在压力支通风过程中逆触发呼吸和神经调节的通风器有助于增加普罗波的输液
Federico Longhini1, Rachele Simonte2, Rosanna Vaschetto3
1Anesthesia and Intensive Care, Department of Medical and Surgical Sciences, "Magna Graecia" University, 88100 Catanzaro, Italy.
反向触发呼吸 (RTB) 在压力支通风 (PSV) 和神经调整呼吸辅助 (NAVA) 期间发生. 与NAVA相比,与PSV观察到较高的RTB发病率,特别是在更深的propofol镇静期间.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
- 麻醉学 麻醉学
背景情况:
- 反向触发呼吸 (RTB) 是辅助机械通风的一个已知的现象.
- 在压力支通风 (PSV) 和神经调整呼吸器辅助 (NAVA) 期间发生的情况仍然不太了解.
- 对不同镇静水平的RTB进行调查对于优化患者 - 呼吸机相互作用至关重要.
研究的目的:
- 为了确定在PSV和NAVA期间是否发生RTB.
- 为了评估不同醇镇静深度对RTB发病率的影响.
- 为了比较PSV和NAVA模式之间的RTB率.
主要方法:
- 预期随机对照试验的回顾性分析.
- 研究了14名急性呼吸衰竭患者的输入管患者.
- 在清醒状态,轻度和深度的普罗波福尔镇静水平下,应用了PSV和NAVA.
主要成果:
- 在PSV和NAVA模式中观察到RTB.
- 与NAVA相比,RTB指数在PSV期间明显高于PSV.
- 这种差异在轻度和深度镇静水平上更为明显.
结论:
- 在接受辅助机械呼吸的患者中,RTB 是一个相关事件.
- 镇静深度和通风器模式 (PSV与NAVA) 影响RTB发生率.
- 结果表明,在被镇静的患者中,NAVA与PSV相比,可以改善患者-呼吸器同步.
更多相关视频
09:31Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
Published on: February 14, 2022
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
相关概念视频
Ventilatory Modes
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation...
Mechanical Ventilation I: Indication and Settings
Cardiopulmonary Resuscitation II: ACLS Airway Management
Neural Control of Respiration
Respiratory Centers in the Brainstem
Two primary areas comprise the respiratory center: the medullary respiratory center in the medulla oblongata and the pontine respiratory group in the pons. The...
