Lapinsky Stephen E, Posadas-Calleja Juan Gabriel, McCullagh Iain
Intensive Care Unit, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, M5G 1X5, Canada.
Crit Care. 2009;13(2):206. doi: 10.1186/cc7146.
The ventilatory management of patients with acute respiratory failure is supported by good evidence, aiming to reduce lung injury by pressure limitation and reducing the duration of ventilatory support by regular assessment for discontinuation. Certain patient groups, however, due to their altered physiology or disease-specific complications, may require some variation in usual ventilatory management. The present manuscript reviews the ventilatory management in three special populations, namely the patient with brain injury, the pregnant patient and the morbidly obese patient.
急性呼吸衰竭患者的通气管理有充分的证据支持,旨在通过压力限制减少肺损伤,并通过定期评估撤机以缩短通气支持时间。然而,某些患者群体由于其生理改变或特定疾病并发症,可能需要在常规通气管理上有所变通。本手稿综述了三类特殊人群的通气管理,即脑损伤患者、孕妇和病态肥胖患者。