique, only by detection of moisture amount, produce the problem of harm patient health of failing to judge that suffocating reports to the police may cause, and then reached the technique effect that is of value to patient health.
Accompanying drawing explanation
Accompanying drawing described herein is used to provide a further understanding of the present invention, forms the application's a part, and schematic description and description of the present invention is used for explaining the present invention, does not form inappropriate limitation of the present invention.In the accompanying drawings:
Fig. 1 shows according to the flow chart of the alarm method that suffocates for anesthetic machine of first embodiment of the invention;
Fig. 2 is according to the block diagram of the alarm device that suffocates for anesthetic machine of second embodiment of the invention.
The specific embodiment
Below with reference to the accompanying drawings and in conjunction with the embodiments, describe the present invention in detail.
The first embodiment
Fig. 1 shows according to the flow chart of the alarm method that suffocates for anesthetic machine of first embodiment of the invention.As shown in Figure 1, according to the alarm method that suffocates for anesthetic machine of the embodiment of the present invention, comprise the following steps:
Step S102, detects the pressure in the breathing pipeline of anesthetic machine every the scheduled time, and calculates the average pressure in scheduled time of predetermined number;
Step S104, compares average pressure and the first predetermined pressure;
Step S106, when average pressure is less than the first predetermined pressure, starts the first timing;
Step S108, when the first timing expires, if the average pressure during the first timing is all less than the first predetermined pressure, produces the warning that suffocates, and wherein, the first timing is greater than the scheduled time.
The average pressure of breathing pipeline according to the alarm method that suffocates for anesthetic machine of the embodiment of the present invention by detecting anesthetic machine in the scheduled time, then relatively this average pressure and predetermined pressure, finally according to comparative result, determine whether to produce and report to the police, so overcome, in correlation technique, only by detection of moisture amount, produce the problem of harm patient health of failing to judge that suffocating reports to the police may cause, and then reached the technique effect that is of value to patient health.
For example, when breathing pipeline disconnects, respiratory gas diaphragm may vibrate, cause the tidal volume detecting to be greater than predetermined tidal volume, thereby cannot detect the warning that suffocates, but when breathing pipeline disconnects, because breathing pipeline is communicated with atmosphere, so average pressure can be less.In addition, when the average pressure detecting is less than predetermined pressure, start the first timing, and the first timing by the time expires and just produces and report to the police, when the first timing expires, if the average pressure detecting exists the situation that is not less than this predetermined pressure, do not produce the warning that suffocates.So the embodiment of the present invention adopts average pressure to judge whether produce warning, can reach the technique effect of avoiding erroneous judgement.
Preferably, when average pressure equals the first predetermined pressure, also comprise: detect end expiratory positive pressure; End expiratory positive pressure and the second predetermined pressure are compared; When end expiratory positive pressure is less than or equal to the second predetermined pressure, start the first timing; When the first timing expires, if the average pressure during the first timing is equal to the first predetermined pressure, and end expiratory positive pressure is all less than or equal to the second predetermined pressure, produces the warning that suffocates, and wherein, the first timing is greater than the time of respiration gas.
Experiment discovery, when the average pressure detecting equals predetermined pressure, breathing pipeline is likely in normal state of ventilation, also likely in off-state, so increase the Rule of judgment of end expiratory positive pressure.End expiratory positive pressure refers in the each exhalation process of patient, is pressure values minimum in positive pressure.When pipeline disconnects, because pipeline is communicated with atmosphere, so minimum pressure is less than or equal to the second predetermined pressure; When pipeline normal ventilation, owing to there being patient's breathing in pipeline, so end expiratory positive pressure can not be less than or equal to the second predetermined pressure.In addition, when the end expiratory positive pressure detecting is less than the second predetermined pressure, also start the first timing, when the first timing expires, whether judgement, in this first timing, exists end expiratory positive pressure to be greater than the situation of the second predetermined pressure, if exist, do not produce the warning that suffocates.So, by adding end expiratory positive pressure as Rule of judgment, further avoided erroneous judgement.
Preferably, the scheduled time is 0.01 second, and predetermined number is 100, and the first predetermined pressure is 1 centimeter water column, and the second predetermined pressure is 0 centimeter water column, and when the respiratory frequency arranging on anesthetic machine is more than or equal to 6 beats/min, the first timing is 30 seconds; When the respiratory frequency arranging on anesthetic machine is less than 6 beats/min, the first timing is 35 seconds.
