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几种特殊通气模式在肺保护策略中的研究进展

Research progress on the application of some nonconventional ventilation modes in lung protection
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摘要 背景随着接受机械通气患者人数的增加，不同病情及肺部情况的患者需要不同的通气设置，甚至个性化的特殊通气模式。目的探讨几种特殊通气模式的临床运用及在肺保护方面的作用。内容查阅特殊通气模式的相关文献，简介几种特殊通气模式的原理及优缺点，整理相关动物实验及临床运用资料，特别关注在减轻肺损伤方面的作用，为临床机械通气提供更多选择。趋向几种较为特殊的通气模式不仅是临床通气策略的补充，更可能是肺保护策略的新组成。 Background Now more patients need ventilation, they have different conditions and stages of their illness included pulmonary heterogeneity, they need individual ventilation settings. Objective Discuss the clinical application of some nonconventional ventilation modes and the effects on lung protection. Content This review collected the related articles about nonconventional ventilation modes, introduced their theory and benefits, drawbacks, analyzed the clinical application especially their roles in alleviating lung injury. There are more choices for long time ventilation patients with those nonconventional ventilation modes. Trend Nonconventional ventilation modes not only have clinical application but also probably new alternatives of lung protective strategy.
作者 陈志刚 李金宝 吕欣
机构地区 上海市肺科医院麻醉科 第二军医大学附属长海医院麻醉科
出处 《国际麻醉学与复苏杂志》 CAS 2016年第4期335-338,共4页 International Journal of Anesthesiology and Resuscitation
关键词 特殊通气模式 肺保护策略 Nonconventional ventilation mode Lung protective strategy
分类号 R614 [医药卫生—麻醉学]
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参考文献21

  • 1Schmidt M, Dres M, Raux M, et al. Neurally adjusted ventilatory assist improves patient -ventilator interaction during postextubation prophylactic noninvasive ventilation [J]. Crit Care Med, 2012, 40 (6): 1738 -1744. DOI:10.1097/CCM. 0b013e3182451f77.
  • 2Piquilloud L, Vignaux L, Bialais E, et al. Neurally adjusted ventilatory assist improves patient-ventilator interaction [J]. Intensive Care Med, 2011, 37(2): 263-271. DOI:10.1007/s00134- 010-2052-9.
  • 3Stein H, Howard D. Neurally adjusted ventilatory assist in neonates weighing<1 500 grams: a retrospective analysis [J]. J Pediatr, 2012, 160 (5): 786-789. DOI:10.1016/j.jpeds.2011.10. 014.
  • 4金秋,王宏飞,王勇强,王兵.神经调节辅助通气对慢性阻塞性肺疾病患者炎性反应及脱机的影响[J].中华急诊医学杂志,2015,24(5):530-535. 被引量：16
  • 5Brander L, Leong-Poi H, Beck J, et al. Titration and implementation of neurally adjusted ventilatory assist in critically ill patients[J]. Chest, 2009, 135(3): 695-703. DOI:10.1378/chest.08-1747.
  • 6Grasselli G, Beck J, Mirabdla L, et al. Assessment of patient- ventilator breath contribution during neurally adjusted ventilatory assist [J]. Intensive Care Med, 2012, 38 (7): 1224-1232. DOI:10. 1007/s00134-012-2588-y.
  • 7Beda A, Spieth PM, Handzsuj T, et al. A novel adaptive control system for nosiy pressure controlled ventilation:a numerical simulation and bench test study[J]. Intensive Care Med, 2010, 36 (1): 164-168. DOI:10.1007/s00134-009-1665-3.
  • 8Carvalho AR, Spieth PM, Guldner A, et al. Distribution of regional lung aeration and perfusion during conventional and noisy pressure support ventilation in experimental lung injury[J]. J Appl Physiol, 2011, 110 (4): 1083-1092. DOI:10.1152/ japplphysiol.00804.2010.
  • 9Spieth PM, Guldner A, Huhle R, et al. Short-term effects of noisy pressure support ventilation in patients with acute hypoxemic respiratory failure[J]. Crit Care, 2013, 17(5): R261. DOI:10.1186/ cc13091.
  • 10Kaplan LJ, Bailey H, Formosa V. Airway pressure release ventilation increases cardiac performance in patients with acute lung injury [J]. Crit Care, 2001, 5 (4): 221-226. DOI:10.1186/ cc1027.

二级参考文献74

  • 1Gaudry S, Ricard JD, Dreyfuss D. Acute respiratory distress syndrome. Rev Prat, 2012, 62(9) : 1197-1203.
  • 2Seibedich E, Santana JA, Chaves Rde A, et al. Protective mechanical ventilation, why use it? Rev Bras Anestesiol, 2011, 61 (5): 361-365, 659-667.
  • 3James MM, Beilman GJ. Mechanical ventilation. Surg Clin North Am, 2012, 92(6): 1463-1474.
  • 4Ronchi CF, Fioretto JR, Ferreira AL, et aL Biomarkers for oxidative stress in acute lung injury induced in rabbits submitted to different strategies of mechanical ventilation. J Appl Physiol, 2012, 112 (7): 1184-1190.
  • 5Ronehi CF, dos Anjos Ferreira AL, Campos FJ, et al. High-frequency oscillatory ventilation attenuates oxidative lung injury in a rabbit model of acute lung injury. Exp Biol Med (Maywood), 2011, 236 (10): 1188-1196.
  • 6Derdak S, Mehta S, Stewart TE, et al. High-frequency oscillatory ventilation for acute respiratory distress syndrome in adults: a randomized, controlled trial. Am J Respir Crit Care Med, 2002, 166(6) : 801-808.
  • 7Sud S, Sud M, Friedrich JO, et al. High frequency oscillation in patients with acute lung injury and acute respiratory distress syndrome (ARDS): systematic review and meta-analysis. BMJ, 2010, 340(7759): 1290.
  • 8Kredel M, Brederlau J, Wunder C, et al. High-frequency oscillatory ventilation with and without arteriovenous extracorporeal lung assist in patients with severe respiratory failure. J Crit Care, 2012, 27 (2): 182-191.
  • 9Muellenbaeh RM, Kredel M, Wilhelm J, et al. High-frequency oscillation combined with arteriovenous extracorporeal lung assist reduces lung injury. Exp Lung Res, 2010, 36(3): 148-158.
  • 10Ng D, Klein W, Tran R, et al. Combination therapy with high- frequency oscillatory ventilation, neuromuscular blockade, inhaled nitric oxide and prone position in acute respiratory distress syndrome with refractory hypoxaemia. Anaesth Intensive Care, 2012, 40(5) : 898-899.

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国际麻醉学与复苏杂志
2016年 第4期

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