{"id":64,"date":"2023-12-12T14:46:32","date_gmt":"2023-12-12T14:46:32","guid":{"rendered":"https:\/\/icu.ge\/?p=64"},"modified":"2023-12-12T14:46:32","modified_gmt":"2023-12-12T14:46:32","slug":"ardsnet-%e1%83%98%e1%83%a1-%e1%83%9e%e1%83%a0%e1%83%9d%e1%83%a2%e1%83%9d%e1%83%99%e1%83%9d%e1%83%9a%e1%83%98-%e1%83%a4%e1%83%ae%e1%83%95-ards-%e1%83%98%e1%83%a1-%e1%83%93%e1%83%a0%e1%83%9d%e1%83%a1","status":"publish","type":"post","link":"https:\/\/icu.ge\/?p=64","title":{"rendered":"ARDSnet-\u10d8\u10e1 \u10de\u10e0\u10dd\u10e2\u10dd\u10d9\u10dd\u10da\u10d8 (\u10e4\u10ee\u10d5 ARDS-\u10d8\u10e1 \u10d3\u10e0\u10dd\u10e1)"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><a href=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEiMFo0V3ftodNt9ID1RuM9SRj2qz5DiN0yQ0S9x0Gs0ZZJg6s5STRtw7ZW-o1PMzCIT5h5FBs4xRDiPuaT0CIpWNdGuPtshm6fGvUyaX6K_roMz7Yh7b6X36Jau8gi83EEx9mshrsLDAkzliXXNnNUMhXIy94CVMatDpd0X5C8L07HtnCiMxVU4vURzqA=s581\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEiMFo0V3ftodNt9ID1RuM9SRj2qz5DiN0yQ0S9x0Gs0ZZJg6s5STRtw7ZW-o1PMzCIT5h5FBs4xRDiPuaT0CIpWNdGuPtshm6fGvUyaX6K_roMz7Yh7b6X36Jau8gi83EEx9mshrsLDAkzliXXNnNUMhXIy94CVMatDpd0X5C8L07HtnCiMxVU4vURzqA=w196-h132\" alt=\"\"\/><\/a><\/figure>\n\n\n\n<p>\u10de\u10e0\u10dd\u10e2\u10dd\u10d9\u10dd\u10da\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10e7\u10d4\u10dc\u10d4\u10d1\u10d8\u10e1 \u10d9\u10e0\u10d8\u10e2\u10d4\u10e0\u10d8\u10e3\u10db\u10d4\u10d1\u10d8:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PaO2\/FiO2 \u2264 300<\/li>\n\n\n\n<li>\u10d1\u10d8\u10da\u10d0\u10e2\u10d4\u10e0\u10d0\u10da\u10e3\u10e0\u10d8 (\u10d3\u10d8\u10e4\u10e3\u10d6\u10e3\u10e0\u10d8, \u10f0\u10dd\u10db\u10dd\u10d2\u10d4\u10dc\u10e3\u10e0\u10d8) \u10d8\u10dc\u10e4\u10d8\u10da\u10e2\u10e0\u10d0\u10e2\u10d4\u10d1\u10d8 \u10d3\u10d0 \u10e4\u10d8\u10da\u10e2\u10d5\u10d8\u10e1 \u10e8\u10d4\u10e8\u10e3\u10de\u10d4\u10d1\u10d8\u10e1 \u10e1\u10e3\u10e0\u10d0\u10d7\u10d8;<\/li>\n\n\n\n<li>\u10db\u10d0\u10e0\u10ea\u10ee\u10d4\u10dc\u10d0 \u10ec\u10d8\u10dc\u10d0\u10d2\u10e3\u10da\u10dd\u10d5\u10d0\u10dc\u10d8 \u10f0\u10d8\u10de\u10d4\u10e0\u10e2\u10d4\u10dc\u10d6\u10d8\u10d8\u10e1 \u10dc\u10d8\u10e8\u10dc\u10d4\u10d1\u10d8\u10e1 \u10d0\u10e0\u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d0.