儿童急性呼吸窘迫综合征肺复张及呼气末正压滴定方法

Lung recruitment maneuvers and positive end-expiratory pressure titration in children with acute respiratory distress syndrome

应用小潮气量及限制气道压力进行机械通气的策略在急性呼吸窘迫综合征中的应用已经得到公认。肺复张及呼气末正压(PEEP)滴定能提高氧合并进行肺保护,但是肺复张及PEEP设定方法一直存在争议,该文就呼吸窘迫综合征患儿的肺复张策略及PEEP滴定进行综述。

The application of small tidal volume and the limitation of airway pressure during mechanical ventilation in acute respiratory distress syndrome（ARDS） are well accepted. Lung recruitment and positive end-expiratory pressure（PEEP） titration can improve oxygenation and protect the lungs. However, the approaches of lung recruitment and PEEP titration remain controversial. This article reviews the lung recruitment maneuvers and PEEP titration in children with ARDS.