针对体积的定向通风系统
Martin Keszler1, M Kabir Abubakar2
1Emeritus Professor of Pediatrics, Alpert Medical School of Brown University, Department of Pediatrics, Women & Infants Hospital of Rhode Island, 101 Dudley Street, Providence RI 02905, USA.
Seminars in perinatology
|March 29, 2024
概括
针对体积的通风为极度早产婴儿提供了显著的好处,但其采用仍然缓慢. 本综述强调了潮体积控制对改善新生儿临床结果的优势.
科学领域:
- 新生儿的呼吸系统支持.
- 儿科重症监护医药 儿科重症监护医药
背景情况:
- 针对体积的通风 (VTV) 对高风险的极早产婴儿提供了显著的好处.
- 传统的压力控制通风 (PCV) 仍然普遍存在,尽管有证据支持VTV.
- 采用VTV的障碍包括临床医生的舒适性,设备的可用性和了解VTV的细微差别.
研究的目的:
- 为了强调使用潮体积作为机械通风的主要控制变量所带来的好处.
- 为了提高临床医生对VTV与清醒,呼吸的婴儿的相互作用的理解.
- 为各种临床场景提供基于证据的潮体积目标.
主要方法:
- 关于极度早产婴儿的VTV现有文献的审查.
- 分析VTV与婴儿呼吸机制之间的生理相互作用.
- 对最佳潮体积目标的证据综合.
主要成果:
- 使用潮体积作为主要控制的VTV可以改善临床结果.
- 了解VTV与自发呼吸的相互作用对于有效应用至关重要.
- 个性化的通风器设置和适当的潮体积目标是关键.
结论:
- 成功实施VTV可以改善极度早产婴儿的临床结果.
- 克服VTV采用的障碍对于推进新生儿呼吸系统护理至关重要.
- 本综述为新生儿学中基于证据的VTV使用提供了基础.
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