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u10dc\u10d0\u10ec\u10d8\u10da\u10d8 I: \u10d5\u10d4\u10dc\u10e2\u10d8\u10da\u10d0\u10e2\u10dd\u10e0\u10d8\u10e1 \u10d2\u10d0\u10db\u10d0\u10e0\u10d7\u10d5\u10d0:<br><\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u10d2\u10d0\u10db\u10dd\u10d8\u10d7\u10d5\u10d0\u10da\u10d4\u10d7 \u10e1\u10ee\u10d4\u10e3\u10da\u10d8\u10e1 \u10e1\u10d0\u10d5\u10d0\u10e0\u10d0\u10e3\u10d3\u10dd \u10ec\u10dd\u10dc\u10d0 (PBW);<br><strong>\u10d9\u10d0\u10ea\u10d4\u10d1\u10d8&nbsp; =&nbsp;<\/strong>50 + (0.91 \u00d7 [\u10e1\u10d8\u10db\u10d0\u10e6\u10da\u10d4 (\u10e1\u10db) \u2212 152.4])<br><strong>\u10e5\u10d0\u10da\u10d4\u10d1\u10d8&nbsp;<\/strong>= 45.5 + (0.91 \u00d7 [\u10e1\u10d8\u10db\u10d0\u10e6\u10da\u10d4 (\u10e1\u10db) \u2212 152.4])<\/li>\n\n\n\n<li>\u10d0\u10d8\u10e0\u10e9\u10d8\u10d4\u10d7 \u10db\u10d4\u10e5\u10d0\u10dc\u10d8\u10d9\u10e3\u10e0\u10d8 \u10d5\u10d4\u10dc\u10e2\u10d8\u10da\u10d0\u10ea\u10d8\u10d8\u10e1&nbsp;\u10dc\u10d4\u10d1\u10d8\u10e1\u10db\u10d8\u10d4\u10e0\u10d8 \u10e0\u10d4\u10df\u10d8\u10db\u10d8;<\/li>\n\n\n\n<li>\u10d3\u10d0\u10d0\u10e7\u10d4\u10dc\u10d4\u10d7 \u10de\u10d0\u10e0\u10d0\u10db\u10d4\u10e2\u10e0\u10d4\u10d1\u10d8 \u10d8\u10e1\u10d4, \u10e0\u10dd\u10db \u10e1\u10d0\u10ec\u10e7\u10d8\u10e1\u10d8 VT \u10d8\u10e7\u10dd\u10e1 8 \u10db\u10da\/\u10d9\u10d2 PBW-\u10d6\u10d4 \u10d2\u10d0\u10d7\u10d5\u10da\u10d8\u10d7;<\/li>\n\n\n\n<li>\u10e8\u10d4\u10d0\u10db\u10ea\u10d8\u10e0\u10d4\u10d7 \u10e9\u10d0\u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10db\u10dd\u10ea\u10e3\u10da\u10dd\u10d1\u10d0 1 \u10db\u10da\/\u10d9\u10d2-\u10d8\u10d7 2-\u10e1\u10d0\u10d0\u10d7\u10d8\u10d0\u10dc\u10d8 \u10d8\u10dc\u10e2\u10d4\u10e0\u10d5\u10d0\u10da\u10d4\u10d1\u10d8\u10d7 6 \u10db\u10da\/\u10d9\u10d2-\u10db\u10d3\u10d4;<\/li>\n\n\n\n<li>\u10d3\u10d0\u10d0\u10e7\u10d4\u10dc\u10d4\u10d7 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e1\u10d8\u10ee\u10e8\u10d8\u10e0\u10d4 \u10d8\u10e1\u10d4, \u10e0\u10dd\u10db \u10ec\u10e3\u10d7\u10d5\u10d4\u10dc\u10e2\u10d8\u10da\u10d0\u10ea\u10d8\u10d0 \u10d0\u10e0 \u10d8\u10e7\u10dd\u10e1 35\/\u10ec\u10d7-\u10d6\u10d4 \u10db\u10d4\u10e2\u10d8;<\/li>\n\n\n\n<li>\u10d3\u10d0\u10d0\u10e0\u10d4\u10d2\u10e3\u10da\u10d8\u10e0\u10d4\u10d7 \u10db\u10dd\u10ea\u10e3\u10da\u10dd\u10d1\u10d0 \u10d3\u10d0 \u10e1\u10d8\u10ee\u10e8\u10d8\u10e0\u10d4 \u10d8\u10e1\u10d4, \u10e0\u10dd\u10db \u10db\u10d8\u10d8\u10e6\u10dd\u10d7 pH-\u10d8\u10e1 \u10d3\u10d0 \u10de\u10da\u10d0\u10e2\u10dd \u10ec\u10dc\u10d4\u10d5\u10d8\u10e1 \u10e1\u10d0\u10db\u10d8\u10d6\u10dc\u10d4 \u10db\u10dc\u10d8\u10e8\u10d5\u10dc\u10d4\u10da\u10dd\u10d1\u10d0.