[在成年人中急性呼吸窘迫综合征的倾斜定位:关于生理效应,指示和实施的更新]
Sebastian Hafner1, Philipp M Lepper2, Ralf M Muellenbach3
1Zentrum für Anästhesiologie mit Schmerzambulanz, Sana Klinikum Biberach, Biberach, Deutschland.
倾斜的位置改善了急性呼吸困难综合征 (ARDS) 的气体交换和生存. 这种方法现在被广泛用于COVID-19患有缺血性呼吸衰竭的患者,有可能减少呼吸机诱导的肺损伤.
科学领域:
- 关键护理医学 关键护理医学
- 肺部医学 肺部医学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 倾斜的定位,一种已使用50多年的技术,增强了急性呼吸困扰综合征 (ARDS) 中的气体交换.
- 在严重的ARDS中,经过证明的生存益处导致了对其使用的指导方针建议.
- 随着COVID-19的流行,人们加速采用卧床定位,用于醒着,自发呼吸的患有缺血性呼吸不全的患者.
研究的目的:
- 讨论在ARDS中倾斜定位的生理影响.
- 审查临床结果和倾斜定位的实际考虑.
- 为了解决有关垂卧定位应用的未解决的问题.
主要方法:
- 审查潜在的生理机制容易定位的好处.
- 分析临床试验数据和观察性研究.
- 讨论实际实施战略和挑战.
主要成果:
- 倾斜的位置可以改善ARDS患者的氧化和肺机械.
- 有证据表明,它具有生存优势,特别是在严重的ARDS中.
- 减少与呼吸机相关的肺损伤是关键的潜在益处.
结论:
- 垂直定位是ARDS管理的一个有价值的,可访问的干预措施.
- 它的应用已经扩大,包括非输管低血症患者.
- 需要进一步的研究来优化其使用并解决剩余的问题.
更多相关视频
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
06:22Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
相关概念视频
Acute Respiratory Failure-IV
Anatomical Positions
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Endotracheal Intubation I: Procedure
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
