在正压和负压通风下对ex-vivo小鼠肺机械的比较研究
K A M Quiros1, T M Nelson1, A Ulu2
1Department of Mechanical Engineering, University of California Riverside, 900 University Ave., Riverside, CA, 92506, USA.
Annals of biomedical engineering
|October 31, 2023
概括
正压通风 (PPV) 和负压通风 (NPV) 显著不同地影响肺机械. 这些差异因物种而异,表明动物模型影响机械通风研究结果.
科学领域:
- 肺动力学 肺动力学
- 生物医学工程 生物医学工程
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 随着COVID-19的流行,机械通风策略的重要性得到了强调.
- 关于正压通风 (PPV) 和负压通风 (NPV) 之间的生理差异存在争议.
- 了解这些差异对于优化呼吸机使用和预防肺损伤至关重要.
研究的目的:
- 为了比较ex vivo PPV和NPV下的小鼠标本的肺机制.
- 量化PPV和NPV之间的肺部特性和能量差异.
- 为了研究物种大小如何影响机械通风诱导的肺部属性依赖.
主要方法:
- 鼠标标本的ex vivo准静态加载.
- 准静态和动态合规性,肺间压力和能量学的量化.
- 改变膨胀频率和体积以评估机械参数的依赖性.
主要成果:
- 在PPV和NPV模式之间观察到肺机械参数的显著变化.
- 膨胀遵守,百分比放松和峰值压力始终取决于通风模式.
- 最大通风量和频率的依赖性因通风模式和物种大小而有所不同.
结论:
- 肺部的特性基本上取决于通风负载模式 (PPV与NPV).
- 这些依赖性在较小和较大的哺乳动物物种之间存在差异.
- 结果表明,动物模型的选择可能解释了先前的通风模式比较中的矛盾结果.
- 了解模式特定的机制可以为改进的通风策略和通风器设计提供信息,以减轻肺部损伤.
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