在呼吸机诱导的腹膜功能障碍上进行腹膜刺激后,重症患者的结果:系统性审查
Alessandro Panelli1, Julius J Grunow1, Michael A VERFUß1
1Department of Anesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin, Berlin, Germany.
European journal of physical and rehabilitation medicine
|January 12, 2024
概括
隔膜刺激可以改善机械通风 (MV) 患者的结果,减少缩和通风时间. 虽然对某些益处的证据是温和的,但需要更多的研究来证实其在预防呼吸机诱导的隔膜功能障碍 (VIDD) 中的有效性.
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
- 再生医学是一种再生医学.
背景情况:
- 机械通风 (MV) 对重症患者至关重要,但可能导致呼吸器诱导的隔膜功能障碍 (VIDD).
- 隔膜刺激提供了一种潜在的策略,可以缓解隔膜缩并改善MV期间患者的治疗结果.
- 本系统性审查评估了隔膜刺激对隔膜健康和机械通风患者临床结果的影响.
结论:
- 隔膜激活表明潜在的临床益处,包括增强的MIP和减少缩,有适度的证据.
- 这些发现表明,隔膜激活可能有助于预防缩,加快断奶,缩短MV持续时间,抵消VIDD.
- 需要进一步进行高强度的研究,以加强对隔膜刺激有效性的证据基础.
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