University of Minnesota, Minneapolis/St Paul, Minnesota Regions Hospital, Pulmonary and Critical Care Medicine, MS11203B, 640 Jackson St, St Paul, Minnesota 55101, USA.
Crit Care. 2009;13(4):162. doi: 10.1186/cc7908. Epub 2009 Jul 3.
Vesicular breath sounds, wheezes, rhonchi, and crackles possess acoustic 'signatures' amenable to detection, quantification, and moment-by-moment visual display. Despite technical hurdles, new methods for sonic evaluation, once perfected, should offer innovative diagnostic and monitoring tools that add clinical value. These emerging options complement current 'static/global' monitoring of mechanics and gas exchange with dynamic regional information long missing from the optimal care of the ventilated patient with critical illness.
水泡音、哮鸣音、喘鸣音和爆裂音具有可被检测、定量和实时可视化的声学“特征”。尽管存在技术障碍,但一旦完善了用于声评估的新方法,就应该提供有临床价值的创新诊断和监测工具。这些新兴选择补充了当前对机械和气体交换的“静态/整体”监测,为危重病机械通气患者的最佳治疗提供了长期缺失的动态区域信息。