<\/li>\n<\/ol>\n\n\n\n<p>\u10db\u10d8\u10d6\u10d0\u10dc\u10d8: \u10dd\u10e5\u10e1\u10d8\u10d2\u10d4\u10dc\u10d0\u10ea\u10d8\u10d0 &#8211; PaO2 55-80 mmHg \u10d0\u10dc SpO2 88-95%<\/p>\n\n\n\n<p>\u10d2\u10d0\u10db\u10dd\u10d8\u10e7\u10d4\u10dc\u10d4\u10d7 PEEP \u10db\u10d8\u10dc\u10d8\u10db\u10e3\u10db 5 \u10e1\u10db H2O. \u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 FiO2\/PEEP-\u10d8\u10e1 \u10d6\u10e0\u10d3\u10d0\u10d3\u10d8 \u10d9\u10dd\u10db\u10d1\u10d8\u10dc\u10d0\u10ea\u10d8\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10e7\u10d4\u10dc\u10d4\u10d1\u10d0 (\u10e1\u10d0\u10d5\u10d0\u10da\u10d3\u10d4\u10d1\u10e3\u10da\u10dd \u10d0\u10e0 \u10d0\u10e0\u10d8\u10e1).<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/2.bp.blogspot.com\/-XI3at1KnNZI\/Wob7wu2YnjI\/AAAAAAAABd0\/QWgeI60cMT8FnxwMgarL0HriSxw3I0jRQCLcBGAs\/s1600\/fio2peep.PNG\"><img decoding=\"async\" src=\"https:\/\/2.bp.blogspot.com\/-XI3at1KnNZI\/Wob7wu2YnjI\/AAAAAAAABd0\/QWgeI60cMT8FnxwMgarL0HriSxw3I0jRQCLcBGAs\/s640\/fio2peep.PNG\" alt=\"\"\/><\/a><\/figure>\n\n\n\n<p><strong><a><\/a>\u10de\u10da\u10d0\u10e2\u10dd \u10ec\u10dc\u10d4\u10d5\u10d8\u10e1 \u10e1\u10d0\u10db\u10d8\u10d6\u10dc\u10d4 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10d4\u10da\u10d8:<\/strong>&nbsp;\u2264 30 \u10e1\u10db H2O&nbsp;<\/p>\n\n\n\n<p><strong>\u10e8\u10d4\u10d0\u10db\u10dd\u10ec\u10db\u10d4\u10d7 Pplat&nbsp;<\/strong>(0.5 \u10ec\u10db \u10d8\u10dc\u10e1\u10de\u10d8\u10e0\u10d0\u10e2\u10dd\u10e0\u10e3\u10da\u10d8 \u10de\u10d0\u10e3\u10d6\u10d0), \u10e1\u10e3\u10da \u10db\u10ea\u10d8\u10e0\u10d4 4 \u10e1\u10d0\u10d0\u10d7\u10e8\u10d8 \u10d4\u10e0\u10d7\u10ee\u10d4\u10da \u10d3\u10d0 \u10e7\u10dd\u10d5\u10d4\u10da\u10d8 PEEP\u2013\u10d8\u10e1 \u10d0\u10dc VT-\u10d8\u10e1 \u10ea\u10d5\u10da\u10d8\u10da\u10d4\u10d1\u10d8\u10e1\u10d0\u10e1.&nbsp;<\/p>\n\n\n\n<p><strong>\u10d7\u10e3 Pplat &gt; 30 \u10e1\u10db H2O:<\/strong>&nbsp;\u10e8\u10d4\u10d0\u10db\u10ea\u10d8\u10e0\u10d4\u10d7 VT 1 \u10db\u10da\/\u10d9\u10d2\u2013\u10d8\u10d0\u10dc\u10d8 \u10dc\u10d0\u10d1\u10d8\u10ef\u10d4\u10d1\u10d8\u10d7 (\u10db\u10d8\u10dc\u10d8\u10db\u10e3\u10db\u10d8 = 4 \u10db\u10da\/\u10d9\u10d2).<\/p>\n\n\n\n<p><strong>\u10d7\u10e3 Pplat &lt; 25 \u10e1\u10db H2O \u10d3\u10d0 VT&lt; 6 \u10db\u10da\/\u10d9\u10d2,<\/strong>&nbsp;\u10d2\u10d0\u10d6\u10d0\u10e0\u10d3\u10d4\u10d7 VT 1 \u10db\u10da\/\u10d9\u10d2\u2013\u10d8\u10d0\u10dc\u10d8 \u10dc\u10d0\u10d1\u10d8\u10ef\u10d4\u10d1\u10d8\u10d7 \u10db\u10d0\u10dc\u10d0\u10db, \u10e1\u10d0\u10dc\u10d0\u10db&nbsp; Pplat \u10d0\u10e0 \u10d8\u10e5\u10dc\u10d4\u10d1\u10d0 &gt; 25 \u10e1\u10db H2O \u10d0\u10dc VT = 6 \u10db\u10da\/\u10d9\u10d2.