相关实验视频
Updated: May 12, 2026

05:51
Measuring Diaphragm Thickness and Function Using Point-of-Care Ultrasound
Published on: November 3, 2023
解开风扇诱导的隔膜功能障碍:关于风扇诱导的隔膜功能障碍的发病,诊断和管理的全面叙述审查
Sajad Ahmad Khwaja1,2,3, Mohammad Anwar Habib2, Rajesh Gupta3
1Department of Physiotherapy, Jamia Hamdard, New Delhi, India.
概括
机械通风可以导致呼吸器诱导的隔膜功能障碍 (VIDD),削弱呼吸肌肉. 早期康复和启发性肌肉训练可以预防或逆转这种情况,改善患者的治疗结果.
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
- 康复科学 康复科学 康复科学
背景情况:
- 机械通风 (MV) 对呼吸衰竭至关重要,但可能导致呼吸器诱导的隔膜功能障碍 (VIDD).
- VIDD导致隔膜缩,收缩力下降,以及从MV中断奶的损害.
- 这种功能障碍有助于降低生活质量和增加死亡风险.
研究的目的:
- 审查MV的并发症,专注于VIDD.
- 探索VIDD的病床诊断工具.
- 检查基于运动的干预措施,以预防或逆转腹膜软弱.
主要方法:
- 关于机械通风,VIDD和腹膜康复的研究的文献综述.
- 对VIDD的诊断方法的分析.
- 评估基于运动的干预措施,如早期动员和启发性肌肉训练 (IMT).
主要成果:
- 包括早期动员和IMT在内的康复计划,显示出缓解MV不良影响的潜力.
- 这些干预措施是安全和可行的,改善身体功能,减少通风持续时间.
- 研究表明,益处包括更短的重症监护和住院时间.
结论:
- 识别和治疗呼吸道肌肉衰弱对于改善患者的治疗结果至关重要.
- 康复计划为VIDD提供了可逆和可治疗的解决方案.
- 尽管已证明有好处,但由于感知到的障碍,在临床实践中实施这些计划并不频繁.
相关概念视频
Acute Respiratory Failure-V
113
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
113
Tracheostomy Decannulation
72
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
72
Mechanical Ventilation I: Indication and Settings
133
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
133
Mechanical Ventilation II: Invasive Ventilation
84
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
84
Mechanical Ventilation III: Noninvasive Ventilation
68
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
68
Ventilatory Modes
47
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
47

