对通风强度和与机械功率,应变和通风比率的相互关系的全面概述
Lorenzo Schiavoni1, Alessia Mattei1, Alessandro Ruggiero1
1Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
呼吸机诱导的肺损伤 (VILI) 可能是由积极的设置引起的. 本综述介绍了通风强度 (VI),这是一个与机械功率相关的新指标,以更好地了解和预防机械通风期间的肺损伤.
科学领域:
- 关键护理医学 关键护理医学
- 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:
- 呼吸机引起的肺损伤 (VILI) 是机械通风的一个重要并发症.
- 过度的呼吸系统设置会通过巴罗创伤,卷创伤,电创伤和生物创伤导致肺损伤.
- 目前的指导方针侧重于ARDS患者的低潮量和驱动压力.
研究的目的:
- 引入并定义通风强度 (VI) 作为一种新型的度量.
- 探索VI,机械功率 (MP),应力,应变和通风比率之间的关系.
- 讨论VI监测在预防VILI和患者自我诱导肺损伤 (P-SILI) 的潜力.
主要方法:
- 审查关于VILI和机械通风的现有文献.
- 对通风强度 (VI) 的概念介绍.
- 讨论VI,MP,压力,应变和通风比率之间的相关性.
主要成果:
- 通风强度 (VI) 建议作为辅助通风期间提供的总能量,与MP相关.
- 假设VI随着患者在自发/辅助呼吸方面的努力而增加,可能导致P-SILI.
- 了解VI与MP的相关性,压力,应变和呼吸器比率至关重要.
结论:
- 监测VI可能有助于防止过度激进的通风,并改善患者的治疗结果.
- 需要进一步的研究来验证VI作为临床工具.
- VI为量化机械通风的强度及其对肺部损伤的潜力提供了新的视角.
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