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应用呼吸生理学:呼吸机波形和力学在危重症患者管理中的应用

Applied respiratory physiology: use of ventilator waveforms and mechanics in the management of critically ill patients.

作者信息

Durbin Charles G

机构信息

Department of Anesthesiology, University of Virginia Health Science Center, PO Box 800710, Charlottesville, VA 22908-0170, USA.

出版信息

Respir Care. 2005 Feb;50(2):287-93.

Abstract

Graphical waveforms have become ubiquitous in clinical care. Using and understanding pictures and symbols is a daily activity. Humans are neurologically equipped to understand symbolic information and have done so for millennia. Cave drawings are examples of using images to convey information. The same approach used in understanding "art" is needed to use ventilator waveforms effectively. Didactic study, frequent viewing, and understanding of the background of the artist (artistic context) are needed to fully appreciate art. Using waveforms to care for patients requires understanding of the clinical context under which they are obtained, factors that affect their creation, and artifacts that interfere with interpretation. This article summarizes the presentation and discussions at this Journal Conference on ventilator waveforms in relation to lung and chest wall compliance, resistance, carbon dioxide kinetics, hemodynamics, specific modes of ventilation, specific lung diseases, and ventilator-weaning.

摘要

图形化波形在临床护理中已无处不在。使用和理解图片及符号是日常活动。人类在神经学上具备理解符号信息的能力,且已这样做了数千年。洞穴壁画就是利用图像传达信息的例子。要有效使用呼吸机波形,需要采用理解“艺术”时所使用的相同方法。要充分欣赏艺术,需要进行说教式学习、频繁观看并了解艺术家的背景(艺术背景)。使用波形来护理患者需要了解获取波形时的临床背景、影响波形产生的因素以及干扰解读的伪像。本文总结了本次期刊会议上关于呼吸机波形与肺和胸壁顺应性、阻力、二氧化碳动力学、血流动力学、特定通气模式、特定肺部疾病以及呼吸机撤机相关的展示和讨论。

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