在急性呼吸窘迫综合征的体外气交过程中通风
Jacopo Fumagalli1, Antonio Pesenti1,2
1Department of Anesthesia, Critical Care and Emergency, Fondazione Istituto di Ricovero e cura a Carattere Scientifico Ca' Granda Ospedale Maggiore Policlinico.
Current opinion in critical care
|December 12, 2023
概括
身体外气交有助于肺部愈合,通过减少呼吸机引起的肺损伤 (VILI). 然而,在体外膜氧化 (ECMO) 和体外二氧化碳去除 (ECCO2R) 期间的机械通风策略需要进一步研究以获得最佳的患者结果.
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
- 机械通风机械通风机械通风
背景情况:
- 包括ECMO和ECCO2R在内的体外气体交换对于严重呼吸衰竭至关重要.
- 它的主要好处来自于通过减轻呼吸机引起的肺损伤 (VILI) 来创造一个肺愈合的环境.
- 尽管制定了启动体外支持的标准标准,但在这些疗法期间的机械通风管理在各机构之间仍然不一致.
结论:
- 优化降低本土肺呼吸负荷和提高体外气交效率之间的平衡至关重要.
- 需要进一步的研究,以确定在体外支持期间保持肺空气的最佳策略.
- 调查这些因素之间的理想妥协对于改善严重呼吸衰竭患者的结果至关重要.
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