机械通气的临床应用——呼吸机常用参数的设置被引量：2

下载PDF

导出

摘要随着临床医学的发展，呼吸机作为一种人工替代的通气方式用于危重症患者呼吸衰竭的救治，已成为常用医疗设备并已彰显其重要性。但如何恰当、正确地使用呼吸机，仍是医护人员较为生疏的问题。呼吸机的使用除与医护人员的临床经验、呼吸机的类型和性能、机械通气方式和模式的选择有关外，其最基本的应用是呼吸机常用参数的设置。

作者肖奇明

机构地区中南大学湘雅医院呼吸内科

出处《中国医师进修杂志（内科版）》 2009年第4期1-3,共3页 Chinese Journal of Postgraduates of Medicine

关键词常用参数机械通气呼吸机临床应用设置通气方式医护人员危重症患者

分类号 R443.5 [医药卫生—诊断学] R605.973 [医药卫生—急诊医学]

引文网络
相关文献

参考文献8

1陈建荣,蔡映云.机械通气参数设置和调整的临床思维[J].中国急救医学,2003,23(1):36-37. 被引量：8
2唐宝俊,冯淑贞.呼吸机参数合理设置和及时调节在68例不同病因呼吸衰竭患者抢救中的应用[J].中国医师进修杂志,2007,30(2):72-73. 被引量：2
3Chiche L, Forel JM, Papazian L. Low-tidal-volume ventilation. N Engl J Med,2007, 357(24): 2518-2519.
4Wohhuis EK, Choi G, Dessing MC, et al. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury. Anesthesiology, 2008, 108( 1 ) :46-54.
5Schultz MJ. Lung-protective mechanical ventilation with lower tidal volumes in patients not suffering from acute lung injury: a review of clinical studies. Med Sci Monit, 2008, 14( 2 ) : RA22-26.
6Taplu A, Gokmen N, Erbayraktar S, et al. Effects of pressure- and volume-controlled inverse ratio ventilation on haemodynamic variables, intracranial pressure and cerebral perfusion pressure in rabbits: a model of subarachnoid haemorrhage under isoflurane anaesthesia. Eur J Anaesthesiol, 2003,20( 9 ) : 690-696.
7叶振海,张菊莲,徐翠莲,曹相原.机械通气在AECOPD患者治疗中的临床观察[J].临床肺科杂志,2008,13(5):541-542. 被引量：8
8俞建峰,顾勤,刘宁.不同呼吸末正压对机械通气患者心脏前负荷影响及前负荷预测性指标研究[J].中国血液流变学杂志,2008,18(2):237-239. 被引量：12

二级参考文献14

1[1]Michard F,Teboul JL.Predicting fluid responsiveness in ICU patients:a critical analysis of the evidence[J].Chest,2002,121(6):2000～2008.
2[2]Fontes ML,Bellows NL,Mangano DT.Assessment of yen-tricular function in critically ill patients:limitations of pul-monary artery catheterization[J].J Cardiothorac Vase Anesth,1999,13(5):521-527.
3[3]Christoph K,Hofer MD,Stefan M,et al.Stroke Volume and Pulse Pressure Variation for Prediction ofFluid Responsive-ness in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting[J].Chest,2005,1 28(2):848-854.
4[4]Christoph W,Christopher P,Gabriele R,et al.Stroke Volume Variation as an Indicator ofFluid Responsiveness Using Pulse Contour Analysis in Mechanically Ventilated Patients[J].Anesth Analg,2003,96(5):1254-1257.
5[5]Dhainaut JF,Devaux JY,Monsallier JF,et al.Mechanisms of decreased left ventricular preload during continuous positive pressure ventilation in ARDS[J].Chest,1986,90(1):74-80.
6[6]Frederic M.Change in Arterial Pressure during Mechanical Ventilation[J].Anesthsiology,2005,103(2):419-426.
7[7]Andreas K,David Z,Harvey H,et a1.Pulse Pressure Variation Predicts Fluid ResDOnsiveness Following Coronary Artery Bypass Surgery[J].Chest,2004,126(5):1563-1568.
8[8]Michard F,Chemla D,Richard C,et al.Clinical use ofrespira-tory changes in arterial pulse pressure to monitor the hemo-dynamic effects of PEEP[J].Am J Respir Crit Care Med.1999,159(3):935～939.
9[9]Daniel A,Thomas W,Christian S.Stroke volume variations for assessment of cardiac responsiveness to volume 10ading in mechanically ventilated patients after cardiac surgec[J].In-tensive Care Med,2002,28(4):392-398.
10[10]Berkenstadt H,Friedman Z,Preisman S,et al.Pulse pressure and stroke volume variations during severe haemorrhage in ventilated dogs[J].British Journal ofAnaesthesia,2005,94(6):72l-726