<\/p>\n\n\n\n<p><strong>\u10d7\u10e3 Pplat &lt; 30 \u10d3\u10d0 \u10ee\u10d3\u10d4\u10d1\u10d0 \u10e4\u10d8\u10da\u10e2\u10d5\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10d3\u10d0\u10d1\u10d4\u10e0\u10d5\u10d0 \u10d0\u10dc \u10d0\u10de\u10d0\u10e0\u10d0\u10dc\u10e2\u10d7\u10d0\u10dc \u10e1\u10d8\u10dc\u10e5\u10e0\u10dd\u10dc\u10d8\u10d6\u10d0\u10ea\u10d8\u10d0 \u10d8\u10e0\u10e6\u10d5\u10d4\u10d5\u10d0:<\/strong>&nbsp;\u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 \u10d2\u10d0\u10d8\u10d6\u10d0\u10e0\u10d3\u10dd\u10e1 VT 1 \u10db\u10da\/\u10d9\u10d2\u2013\u10d8\u10d0\u10dc\u10d8 \u10d8\u10dc\u10d9\u10e0\u10d4\u10db\u10d4\u10dc\u10e2\u10d4\u10d1\u10d8\u10d7 7 \u10d0\u10dc 8 \u10db\u10da\/\u10d9\u10d2\u2013\u10db\u10d3\u10d4, \u10d7\u10e3 Pplat \u10e0\u10e9\u10d4\u10d1\u10d0 &lt; 30 \u10e1\u10db H2O.&nbsp;<\/p>\n\n\n\n<p><strong>pH\u2013\u10d8\u10e1 \u10e1\u10d0\u10db\u10d8\u10d6\u10dc\u10d4 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10d4\u10da\u10d8: 7.30-7.45&nbsp;<\/strong><\/p>\n\n\n\n<p><strong>\u10d0\u10ea\u10d8\u10d3\u10dd\u10d6\u10d8\u10e1 \u10db\u10d0\u10e0\u10d7\u10d5\u10d0: (pH &lt; 7.30)&nbsp;<\/strong><\/p>\n\n\n\n<p><strong>\u10d7\u10e3 pH 7.15-7.30 \u10d3\u10d8\u10d0\u10de\u10d0\u10d6\u10dd\u10dc\u10e8\u10d8\u10d0:<\/strong>&nbsp;\u10d2\u10d0\u10d6\u10d0\u10e0\u10d3\u10d4\u10d7 RR \u10db\u10d0\u10dc\u10d0\u10db, \u10e1\u10d0\u10dc\u10d0\u10db pH \u10d0\u10e0 \u10d2\u10d0\u10ee\u10d3\u10d4\u10d1\u10d0 &gt; 7.30 \u10d0\u10dc PaCO2 &lt; 25 (\u10db\u10d0\u10e5\u10e1\u10d8\u10db\u10e3\u10db \u10d3\u10d0\u10d0\u10e7\u10d4\u10dc\u10d4\u10d7 RR = 35).<\/p>\n\n\n\n<p><strong>\u10d7\u10e3 pH &lt; 7.15:<\/strong>&nbsp;\u10d2\u10d0\u10d6\u10d0\u10e0\u10d3\u10d4\u10d7 RR 35\u2013\u10db\u10d3\u10d4. \u10d7\u10e3 pH \u10e0\u10e9\u10d4\u10d1\u10d0 &lt; 7.15, VT \u10e8\u10d4\u10d8\u10eb\u10da\u10d4\u10d1\u10d0 \u10d2\u10d0\u10d8\u10d6\u10d0\u10e0\u10d3\u10dd\u10e1 1 \u10db\u10da\/\u10d9\u10d2 \u10d8\u10dc\u10d9\u10e0\u10d4\u10db\u10d4\u10dc\u10e2\u10d4\u10d1\u10d8\u10d7, \u10e1\u10d0\u10dc\u10d0\u10db&nbsp; pH \u10d0\u10e0 \u10d2\u10d0\u10ee\u10d3\u10d4\u10d1\u10d0 &gt; 7.15 (Pplat\u2013\u10d8\u10e1 \u10e1\u10d0\u10db\u10d8\u10d6\u10dc\u10d4 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10d4\u10da\u10d8 (30) \u10e8\u10d4\u10d8\u10eb\u10da\u10d4\u10d1\u10d0 \u10d2\u10d0\u10d8\u10d6\u10d0\u10e0\u10d3\u10dd\u10e1).&nbsp;<\/p>\n\n\n\n<p>\u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 NaHCO3\u2013\u10d8\u10e1 \u10d2\u10d0\u10d3\u10d0\u10e1\u10ee\u10db\u10d0.<\/p>\n\n\n\n<p><strong>\u10d0\u10da\u10d9\u10d0\u10da\u10dd\u10d6\u10d8\u10e1 \u10db\u10d0\u10e0\u10d7\u10d5\u10d0: (pH &gt; 7.45)<\/strong>&nbsp;\u10d7\u10e3 \u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0, \u10e8\u10d4\u10d0\u10db\u10ea\u10d8\u10e0\u10d4\u10d7 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e1\u10d8\u10ee\u10e8\u10d8\u10e0\u10d4.