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Albina Musaj¹, Louis Tronchet¹, Corstiaan den Uil¹

¹Department of Intensive Care, Maasstad Hospital, Rotterdam, Netherlands.

Frontiers in medicine

|November 3, 2025

概括

本案例研究表明,使用电阻断断层扫描 (EIT) 和食道压力进行先进的监测,有助于针对严重的COVID-19肺损伤个性化正极呼气压 (PEEP),从而成功恢复.

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
医疗技术医疗技术医学技术

背景情况:

肺部保护性通风策略对于管理急性呼吸困扰综合征 (ARDS) 至关重要.
严重的单边肺损伤在机械通风方面带来了独特的挑战.
正在出现先进的监测工具,以指导个性化的通风策略.

研究的目的:

为了呈现一种严重的单边COVID-19肺损伤病例,该病例通过先进的呼吸道监测进行管理.
证明结合电阻断层扫描 (EIT) 和食道压力测量的实用性,以实现个性化的PEEP定位.
要突出PEEP的动态调整,基于非对称肺损伤中的肺恢复.

主要方法:

利用电阻断层扫描 (EIT) 进行实时区域肺透气评估.
采用食道压力测量来估计腹腔压力和驱动压力.
根据EIT和食道压力数据的结合,进行了个性化的阳性末尾呼气压力 (PEEP) 定位.
监测肺部恢复并相应地调整PEEP.

主要成果:

最初需要高PEEP (18cmH2O),以优化严重单边肺损伤的通风.
在一周内,随着肺部损伤的消失,成功地将PEEP降低到8cmH2O.
在个性化PEEP管理后成功地实现了输出输出管.
基于EIT的监测促进了膜招募,同时防止了过度紧张.

结论:

个性化PEEP定位对于管理不对称的肺损伤至关重要,例如在严重的COVID-19中看到的.
结合EIT和食道压力监测,为优化机械通风提供了一个强大的方法.
动态监控允许及时调整PEEP,支持肺部恢复并促进从机械通风中解放出来.

关键词:

案例报告案例报告电阻断层扫描电阻断层扫描肺部受伤的原因是肺部损伤.机械机械机械机械机械呼吸道功能不充分的情况.呼吸机呼吸机呼吸机

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