在侵入性通风ICU患者中识别和排名呼吸器异步的共识:修改后的Delphi研究 (SYNAPsE)
Manon A Molenaar1, Prashant Nasa1,2, L Felipe Damiani3
1Department of Intensive Care, Amsterdam UMC, Amsterdam, The Netherlands.
Intensive care medicine
|February 13, 2026
概括
这项研究确定和排名患者-呼吸机异步,发现双重触发和无效触发是临床上最相关的. 它为临床监测和干预提供了一个框架.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 机械通风机械通风机械通风
背景情况:
- 在机械呼吸过程中,患者-呼吸器异步 (PVA) 是常见的.
- 确定临床相关的PVA及其严重程度仍然具有挑战性.
研究的目的:
- 建立对哪些PVA是可靠检测和临床相关的共识.
- 在不同患者群体中对PVA的严重程度进行排名.
主要方法:
- 代的德尔菲轮与11名专家.
- 使用多项选择和利克特尺度问题.
- 从波形,临床相关性和严重程度排名中评估检测能力.
主要成果:
- 共识确定了7个临床相关的PVA:无效触发,反向触发,双重触发,自动触发,流量不足,过早循环和延迟循环.
- 在患者组中,双触发和无效触发被认为是临床上最相关的.
- 自动触发和延迟循环被认为很难仅仅通过波形来检测.
结论:
- 建立了一个共识框架,用于在床边识别和排名PVA.
- 突出了对改善监测和干预具有高度临床相关性的PVA.
- 为未来机械通风研究提供了一个结构化的方法.
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