在触发和逆触发呼吸期间,急性呼吸困扰综合征患者的Pendelluft
Wei-Chieh Lin1, Pei-Fang Su2, Chang-Wen Chen3
1Section of Critical Care Medicine, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng-Kung University, Tainan, Taiwan.
Scientific reports
|December 13, 2023
概括
在ARDS患者中,Pendelluft或肺中的空气转移在触发呼吸中比反向触发呼吸更大. 触发呼吸期间的高悬浮高度与更好的呼吸机制相关.
科学领域:
- 呼吸系统生理学 呼吸系统生理学
- 关键护理医学 关键护理医学
背景情况:
- 在通风患者中已知Pendelluft (空气转移),但在ARDS中了解甚少.
- 在ARDS中辅助机械通风为管理空气流动力学带来了独特的挑战.
研究的目的:
- 在辅助机械通风下对ARDS患者的悬浮液进行定量检查.
- 为了比较触发呼吸期间的pendelluft与反向触发呼吸.
- 为了研究呼吸努力与悬浮之间的关系.
主要方法:
- 预期数据收集,对20名机械通风ARDS患者的回顾性分析.
- 结合电阻断层扫描和呼吸机制监测.
- 分析了通过食道压力波动 (∆Pes) 分类的休息和活跃的呼吸.
主要成果:
- 在触发呼吸中,动机对努力的反应明显高于反向触发呼吸 (p < 0.0001).
- 两个悬浮模式出现了:高和低悬浮组.
- 高悬浮组 (触发呼吸) 显示出较低的峰值气道压力和肺弹性.
结论:
- 在ARDS中,Pendelluft动态在触发和逆触发呼吸之间存在显著差异.
- 触发呼吸中的与努力相关的悬浮与一些患者的呼吸机制改善有关.
- 食道压力波动对悬浮的预测价值有限.
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