Kondili Eumorfia, Georgopoulos Dimitris
Intensive Care Medicine Department, University Hospital of Heraklion, University of Crete, Heraklion 71110, Crete, Greece.
Respir Care Clin N Am. 2005 Jun;11(2):319-39. doi: 10.1016/j.rcc.2005.02.006.
The new and future developments to improve the patient-ventilator interaction are mainly based on the concept of the tight coupling between neural output and ventilator function. This tight coupling should be present throughout a patient's respiratory cycle, a task that is demanding from a technical point of view. By achieving a tight neuromechanical coupling, the ventilator operates as an external respiratory muscle of high capabilities controlled mainly by the patient. This task, however, necessitates knowledge of respiratory system physiology and pathophysiology and the interaction between patient and ventilator. Although currently sophisticated computer algorithms have been developed, the caregiver is the one who controls the patient-ventilator system. Without indepth knowledge of this system, the algorithms may induce harm rather than benefit.
改善患者与呼吸机交互的新的及未来发展主要基于神经输出与呼吸机功能紧密耦合的概念。这种紧密耦合应贯穿患者的呼吸周期，从技术角度来看，这是一项艰巨的任务。通过实现紧密的神经机械耦合，呼吸机可作为主要由患者控制的高功能外部呼吸肌发挥作用。然而，这项任务需要了解呼吸系统的生理学和病理生理学以及患者与呼吸机之间的相互作用。尽管目前已经开发出复杂的计算机算法，但控制患者 - 呼吸机系统的是护理人员。如果对该系统缺乏深入了解，算法可能会造成伤害而非带来益处。
