Branson Richard D
University of Cincinnati, Cincinnati, Ohio, USA.
Crit Care. 2003 Oct;7(5):347-8. doi: 10.1186/cc2367. Epub 2003 Aug 28.
Concerns about the work of breathing imposed by the endotracheal tube have led clinicians to routinely use pressure support to overcome this resistive component. More recently, ventilator manufacturers have introduced systems to automatically overcome endotracheal tube resistance, regardless of tube diameter or patient demand for flow. Despite the theoretical advantages, neither method appears to provide superior performance. Stepping back, the real question may be, is overcoming endotracheal tube resistance really important?
对气管内导管所带来的呼吸做功的担忧,促使临床医生常规使用压力支持来克服这种阻力成分。最近,呼吸机制造商推出了一些系统,可自动克服气管内导管阻力,而不管导管直径或患者的流量需求如何。尽管有理论上的优势,但这两种方法似乎都没有提供更优的性能。退一步说,真正的问题可能是,克服气管内导管阻力真的很重要吗?