<\/p>\n\n\n\n<p><strong>I: E \u10e8\u10d4\u10e4\u10d0\u10e0\u10d3\u10d4\u10d1\u10d8\u10e1 \u10e1\u10d0\u10db\u10d8\u10d6\u10dc\u10d4 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10d4\u10da\u10d8:&nbsp;<\/strong>\u10e0\u10d4\u10d9\u10dd\u10db\u10d4\u10dc\u10d3\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8\u10d0, \u10e0\u10dd\u10db \u10e9\u10d0\u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10ee\u10d0\u10dc\u10d2\u10e0\u10eb\u10da\u10d8\u10d5\u10dd\u10d1\u10d0 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d8 \u10d8\u10e7\u10dd\u10e1 \u10d0\u10db\u10dd\u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10ee\u10d0\u10dc\u10d2\u10e0\u10eb\u10da\u10d8\u10d5\u10dd\u10d1\u10d0\u10d6\u10d4.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u10dc\u10d0\u10ec\u10d8\u10da\u10d8 II: \u10e0\u10d4\u10e1\u10de\u10d8\u10e0\u10d0\u10e2\u10dd\u10e0\u10e3\u10da\u10d8 \u10d3\u10d0\u10ee\u10db\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10d3\u10d4\u10d4\u10e1\u10d9\u10d0\u10da\u10d0\u10ea\u10d8\u10d0 \u10d3\u10d0 \u10d0\u10de\u10d0\u10e0\u10d0\u10e2\u10d8\u10d3\u10d0\u10dc \u10db\u10dd\u10ee\u10e1\u10dc\u10d0 (\u10d5\u10d8\u10dc\u10d8\u10dc\u10d2\u10d8):<\/strong><\/h4>\n\n\n\n<p><strong>A. \u10e9\u10d0\u10d0\u10e2\u10d0\u10e0\u10d4\u10d7 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e2\u10d4\u10e1\u10e2\u10d8 \u10e7\u10dd\u10d5\u10d4\u10da\u10d3\u10e6\u10d8\u10e3\u10e0\u10d0\u10d3, \u10e0\u10dd\u10ea\u10d0:&nbsp;<\/strong><\/p>\n\n\n\n<p>1. FiO2 \u2264 0.40 \u10d3\u10d0 PEEP \u2264 8 \u10d0\u10dc FiO2 &lt; 0.50 \u10d3\u10d0 PEEP &lt; 5.&nbsp;<\/p>\n\n\n\n<p>2. PEEP \u10d3\u10d0 FiO2 \u2264 \u10ec\u10d8\u10dc\u10d0 \u10d3\u10e6\u10d4\u10e1\u10d7\u10d0\u10dc \u10e8\u10d4\u10d3\u10d0\u10e0\u10d4\u10d1\u10d8\u10e2.&nbsp;<\/p>\n\n\n\n<p>3. \u10de\u10d0\u10ea\u10d8\u10d4\u10dc\u10e2\u10e1 \u10d0\u10e5\u10d5\u10e1 \u10d3\u10d0\u10db\u10d0\u10d9\u10db\u10d0\u10e7\u10dd\u10e4\u10d8\u10da\u10d4\u10d1\u10d4\u10da\u10d8 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10db\u10ea\u10d3\u10d4\u10da\u10dd\u10d1\u10d0. (\u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10dd\u10d0 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e1\u10d8\u10ee\u10e8\u10d8\u10e0\u10d8\u10e1 50%\u2013\u10d8\u10d7 \u10e8\u10d4\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10d0 5 \u10ec\u10e3\u10d7\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10d5\u10da\u10dd\u10d1\u10d0\u10e8\u10d8, \u10e0\u10d0\u10d7\u10d0 \u10d3\u10d0\u10d5\u10d0\u10d3\u10d2\u10d8\u10dc\u10dd\u10d7 \u10db\u10ea\u10d3\u10d4\u10da\u10dd\u10d1\u10d8\u10e1 \u10d0\u10d3\u10d4\u10d9\u10d5\u10d0\u10e2\u10e3\u10e0\u10dd\u10d1\u10d0).