The scheduled time, predetermined number, the first predetermined pressure, the second predetermined pressure are experimental data, certainly, also other data can be set as required, for example, the scheduled time also can be set to 0.02 second, and predetermined number also can be set to 30, the first predetermined pressure also can be set to 1.1 centimeter water columns etc.In addition, the respiratory frequency arranging on anesthetic machine is limited between 4-12 time conventionally.
Preferably, alarm method also comprises: the tidal volume in the breathing pipeline of detection anesthetic machine; Tidal volume and predetermined tidal volume are compared; When tidal volume is less than predetermined tidal volume, start the second timing; When the second timing expires, if the tidal volume during the second timing is all less than predetermined tidal volume, produce the warning that suffocates.
When anesthetic machine is in manual mode lower time, owing to having operator by anesthetic machine, so conventionally there will not be in the situation that breathing pipeline disconnects, therefore can utilize tidal volume to judge whether patient suffocates.
Preferably, predetermined tidal volume is 20 milliliters/second, and the second timing is 60 seconds.
The in the situation that of manual mode, because patient has doctor at one's side, so time delay second timing of reporting to the police of suffocating can be greater than the first timing.
Alternatively, can utilize following code to realize the embodiment of the present invention:
static unsigned int ApneaCondJudg (MODE apnea_mode,
APNEA_MONITOR_DATA*monitor_data)
{
if(apnea_mode==MODE_STDBY)
{ //STANDBY pattern does not have APNEA to report to the police
return 0;
}
if(monitor_data->Vt<monitor_data->VtLimit)
{ // tidal volume < judges limit value
return 1;
}
if(apnea_mode!=MODE_MANUAL)
{ // is not MANUAL pattern
// mean pressure < 1cmH2O judgement
#define PRESS_MEAN (monitor_data->Pmean<
10)
// mean pressure=1cmH2O and PEEP <=0cmH2O judgement
#define PRESS_MEAN_AND_PEEP
((monitor_data->Pmean==10)&&(monitor_data->PEEP<=0))
if(PRESS_MEAN||PRESS_MEAN_AND_PEEP)
{
return 1;
}
}
//MANUAL pattern only judges tidal volume
return 0;
}
Average pressure and the end expiratory positive pressure of breathing pipeline according to the alarm method that suffocates for anesthetic machine of first embodiment of the invention by detecting anesthetic machine in the scheduled time, then relatively this average pressure and predetermined pressure and end expiratory positive pressure and the second predetermined pressure, finally according to comparative result, determine whether to produce and report to the police, so overcome, in correlation technique, only by detection of moisture amount, produce the problem of harm patient health of failing to judge that suffocating reports to the police may cause, and then reached the technique effect that is of value to patient health.
The second embodiment
Fig. 2 is according to the block diagram of the alarm device that suffocates for anesthetic machine of second embodiment of the invention.As shown in Figure 2, the alarm device that suffocates for anesthetic machine comprises according to another embodiment of the present invention: module 202 is set, for the scheduled time, predetermined number, the first predetermined pressure and the first timing are set; Pressure detection module 204, for detecting the pressure of the breathing pipeline of anesthetic machine every the scheduled time; Calculate and comparison module 206, for calculating the average pressure in scheduled time of predetermined number, and average pressure and the first predetermined pressure are compared; The first timing module 208, for starting the first timing according to the comparative result of calculating and comparison module; Alarm module 210, for producing according to the comparative result of the timing result of the first timing module and calculating and comparison module the warning that suffocates, wherein, the first timing is greater than the scheduled time.
The average pressure of breathing pipeline according to the alarm device that suffocates for anesthetic machine of second embodiment of the invention by detecting anesthetic machine in the scheduled time, then relatively this average pressure and predetermined pressure, finally according to comparative result, determine whether to produce and report to the police, so overcome, in correlation technique, only by detection of moisture amount, produce the problem of harm patient health of failing to judge that suffocating reports to the police may cause, and then reached the technique effect that is of value to patient health.
Preferably, when average pressure equals the first predetermined pressure, module is set also for the second predetermined pressure is set; Pressure detection module is also for detection of end expiratory positive pressure; Calculating and comparison module are also for comparing end expiratory positive pressure and the second predetermined pressure.
