相关实验视频
Updated: Jun 11, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
每个儿科医生需要知道的关于机械通风的知识
Jeroen Ter Horst1, Peter C Rimensberger2, Martin C J Kneyber3,4
1Division of Paediatric Critical Care Medicine, Department of Paediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Huispost CA62, P.O. Box 30.001, 9700 RB, Groningen, the Netherlands.
机械通风 (MV) 可以为患有急性呼吸衰竭的儿童拯救生命,但不适当使用会导致肺和隔膜受伤. 本综述详细介绍了预防通风引起的肺损伤 (VILI),患者自我造成的肺损伤 (P-SILI) 和腹膜损伤 (VIDD) 的方法.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 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:
- 侵入性机械通风 (MV) 是儿科急性呼吸衰竭 (ARF) 的关键干预措施.
- 不适当的MV交付可能会导致显著的不利影响,超过它的好处.
- 了解MV诱导伤害的机制对于优化患者的治疗结果至关重要.
研究的目的:
- 为儿科医生提供预防MV相关伤害所面临的挑战的概述.
- 根据个体患者的需要和疾病进展指导MV的定位.
- 加强儿童重症监护病房机械通风的安全应用.
主要方法:
- 对MV的有害影响进行实验和临床研究的审查.
- 分析导致通风引起的肺损伤 (VILI),患者自我造成的肺损伤 (P-SILI) 和通风引起的隔膜损伤 (VIDD) 的常见途径.
- 综合当前的知识,以告知临床实践.
主要成果:
- 确定了三种MV的主要有害影响:VILI,P-SILI和VIDD.
- 确定过度和不足的呼吸系统支持都可能导致这些伤害.
- 强调考虑呼吸系统机制和个体患者需求的重要性.
结论:
- 预防VILI,P-SILI和VIDD需要对MV进行仔细的管理.
- 根据每个儿童在不同疾病阶段的具体需求对MV进行定位是必不可少的.
- 优化MV交付可以减轻风险,并提高这种救命干预的有效性.
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