Muir Jean-François, Cuvelier Antoine
Service de Pneumologie et Unité de Ventilation non invasive, Centre Hospitalo-Universitaire, Rouen, 76031, France.
Respir Care Clin N Am. 2002 Sep;8(3):405-18, vi. doi: 10.1016/s1078-5337(02)00031-x.
This article considers the evaluation of patients prior to institution of long-term ventilation (LTV). LTV has evolved from a concept of necessity ventilation to a more satisfactory approach of preventive LTV, enabled by the impressive development of noninvasive mechanical ventilation (NIV). Due to its convenience and efficacy, and its safety compared with invasive ventilation, NIV has rapidly gained popularity among patients with chronic respiratory failure (CRF) requiring intermittent ventilatory assistance. Evaluation of candidates for LTV involves clinical and laboratory evaluations and sleep monitoring. It includes consideration of the etiology of CRF, be it restrictive lung disease, chronic obstructive pulmonary disease, obesity or other cause, and considers the feasibility of LTV as well as its desirability.
本文探讨了长期通气（LTV）实施前患者的评估。长期通气已从一种必要通气的概念演变为一种更令人满意的预防性长期通气方法，这得益于无创机械通气（NIV）的显著发展。由于其便利性、有效性以及与有创通气相比的安全性，无创机械通气在需要间歇性通气辅助的慢性呼吸衰竭（CRF）患者中迅速普及。长期通气候选者的评估涉及临床和实验室评估以及睡眠监测。它包括考虑慢性呼吸衰竭的病因，无论是限制性肺病、慢性阻塞性肺疾病、肥胖还是其他原因，并考虑长期通气的可行性及其必要性。
