Munro Nancy
Critical Care Medicine Department, National Institutes of Health, Bethesda, MD 20892, USA.
Crit Care Nurs Clin North Am. 2006 Mar;18(1):21-8, xi. doi: 10.1016/j.ccell.2005.10.001.
Because smoking causes oxidant stress, inflammation, and protease-antiprotease imbalance of the lung tissue, smokers may have a lower threshold for initiation of mechanical ventilation. Critical care team members should realize that not only the pulmonary system is compromised but also other protective response mechanisms of the body. Therefore, the role of every critical care team member is pivotal to ensure a successful weaning and extubation process for smokers. This article addresses how to best do that with a collaborative and evidence-based approach.
由于吸烟会导致氧化应激、炎症以及肺组织蛋白酶-抗蛋白酶失衡，吸烟者启动机械通气的阈值可能较低。重症监护团队成员应认识到，不仅肺部系统会受到损害，身体的其他保护反应机制也会受到影响。因此，每位重症监护团队成员的作用对于确保吸烟者成功撤机和拔管过程至关重要。本文探讨如何以协作和循证的方法做到这一点。
