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呼吸治疗肺保护施丽萍;呼吸机相关性肺损伤
acute parenchymal lung injury and an acute inflammatory response in the lung.
cytokines →alveoli and the systemic circulation →multiple organ dysfunction
mortality↑
;呼吸机相关性肺损伤ventilator-induced lung injury;肺 损 伤 病 理; Approaches in the management of acute respiratory failure in children
protective ventilatory and potential protective
ventilatory modes
lower tidal volume and PEEP
permissive hypercapnia
high-frequency oscillatory ventilation
airway pressure release ventilation
partial liquid ventilation
improve oxygenation
recruitment maneuvers
prone positioning
kinetic therapy
reduce FiO2 and facilitate gas exchange
inhaled nitric oxide and surfactant
Curr Opin Pediatr. 2004 Jun;16(3):293-8.
;Can mechanical ventilation strategies reduce chronic lung disease
continuous positive airway pressure
permissive hypercapnia
patient-triggered ventilation
volume-targeted ventilation
proportional assist ventilation
high-frequency ventilation
Semin Neonatol. 2003 Dec;8(6):441-8;小潮气量和呼气末正压
lower tidal volume and PEEP;Ventilation with lower tidal volumes versus traditional tidal volumes in adults for ALI and ARDS
1202 patients
lower tidal volume (≤7ml/kg)
low plateau pressure ≤30 cm H2O versus
tidal volume 10 to 15 ml/kg
Mortality at day 28 ?
long-term mortality was uncertain
low and conventional tidal volume with plateau pressure ≤31 cm H2O was not significantly different
Cochrane Database Syst Rev. 2004;(2):CD003844
;Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome;Increasing inspiratory time exacerbates ventilator-induced lung injury during high-pressure/high-volume
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