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神经电活动辅助通气的临床应用与思考 被引量：1

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摘要 机械通气是呼吸支持的重要手段,其目的是维持生命并为患者呼吸功能的恢复赢得时间.虽然近1/3的ICU患者需要机械通气[1],但如何根据患者个体需求进行机械通气仍是困扰临床医师的重大难题.理想的通气模式是实现神经冲动和机械通气直接偶联,即监测患者呼吸中枢的活动,并根据监测结果实时提供合适的吸气流速和潮气量.
作者 刘玲 Jennifer Beck Christer Sinderby
机构地区 加拿大圣迈克尔医院李嘉诚知识研究院圣迈克尔医院危重病医学科多伦多大学危重病医学部 多伦多大学儿科
出处 《中华内科杂志》 CAS CSCD 北大核心 2011年第6期449-452,共4页 Chinese Journal of Internal Medicine
关键词 神经电活动 临床应用 辅助通气 ICU患者 机械通气 呼吸支持 呼吸功能 神经冲动
分类号 R563.8 [医药卫生—呼吸系统]
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参考文献21

  • 1Esteban A,Anzueto A,Alía I,et al.How is mechanical ventilation employed in the intensive care unit? An international utilization review.Am J Respir Crit Care Med,2000,161:1450-1458.
  • 2Sinderby C,Navalesi P,Beck J,et al.Neural control of mechanical ventilation in respiratory failure.Nat Med,1999,5:1433-1436.
  • 3Spahija J,de Marchie M,Albert M,et al.Patient-ventilator interaction during pressure support ventilation and neurally adjusted ventilatory assist.Crit Care Med,2010,38:518-526.
  • 4Moerer O,Beck J,Brander L,et al.Subject-ventilator synchrony during neural versus pneumatically triggered non-invasive helmet ventilation.Intensive Care Med,2008,34:1615-1623.
  • 5Sinderby C,Beck J,Spahija J,et al.Inspiratory muscle unloading by neurally adjusted ventilatory assist during maximal inspiratory efforts in healthy subjects.Chest,2007,131:711-777.
  • 6Brander L,Leong-Poi H,Beck J,et al.Titration and implementation of neurally adjusted ventilatory assist in critically ill patients.Chest,2009,135:695-703.
  • 7Thille AW,Rodriguez P,Cabello B,et al.Patient-ventilator asynchrony during assisted mechanical ventilation.Intensive Care Med,2006,32:1515-1522.
  • 8Vignaux L,Vargas F,Roeseler J,et al.Patient-ventilator asynchrony during non-invasive ventilation for acute respiratory failure:a muhieenter study.Intensive Care Med,2009,35:840-846.
  • 9Piquilloud L,Vignanx L,Bialais E,et al.Neurally adjusted ventilatory assist improves patient-ventilator interaction.Intensive Care Med,2011,37:263-271.
  • 10Colombo D,Cammarota G,Bergamaschi V,et at.Physiologic response to varying levels of pressure support and neurally adjusted ventilatory assist in patients with acute respiratory failure.Intensive Care Med,2008,34:2010-2018.

二级参考文献16

  • 1Sinderby C,Navalesi P,Beck J,et al.Neural control of mechanical ventilation in respiratory failure.Nat Med,1999,5:1433-1436.
  • 2Bernard GR,Artigas A,Brigham KL,et al.The American-European consensus conference on ARDS.definitions,mechanisms,relevant outcomes,and clinical trial coordination.Am J Bespir Crit Care Med,1994,149:818-824.
  • 3Mercat A,Richard JC,Vielle B,et al.Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome,a randomized controlled trial.JAMA,2008,299:646-655.
  • 4Meade MO,Cook DJ,Guyatt OH,et al.Ventilation strategy using low tidal volumes,recruitment maneuvers,and high positive endexpiratory pressure for acute lung injury and acute respiratory distress syndrome,a randomized controlled trial.JAMA,2008,299:637-645.
  • 5Sinderby C,Beck J.Neurally adjusted ventilatory assist (NAVA):an update and summary of experiences.Neth J Crit Care,2007,11:243-252.
  • 6Thille AW,Brochard LB.Promoting patient-ventilator synchrony.Clin Pulm Med,2007,14:350-359.
  • 7Thille AW,Rodriguez P,Cabelio B,et al.Patient-ventilator asynehrony during assisted mechanical ventilation.Intensive Care Med,2006,32:1515-1522.
  • 8Beck J,Brander L,Slutsky A,et al.Nan-invnsive neurally adjusted ventilatory assist in rabbits with acute lung injury.Intensive Care Med,2008,34:316-323.
  • 9Finucane KE,Panizza JA,Singh B,et al.Efficiency of the normal human diaphragm with hyperinflation.J Appl Physiol,2005,99:1402-1411.
  • 10Sinderby C,Beck J,Spehija J,et al.Inspirstory muscle unloading by neurally adjusted ventilatory assist during maximal inspiratory efforts in healthy subjects.Chest,2007,131:711-717.

共引文献7

同被引文献24

  • 1姚泰,曹济民,樊小力.生理学[M].2版.北京:人民卫生出版社,2005,2031.
  • 2Boyko Y,Ording H,Jennum P.Sleep disturbances in critically ill patients in ICU:how much do we know?[J].Acta Anaesthesiol Scand,2012,56(8):950-958.
  • 3Gabor JY,Cooper AB,Crombach SA? et al.Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthysubjects[J].Am J Respir Crit Care Med,2003,167(5):708-715.
  • 4Cabello B,Thille AW,Drouot X,et al.Sleep quality in mechanically ventilated patients:comparison of three ventilatory modes[J].Crit Care Med,2008,36(6):1749-1755.
  • 5Balkin TJ,Rupp T,Picchioni D,et al.Sleep loss and sleepiness;current issues[J].Chest,2008,134(3):653-660.
  • 6Weinhouse GL,Schwab RJ,Watson PL,et al.Bench-to-bedside review:delirium in ICU patients-importance of sleep deprivation[J].Crit Care,2009,13(6):234.
  • 7McKinley S,Aitken LM,Alison JA,et al.Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness[J].Intensive Care Med,2012,38(4):627-633.
  • 8Drouot X,Cabello B,d'Ortho MP,et al.Sleep in the intensive care unit[J].Sleep Med Rev,2008,12(5):391-403.
  • 9Scrimshaw NS,Habicht JP,Pellet P,et al.Effects of sleep deprivation and reversal of diurnal activity on protein metabolism of young men[J].Am J Clin Nutr,1966,19(5):313-319.
  • 10Rechtschaffen A,Gilliland MA,Bergmann BM,et al.Physiological correlates of prolonged sleep deprivation in rats[J].Science,1983,221(4606):182-184.

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中华内科杂志
2011年 第6期

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