Experiment discovery, when the average pressure detecting equals predetermined pressure, breathing pipeline is likely in normal state of ventilation, also likely in off-state, so increase the Rule of judgment of end expiratory positive pressure.End expiratory positive pressure refers in the each exhalation process of patient, is pressure values minimum in positive pressure.When pipeline disconnects, because pipeline is communicated with atmosphere, so minimum pressure is less than or equal to the second predetermined pressure; When pipeline normal ventilation, owing to there being patient's breathing in pipeline, so end expiratory positive pressure can not be less than or equal to the second predetermined pressure.In addition, when the end expiratory positive pressure detecting is less than the second predetermined pressure, also start the first timing, when the first timing expires, whether judgement, in this first timing, exists end expiratory positive pressure to be greater than the situation of the second predetermined pressure, if exist, do not produce the warning that suffocates.So, by adding end expiratory positive pressure as Rule of judgment, further avoided erroneous judgement.
Preferably, the scheduled time is 0.01 second, and predetermined number is 100, and the first predetermined pressure is 1 centimeter water column, and the second predetermined pressure is 0 centimeter water column, and when the respiratory frequency arranging on anesthetic machine is more than or equal to 6 beats/min, the first timing is 30 seconds; When the respiratory frequency arranging on anesthetic machine is less than 6 beats/min, the first timing is 35 seconds.
The scheduled time, predetermined number, the first predetermined pressure, the second predetermined pressure are experimental data, certainly, also other data can be set as required, for example, the scheduled time also can be set to 0.02 second, and predetermined number also can be set to 30, the first predetermined pressure also can be set to 1.1 centimeter water columns etc.In addition, the respiratory frequency arranging on anesthetic machine is limited between 4-12 time conventionally.
Preferably, alarm device also comprises: tidal volume detection module, for detection of the tidal volume in the breathing pipeline of anesthetic machine; Comparison module, for comparing tidal volume and predetermined tidal volume; The second timing module, for starting the second timing according to the comparative result of comparison module.
When anesthetic machine is in manual mode lower time, owing to having operator by anesthetic machine, so conventionally there will not be in the situation that breathing pipeline disconnects, therefore can utilize tidal volume to judge whether patient suffocates.
Preferably, predetermined tidal volume is 20ml/ second, and the second timing is 60 seconds.
The in the situation that of manual mode, because patient has doctor at one's side, so time delay second timing of reporting to the police of suffocating can be greater than the first timing.
According to the alarm device that suffocates for anesthetic machine of second embodiment of the invention by the breathing pipeline that utilizes pressure detection module and detect anesthetic machine average pressure and the end expiratory positive pressure in the scheduled time, then relatively this average pressure and predetermined pressure and end expiratory positive pressure and the second predetermined pressure, finally according to comparative result, determine whether to produce and report to the police, so overcome, in correlation technique, only by detection of moisture amount, produce the problem of harm patient health of failing to judge that suffocating reports to the police may cause, and then reached the technique effect that is of value to patient health.
Average pressure and the end expiratory positive pressure of the breathing pipeline of the embodiment of the present invention by detecting anesthetic machine in the scheduled time, then relatively this average pressure and predetermined pressure and end expiratory positive pressure and the second predetermined pressure, finally according to comparative result, determine whether to produce and report to the police, so overcome, in correlation technique, only by detection of moisture amount, produce the problem of harm patient health of failing to judge that suffocating reports to the police may cause, and then reached the technique effect that is of value to patient health.
Obviously, those skilled in the art should be understood that, above-mentioned each module of the present invention or each step can realize with general accountant, they can concentrate on single accountant, or be distributed on the network that a plurality of accountants form, alternatively, they can be realized with the executable program code of accountant, thereby, they can be stored in storage device and be carried out by accountant, or they are made into respectively to each integrated circuit modules, or a plurality of modules in them or step are made into single integrated circuit module to be realized.Like this, the present invention is not restricted to any specific hardware and software combination.
The foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, for a person skilled in the art, the present invention can have various modifications and variations.Within the spirit and principles in the present invention all, any modification of doing, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.

