Rouby Jean-Jacques, Ferrari Fabio, Bouhemad Bélaïd, Lu Qin
Réanimation Chirurgicale Polyvalente Pierre Viars, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Université Pierre et Marie Curie of Paris - 6, 47/83 boulevard de l'Hôpital, Paris Cédex 13, France.
Crit Care. 2007;11(6):180. doi: 10.1186/cc6183.
In patients with acute respiratory distress syndrome, positive end-expiratory pressure is associated with alveolar recruitment and lung hyperinflation despite the administration of a low tidal volume. The best positive end-expiratory pressure should correspond to the best compromise between recruitment and distension, a condition that coincides with the best respiratory elastance.
在急性呼吸窘迫综合征患者中,尽管给予低潮气量通气,但呼气末正压与肺泡复张和肺过度充气相关。最佳呼气末正压应对应于复张和扩张之间的最佳平衡,这种情况与最佳呼吸弹性相吻合。