在急性呼吸窘迫综合征患者的机械通风过程中保护肺和隔膜
Andrea Castellví-Font1, Ewan C Goligher2, Jose Dianti3
1Critical Care Department, Hospital del Mar de Barcelona, Critical Illness Research Group (GREPAC), Hospital del Mar Research Institute (IMIM), Passeig Marítim de la Barceloneta 25-29, Ciutat Vella, 08003, Barcelona, Spain; Interdepartmental Division of Critical Care Medicine, University of Toronto, 27 King's College Circle, Toronto, Ontario M5S 1A1, Canada; Division of Respirology, Department of Medicine, University Health Network, Toronto, Canada.
机械通风虽然对于急性呼吸困扰综合征患者至关重要,但可能会损害肺部和隔膜. 呼吸机引起的肺损伤和隔膜功能障碍都会使患者的结果恶化,突出了重症监护研究的关键领域.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 机械通风对于急性呼吸困难综合征 (ARDS) 患者至关重要,以确保气体交换并减少呼吸肌肉的工作负担.
- 阳性压力通风虽然可以挽救生命,但会带来肺部和隔膜损伤的风险.
- 呼吸机诱导的肺损伤 (VILI) 是众所周知的,但呼吸机诱导的隔膜功能障碍 (VIDD) 是重症监护中的一个较新的问题.
研究的目的:
- 为了强调机械通风对隔膜功能的低估影响.
- 强调VILI,VIDD和患者不良结果之间的关联.
主要方法:
- 对ARDS中机械通风效应的现有文献的审查.
- 分析呼吸器设置,肺机械和隔膜反应之间的相互作用.
- VILI和VIDD与以患者为中心的结果的相关性.
主要成果:
- 机械通风可以导致腹膜损伤和功能障碍.
- 两种VILI和VIDD都与较差的患者结局有关.
- 早期识别和管理VIDD至关重要.
结论:
- 机械通风对ARDS患者的肺和隔膜完整性构成双重威胁.
- 解决呼吸机诱导的隔膜功能障碍对于改善患者的治疗结果至关重要.
- 对肺和隔膜的保护性通风策略进行进一步的研究是有必要的.
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