Claims (8)

1. for the alarm method that suffocates of anesthetic machine, comprising:
Every the scheduled time, detect the pressure in the breathing pipeline of anesthetic machine, and calculate the average pressure in described scheduled time of predetermined number;
Described average pressure and the first predetermined pressure are compared;
When described average pressure is less than described the first predetermined pressure, start the first timing;
When described the first timing expires, if the described average pressure during described the first timing is all less than described the first predetermined pressure, produce the warning that suffocates, wherein, described the first timing is greater than the described scheduled time;
It is characterized in that, when described average pressure equals described the first predetermined pressure, described method also comprises:
Detect end expiratory positive pressure;
Described end expiratory positive pressure and the second predetermined pressure are compared;
When described end expiratory positive pressure is less than or equal to described the second predetermined pressure, start described the first timing;
When described the first timing expires, if the described average pressure during described the first timing is equal to described the first predetermined pressure, and described end expiratory positive pressure is all less than or equal to described the second predetermined pressure, produces the warning that suffocates, wherein, described the first timing is greater than the time of respiration gas.
2. alarm method according to claim 1, is characterized in that, the described scheduled time is 0.01 second, and described predetermined number is 100, and described the first predetermined pressure is 1 centimeter water column, and described the second predetermined pressure is 0 centimeter water column,
When the respiratory frequency arranging on described anesthetic machine is more than or equal to 6 beats/min, described the first timing is 30 seconds;
When the respiratory frequency arranging on described anesthetic machine is less than 6 beats/min, described the first timing is 35 seconds.
3. alarm method according to claim 1, is characterized in that, also comprises:
Detect the tidal volume in the breathing pipeline of described anesthetic machine;
Described tidal volume and predetermined tidal volume are compared;
When described tidal volume is less than described predetermined tidal volume, start the second timing;
When described the second timing expires, if the described tidal volume during described the second timing is all less than described predetermined tidal volume, produce the warning that suffocates.
4. alarm method according to claim 3, is characterized in that, described predetermined tidal volume is 20 milliliters/second, and described the second timing is 60 seconds.
5. for the alarm device that suffocates of anesthetic machine, comprising:
Module is set, for the scheduled time, predetermined number, the first predetermined pressure and the first timing are set;
Pressure detection module, for detecting the pressure of the breathing pipeline of anesthetic machine every the described scheduled time;
Calculate and comparison module, for calculating the average pressure in described scheduled time of described predetermined number, and described average pressure and described the first predetermined pressure are compared;
The first timing module, for starting the first timing according to the comparative result of described calculating and comparison module;
Alarm module, for producing according to the comparative result of the timing result of described the first timing module and described calculating and comparison module the warning that suffocates, wherein, described the first timing is greater than the described scheduled time;
It is characterized in that, when described average pressure equals described the first predetermined pressure,
The described module that arranges is also for arranging the second predetermined pressure;
Described pressure detection module is also for detection of end expiratory positive pressure;
Described calculating and comparison module are also for comparing described end expiratory positive pressure and described the second predetermined pressure.
6. alarm device according to claim 5, is characterized in that, the described scheduled time is 0.01 second, and described predetermined number is 100, and described the first predetermined pressure is 1 centimeter water column, and described the second predetermined pressure is 0 centimeter water column,
When the respiratory frequency arranging on described anesthetic machine is more than or equal to 6 beats/min, described the first timing is 30 seconds;
When the respiratory frequency arranging on described anesthetic machine is less than 6 beats/min, described the first timing is 35 seconds.
7. alarm device according to claim 5, is characterized in that, also comprises:
Tidal volume detection module, for detection of the tidal volume in the breathing pipeline of described anesthetic machine;
Comparison module, for comparing described tidal volume and predetermined tidal volume;
The second timing module, for starting the second timing according to the comparative result of described comparison module.
8. alarm device according to claim 7, is characterized in that, described predetermined moisture
Amount is 20 milliliters/second, and described the second timing is 60 seconds.
CN200910089911.5A 2009-07-28 2009-07-28 Apnea alarm method and device for anaesthesia machine Active CN101966361B (en)

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CN101337101A (en) * 2007-07-06 2009-01-07 深圳迈瑞生物医疗电子股份有限公司 Aerating system of anesthesia apparatus and respirator and pressure monitoring method

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US4550726A (en) * 1982-07-15 1985-11-05 Mcewen James A Method and apparatus for detection of breathing gas interruptions
US5857458A (en) * 1997-09-26 1999-01-12 Ohmeda Inc. Automatic bellows refill
CN2406656Y (en) * 2000-03-16 2000-11-22 北京创博科技有限责任公司 Automatic aids for breathing disturtance in sleep
CN101337101A (en) * 2007-07-06 2009-01-07 深圳迈瑞生物医疗电子股份有限公司 Aerating system of anesthesia apparatus and respirator and pressure monitoring method
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