<\/p>\n\n\n\n<p>4. \u10e1\u10d8\u10e1\u10e2\u10dd\u10da\u10e3\u10e0\u10d8 BP \u2265 90 mmHg \u10d5\u10d0\u10d6\u10dd\u10de\u10e0\u10d4\u10e1\u10dd\u10e0\u10d8\u10e1 \u10d3\u10d0\u10ee\u10db\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10e0\u10d4\u10e8\u10d4.<\/p>\n\n\n\n<p>5. \u10db\u10dd\u10ee\u10e1\u10dc\u10d8\u10da\u10d8\u10d0 \u10dc\u10d4\u10e0\u10d5\u2013\u10d9\u10e3\u10dc\u10d7\u10dd\u10d5\u10d0\u10dc\u10d8 \u10d0\u10de\u10d0\u10e0\u10d0\u10e2\u10d8\u10e1 \u10d1\u10da\u10dd\u10d9\u10d0\u10e2\u10dd\u10e0\u10d4\u10d1\u10d8.<\/p>\n\n\n\n<p><strong>B. \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e2\u10d4\u10e1\u10e2\u10d8 (SBT): \u10d7\u10e3 \u10d6\u10d4\u10db\u10dd\u10d7\u10e9\u10d0\u10db\u10dd\u10d7\u10d5\u10da\u10d8\u10da \u10e7\u10d5\u10d4\u10da\u10d0 \u10d9\u10e0\u10d8\u10e2\u10d4\u10e0\u10d8\u10e3\u10db\u10d8 \u10d3\u10d0\u10d9\u10db\u10d0\u10e7\u10dd\u10e4\u10d8\u10da\u10d4\u10d1\u10e3\u10da\u10d8\u10d0 \u10e1\u10e3\u10da \u10db\u10ea\u10d8\u10e0\u10d4 12 \u10e1\u10d0\u10d0\u10d7\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10d5\u10da\u10dd\u10d1\u10d0\u10e8\u10d8, \u10d3\u10d0\u10d8\u10ec\u10e7\u10d4\u10d7 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e2\u10d4\u10e1\u10e2\u10d8 120 \u10ec\u10e3\u10d7\u10d0\u10db\u10d3\u10d4 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10d7 \u10d8\u10e1\u10d4, \u10e0\u10dd\u10db FiO2 \u10d8\u10e7\u10dd\u10e1 &lt; 0.5 \u10d3\u10d0 PEEP &lt; 5:&nbsp;<\/strong><\/p>\n\n\n\n<p><strong>1.<\/strong>&nbsp;\u10e1\u10d0\u10d8\u10dc\u10e2\u10e3\u10d1\u10d0\u10ea\u10d8\u10dd \u10db\u10d8\u10da\u10d6\u10d4 \u10d3\u10d0\u10d0\u10db\u10d0\u10d2\u10e0\u10d4\u10d7 T-\u10db\u10d8\u10da\u10d8, \u10d0\u10dc \u10d2\u10d0\u10d3\u10d0\u10d8\u10e7\u10d5\u10d0\u10dc\u10d4\u10d7 CPAP\u2013\u10d6\u10d4 \u2264 5 \u10e1\u10db H2O, PS\u2013\u10d8\u10d7 &lt; 5&nbsp;<\/p>\n\n\n\n<p><strong>2.<\/strong>&nbsp;\u10d3\u10d0\u10d0\u10d9\u10d5\u10d8\u10e0\u10d3\u10d8\u10d7, \u10e0\u10d0\u10db\u10d3\u10d4\u10dc\u10d0\u10d3 \u10d4\u10d2\u10e3\u10d4\u10d1\u10d0 \u10de\u10d0\u10ea\u10d8\u10d4\u10dc\u10e2\u10d8 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d0\u10e1 (\u10dd\u10e0\u10d8 \u10e1\u10d0\u10d0\u10d7\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10d5\u10da\u10dd\u10d1\u10d0\u10e8\u10d8):<\/p>\n\n\n\n<p>&nbsp; &nbsp;a. SpO2 \u2265 90: \u10d3\u10d0\/\u10d0\u10dc PaO2 \u2265 60 mmHg&nbsp;<\/p>\n\n\n\n<p>&nbsp; &nbsp;b. \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 VT \u2265 4 \u10db\u10da\/\u10d9\u10d2 PBW&nbsp;<\/p>\n\n\n\n<p>&nbsp; &nbsp;c. RR \u2264 35\/\u10ec\u10d7<\/p>\n\n\n\n<p>&nbsp; &nbsp;d. pH \u2265 7.3&nbsp;<\/p>\n\n\n\n<p>&nbsp; &nbsp;e. \u10d0\u10e0\u10d0\u10d0 \u10e1\u10d0\u10ee\u10d4\u10d6\u10d4 \u10e0\u10d4\u10e1\u10de\u10d8\u10e0\u10d0\u10ea\u10d8\u10e3\u10da\u10d8 \u10d3\u10d8\u10e1\u10e2\u10e0\u10d4\u10e1\u10d8\u10e1 \u10dc\u10d8\u10e8\u10dc\u10d4\u10d1\u10d8 (\u10d3\u10d8\u10e1\u10e2\u10e0\u10d4\u10e1\u10d8= \u10e9\u10d0\u10db\u10dd\u10d7\u10d5\u10da\u10d8\u10da\u10d7\u10d0\u10d2\u10d0\u10dc 2 \u10d0\u10dc \u10db\u10d4\u10e2\u10d8 \u10dc\u10d8\u10e8\u10d0\u10dc\u10d8)&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>HR &gt; 120% \u10e2\u10d4\u10e1\u10e2\u10d8\u10e1 \u10d3\u10d0\u10ec\u10e7\u10d4\u10d1\u10d0\u10db\u10d3\u10d4 \u10d0\u10e0\u10e1\u10d4\u10d1\u10e3\u10da\u10d7\u10d0\u10dc \u10e8\u10d4\u10d3\u10d0\u10e0\u10d4\u10d1\u10d8\u10d7;<\/li>\n\n\n\n<li>\u10d3\u10d0\u10db\u10d0\u10d4\u10d1\u10d8\u10d7\u10d8 \u10d9\u10e3\u10dc\u10d7\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10eb\u10da\u10d8\u10d4\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10d2\u10d0\u10db\u10dd\u10e7\u10d4\u10dc\u10d4\u10d1\u10d0;&nbsp;<\/li>\n\n\n\n<li>\u10d0\u10d1\u10d3\u10dd\u10db\u10d8\u10dc\u10d0\u10da\u10e3\u10e0\u10d8 \u10de\u10d0\u10e0\u10d0\u10d3\u10dd\u10e5\u10e1\u10d8;<\/li>\n\n\n\n<li>\u10d3\u10d8\u10d0\u10e4\u10dd\u10e0\u10d4\u10d6\u10d8;<\/li>\n\n\n\n<li>\u10d2\u10d0\u10db\u10dd\u10ee\u10d0\u10e2\u10e3\u10da\u10d8 \u10e5\u10dd\u10e8\u10d8\u10dc\u10d8.<\/li>\n<\/ul>\n\n\n\n<p>3. \u10d7\u10e3 \u10de\u10d0\u10ea\u10d8\u10d4\u10dc\u10e2\u10d8 \u10e1\u10e3\u10da \u10db\u10ea\u10d8\u10e0\u10d4 30 \u10ec\u10e3\u10d7\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10d5\u10da\u10dd\u10d1\u10d0\u10e8\u10d8 \u10e2\u10dd\u10da\u10d4\u10e0\u10d0\u10dc\u10e2\u10e3\u10da\u10d8\u10d0 \u10e8\u10d4\u10ea\u10d5\u10da\u10d8\u10da \u10e0\u10d4\u10df\u10d8\u10db\u10d7\u10d0\u10dc, \u10d8\u10e4\u10d8\u10e5\u10e0\u10d4\u10d7 \u10d4\u10e5\u10e1\u10e2\u10e3\u10d1\u10d0\u10ea\u10d8\u10d0\u10d6\u10d4;<\/p>\n\n\n\n<p>4. \u10d7\u10e3 \u10d5\u10d4\u10e0 \u10d4\u10d2\u10e3\u10d4\u10d1\u10d0 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10e2\u10d4\u10e1\u10e2\u10e1, \u10d3\u10d0\u10e3\u10d1\u10e0\u10e3\u10dc\u10d3\u10d8\u10d7 \u10d5\u10d8\u10dc\u10d8\u10dc\u10d2\u10d0\u10db\u10d3\u10d4\u10da \u10de\u10d0\u10e0\u10d0\u10db\u10d4\u10e2\u10e0\u10d4\u10d1\u10e1.