闭环通风使用侧流与主流风管学进行分钟通风的自动调整-心脏手术患者的随机临床试验
Sunny G L H Nijbroek1,2, Jan-Paul Roozeman1,2, Sarah Ettayeby1
1Department of Intensive Care, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.
PloS one
|August 23, 2023
概括
在心脏手术后的呼吸质量方面,INTELLiVENT-Adaptive Support Ventilation (ASV) 与侧流通风学并未被发现与主流通风学相比不劣. 低氧症在侧流监测时更频繁.
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:
- 适应式支通风 (ASV) 是一个闭环系统,根据尾潮CO2 (etCO2) 调节通风.
- 测量etCO2的封顶图像可以是侧流或主流,可能对通风质量产生影响.
研究的目的:
- 为了在INTELLiVENT-ASV模式内比较侧流与主流图的有效性.
- 在接受术后呼吸的心脏手术患者中评估呼吸质量.
主要方法:
- 一个单中心,单盲,随机的非劣势试验,涉及78名成人心脏手术患者.
- 患者接受了闭环通风,使用侧流或主流吸管学.
- 根据通风参数,呼吸被分为"最佳"",可接受"或"关键"区域.
主要成果:
- 对"最佳"通风区的侧流图的非劣势性没有得到证实 (P = 0.116).
- 与主流组相比,侧流组的低氧化呼吸比例明显高于主流组.
结论:
- 配合侧流镜的INTELLiVENT-ASV没有证明在心脏手术后呼吸质量方面与主流镜相比没有劣势.
- 增加的低氧症表明在这种情况下,侧流监测的潜在局限性.
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