![](data:image/png;base64,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)
פרוטוקול מומלץ להנשמת נפח במסגרת פרוייקט "שומרי הראש
הנשמת נפח
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הערות
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![](data:image/png;base64,R0lGODlhIwAjAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJhRIynyesZopy02mNi269rDYTiSJYjiJnqmikpC4vYG8NSVtdorn80b5oBbb7hamdU3UDJkrDpLEJPz6lMag1Vs8tfE5lt4cKIcrhLBnOxXC1ZzLSiPpy6x3XJ64Uduz9QAAA7)
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חיבור למכונת הנשמה בעלת יכולת להנשים בשיטת נפח.
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![](data:image/png;base64,R0lGODlhIwAiAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJjhB2Qq83fzgm02ouvRNR5CHZTspXmVnHkyZai2MYSucpyCtvtq9t43TvRgrEfkcU7Cjs55QzhNBmjsyG1ugBSrVeVQutMdr/ZMTQynnbFayY47G2P2jXc5x7SZvb8Nwh/t1EAADs=)
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בחירת שיטת הנשמה VGV עם PTV
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![](data:image/png;base64,R0lGODlhIwAjAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJkhB2Qq81/4gm02outVNR5CHZTspUmIlbnuqUkCyNyHKsivaY4bL+7SfL9Wp3bUKI7lnrK5awZYUJHzylnIYQGrSMsl1OdSrnb71hcJhezzaCx/XofVaji5x4SZvZ8uQyEd3dQAAA7)
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קביעת נפח הנשמה ב RDS של 5-6 מ"ל/קג.
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![](data:image/png;base64,R0lGODlhIwAiAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJjhB2Qq83fzgm02ouvRNR5CHZTspXmVnHkyZai2MYSucpyCtvtq9t43TvRgrEfkcU7Cjs55QzhNBmjsyG1ugBSrVeVQutMdr/ZMTQynnbFayY47G2P2jXc5x7SZvb8Nwh/t1EAADs=)
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קביעת PEEP של 5-6 ס"מ מים.
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![](data:image/png;base64,R0lGODlhIwAjAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJkhB2Qq83fzgm02ouvVNV5CFKTuJXm1nHnunYkC0tJFNfuXMMknrN3H5vxgKYf8bQ7tkQvJQrhLDKH0WQUNb0+aVrOguq0dr2qcQQczo7FXeMa0azi4soUHPTJa7CZft+nF0hVAAA7)
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PIP ראשוני ייקבע על 25-30 ס"מ מים
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![](data:image/png;base64,R0lGODlhIwAjAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJkhB2Qq81/4gm02outVNR5CHZTspUmIlbnuqUkCyNyHKsivaY4bL+7SfL9Wp3bUKI7lnrK5awZYUJHzylnIYQGrSMsl1OdSrnb71hcJhezzaCx/XofVaji5x4SZvZ8uQyEd3dQAAA7)
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קצב נשימות – 40-60 נשימות בדקה.
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![](data:image/png;base64,R0lGODlhIwAiAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJjhB2Qq83fzgm02ouvRNR5CHZTspXmVnHkyZai2MYSucpyCtvtq9t43TvRgrEfkcU7Cjs55QzhNBmjsyG1ugBSrVeVQutMdr/ZMTQynnbFayY47G2P2jXc5x7SZvb8Nwh/t1EAADs=)
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זמן אינספיריום 0.3-0.35 שניות.
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תנאי אי הכללה:
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![](data:image/png;base64,R0lGODlhIwAjAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJkhB2Qq83fzgm02ouvVNV5CFKTuJXm1nHnunYkC0tJFNfuXMMknrN3H5vxgKYf8bQ7tkQvJQrhLDKH0WQUNb0+aVrOguq0dr2qcQQczo7FXeMa0azi4soUHPTJa7CZft+nF0hVAAA7)
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דלף שלא מאפשר מדידה נכונה של הנפח על ידי מכונת ההנשמה.
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![](data:image/png;base64,R0lGODlhIwAiAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAIAAgAgAB8AgAAAAAAAAAJjhB2Qq83fzgm02ouvRNR5CHZTspXmVnHkyZai2MYSucpyCtvtq9t43TvRgrEfkcU7Cjs55QzhNBmjsyG1ugBSrVeVQutMdr/ZMTQynnbFayY47G2P2jXc5x7SZvb8Nwh/t1EAADs=)
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חוסר יכולת להגיע לחמצון מטרה ורמת PCO2 רצויה.
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