<\/p>\n\n\n\n<p><strong>\u10d0\u10e0\u10d0\u10d0\u10e1\u10d8\u10e1\u10e2\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10d0\u10e0\u10e2\u10d4\u10d1\u10d0 (\u10d2\u10d0\u10dc\u10e1\u10ee\u10d5\u10d0\u10d5\u10d3\u10d4\u10d1\u10d0 \u10e1\u10de\u10dd\u10dc\u10e2\u10d0\u10dc\u10e3\u10e0\u10d8 \u10e1\u10e3\u10dc\u10d7\u10e5\u10d5\u10d8\u10e1\u10d2\u10d0\u10dc, \u10e0\u10d0\u10d3\u10d2\u10d0\u10dc PS \u10d0\u10e0\u10d0\u10d0 \u10d3\u10d0\u10e8\u10d5\u10d4\u10d1\u10e3\u10da\u10d8)<\/strong><\/p>\n\n\n\n<p>1. \u10d4\u10e5\u10e1\u10e2\u10e3\u10d1\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8, \u10e1\u10e3\u10dc\u10d7\u10e5\u10d0\u10d5\u10e1 \u10e1\u10d0\u10ee\u10d8\u10e1 \u10db\u10d0\u10e0\u10e2\u10d8\u10d5\u10d8 \u10dc\u10d8\u10e6\u10d1\u10d8\u10d7, \u10dc\u10d0\u10d6\u10d0\u10da\u10e3\u10e0\u10d8 \u10d9\u10d0\u10dc\u10e3\u10da\u10d8\u10d7 \u10d0\u10dc \u10d0\u10e2\u10db\u10dd\u10e1\u10e4\u10d4\u10e0\u10e3\u10da\u10d8 \u10f0\u10d0\u10d4\u10e0\u10d8\u10d7;&nbsp;<strong>\u10d0\u10dc<\/strong>:<\/p>\n\n\n\n<p>2. \u10e1\u10e3\u10dc\u10d7\u10e5\u10d0\u10d5\u10e1 T-\u10db\u10d8\u10da\u10d8\u10e1 \u10d2\u10d0\u10dc\u10db\u10dd\u10e7\u10d4\u10dc\u10d4\u10d1\u10d8\u10d7; \u10d0\u10dc:<\/p>\n\n\n\n<p>3. \u10e1\u10e3\u10dc\u10d7\u10e5\u10d0\u10d5\u10e1 \u10e2\u10e0\u10d0\u10e5\u10d4\u10dd\u10e1\u10e2\u10dd\u10db\u10d8\u10e1 \u10dc\u10d8\u10e6\u10d1\u10d8\u10d7; \u10d0\u10dc:&nbsp;<\/p>\n\n\n\n<p>4. \u10e1\u10e3\u10dc\u10d7\u10e5\u10d0\u10d5\u10e1 CPAP 5 \u10e1\u10db H2O-\u10d6\u10d4 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d8 \u10ec\u10dc\u10d4\u10d5\u10d8\u10d7, pressure support-\u10d8\u10e1 \u10d3\u10d0 IMV-\u10d8\u10e1 \u10d2\u10d0\u10e0\u10d4\u10e8\u10d4.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u10de\u10e0\u10dd\u10e2\u10dd\u10d9\u10dd\u10da\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10e7\u10d4\u10dc\u10d4\u10d1\u10d8\u10e1 \u10d9\u10e0\u10d8\u10e2\u10d4\u10e0\u10d8\u10e3\u10db\u10d4\u10d1\u10d8: \u10dc\u10d0\u10ec\u10d8\u10da\u10d8 I: \u10d5\u10d4\u10dc\u10e2\u10d8\u10da\u10d0\u10e2\u10dd\u10e0\u10d8\u10e1 \u10d2\u10d0\u10db\u10d0\u10e0\u10d7\u10d5\u10d0: \u10db\u10d8\u10d6\u10d0\u10dc\u10d8: \u10dd\u10e5\u10e1\u10d8\u10d2\u10d4\u10dc\u10d0\u10ea\u10d8\u10d0 &#8211; PaO2 55-80 mmHg \u10d0\u10dc SpO2 88-95% \u10d2\u10d0\u10db\u10dd\u10d8\u10e7\u10d4\u10dc\u10d4\u10d7 PEEP<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[5,6,7,8,12,9,10,11],"class_list":["post-64","post","type-post","status-publish","format-standard","hentry","category-klinikuri-rchevebi","tag-ards","tag-6","tag-7","tag-8","tag-12","tag-9","tag-10","tag-11"],"_links":{"self":[{"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/posts\/64","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=64"}],"version-history":[{"count":0,"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/posts\/64\/revisions"}],"wp:attachment":[{"href":"https:\/\/icu.ge\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}