设置阳性终端呼气压力:使用食道压力测量
Peter Somhorst1, Amne Mousa2, Annemijn H Jonkman1
1Department of Intensive Care Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Current opinion in critical care
|December 8, 2023
概括
使用跨肺压力 (PL) 进行正极端呼气压 (PEEP) 的定位可能对某些患者有益. 食道压力监测提供个性化的PEEP,但需要进一步的临床验证.
科学领域:
- 临界护理医学 临界护理医学
- 呼吸系统生理学 呼吸系统生理学
- 机械通风机械通风机械通风
背景情况:
- 阳性末尾呼气压力 (PEEP) 定位旨在在呼气期间保持肺体积.
- 食道压力监测提供了一种估计跨肺压力 (PL) 的方法.
- 个性化PEEP设置可以优化肺部保护策略.
结论:
- 食道压力监测提供了一个个性化PEEP设置的潜在途径.
- 技术改进有助于在床上使用,但测量可靠性仍然是一个挑战.
- 需要进一步的研究来证实PEEP定位策略的临床疗效.
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