PELATIHAN VENTILASI MEKANIS DASAR UNTUK DOKTER &
PERAWATGRAFIK VENTILATORRirie Fachrina MalisieTujuan
e!"elajaranMen#er$i%si&lis'en$ilasi !e(anis a)a "a*i )an
ana(Me!aha!i !e(ani(a resirasi )an rinsi (erja 'en$ila$&r
Ma!u!en#enali#el&!"an# 'en$ila$&r )an
in$erre$asin*aMa!u!e!aha!i)an !en#a!a$i in$era(si !esin+asien Ala$
"an$u $unjan#an ernaasan Mesin en#u"ah ener#i, -&r!a$
ele($ri(al & ne!a$i( Me!"an$u a$au !en##an$i(an (erja
&$&$ naas Hu"un#an 'en$ila$&r . asien / !esin . $u"in#
. "al&n Rancan# "an#un a0al / '&lu!e & ressure
#enera$e) 1enerasi "aru / (&!u$er )en#an
!i(r&r&ses&rKerja Ven$ila$&rKEUNTUN1AN DARI ANALISA
1RAFIK23 Men#e$ahui in$era(si an$ara 'en$ila$&r )en#an asien43
Daa$ !ela(u(an en#a$uran 'en$ila$&r )en#an "ai( sesuai )en#an
in$era(si asien+'en$ila$&r53 Daa$ )i#una(an un$u( !en*elesai(an
!asalah !asalah sehu"un#an )en#an in$era(si asien+'en$ila$&rT
(det)VARIABELVolume ( mL, L ) Flow ( mL/det, L/det)Pressure(
cmH
O )KOMPONEN 1RAFIK SKALARHASIL 1RAFIK VolumeFlowPressuret(w!"tu)
NAPAS SPONTAN6#ra%( ressure +
$i!e7IN#PIRA#IEK#PIRA#I$ressurew!"tuNAPAS SPONTAN6#ra%(
8&0+$i!e7IN#PIRA#IEK#PIRA#I%oww!"tuNAFAS DEN1AN
VENTILATOR6ressure+$i!e7Te"!&!&'!"tuPIP ($e!"
(&s$(r!tor) $ressure)IN#PIRA#IEK#PIRA#INAPAS DEN1AN
VENTILATOR6'&lu!e+$i!e7Volume'!"tuIN#PIRA#IEK#PIRA#INAPAS
DEN1AN VENTILATOR68&0+$i!e7Floww!"tuPIF ($e!" (&s$(r!tor)
%ow)PEF ($e!" e*$(r!tor) %ow)Ve&t(l!s( +e"!&(s ,s
#$o&t!&Ve&t(l!s( +e"!&(s ,s
#$o&t!&InspirasiEkspirasiSpontanVentilasi
MekanisFLOWWAKTUS&n$an 's 'en$ilasi !e(anisVentilasi
mekanisTime (sec)SpontanPaw
(cm H2O)InspirationExpirationExpirationInspiration4534Time
(secon!)VolumeFlowPRESSURE2335 2
" "# #$%&&& &&&5432
c'a'a Pol! %ow (&s$(r!s( Pol! %ow
(&s$(r!s(InspirasiEkspirasiTime (sec)(low ()*min)+ul!(
(&s$(r!s(Pea( insira$&r* 8&0 ra$ePIFR+ul!(
e"s$(r!s(T&$al c*cle $i!eT9TI&s$(r!tor)T(meTIE*$(r!tor)
T(me TEPol! %ow e"s$(r!s( Pol! %ow e"s$(r!s(InspirasiEkspirasiTime
(sec)(low ()*min)Mulai e(sirasiPe!" E*$(r!tor) Flow R!tePEFRDurasi
8&0 e(sirasiE*$(r!tor) t(meTE1RAFIKFLOW+TIME9&ns$an$
8&0 ra$e /aliran u)ara *an# $e$a seanjan#-ase insirasi 6a0al .
a(hir73Descelera$in# 8&0 ra$e/aliran u)ara *an# $in##i a)a a0al
insirasi: selanju$n*a !enurun sa!ai a(hir insirasi3Sinus&i)
8&0 ra$e /Men*eruai &la na-as &ran#
n&r!al3O-stru"s( ,s E"s$(r!s( !"t(. O-stru"s( ,s E"s$(r!s(
!"t(.O-stru"s( E"s$(r!s( !"t(.Time (sec)N&r!alA"n&r!al(low
()*min)A(r Tr!$$(&/ A(r
Tr!$$(&/InspirasiEkspirasiN&r!alPasienTime (sec)(low
()*min)A(r Tr!$$(&/Auto0PEEP1Res&n $erha)a
"r&n(&)ila$&rRes&n $erha)a
"r&n(&)ila$&r#e-elumTime (sec)(low ()*min)PEFR#esud!2
TE $!&3!&/H(/2er PEFR TE s(&/"!tAir Lea( 6Fl&0
Tri##er7 Air Lea( 6Fl&0 Tri##er7InspirasiEkspirasiTime
(sec)(low ()*min)Le!" Fl&0 Insirasi Ti)a( A)e(ua$ Fl&0
Insirasi Ti)a( A)e(ua$(low ()*min)Time
(sec)Norm!lA-&orm!lInsirasi a($i- a$au Asin(r&nPa$ien$;s
e"#KALARLOOPEssen$ials &- Ven$ila$&r 1rahics>4???
ResiMe)uFlow P!tter&s Flow
P!tter&sACCELERATINGDECELERATINGSINESQUAREEssen$ials &-
Ven$ila$&r 1rahics>4??? ResiMe)u/e0in Inspiration/e0in
ExpirationPaw (cm H2O)Time (sec)A(rw!)
Res(st!&ce5(ste&d(&/ (Al,eol!r) Pressure
E*$(r!t(o&I&%!t(o& Hold(seco&ds)/e0in ExpirationPaw
(cm H2O)Time (sec)/e0in
InspirationPIPP$l!te!u(P!l,eol!rTr!&s!(rw!) Pressure
(PTA)=E*2!l!t(o& V!l,e O$e&sE*$(r!t(o&PIP'or" o.
Bre!t2(&/ 'or" o. Bre!t2(&/ A: Res(st(,e'or" B: El!st(c
'or"Pressure (cm H
O)Volume (ml)BBAA
