Singer Benjamin D, Corbridge Thomas C
Department of Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
South Med J. 2009 Dec;102(12):1238-45. doi: 10.1097/SMJ.0b013e3181bfac4f.
Invasive mechanical ventilation is a lifesaving intervention for patients with respiratory failure. The most commonly used modes of mechanical ventilation are assist-control, synchronized intermittent mandatory ventilation, and pressure support ventilation. When employed as a diagnostic tool, the ventilator provides data on the static compliance of the respiratory system and airway resistance. The clinical scenario and the data obtained from the ventilator allow the clinician to provide effective and safe invasive mechanical ventilation through manipulation of the ventilator settings. While life-sustaining in many circumstances, mechanical ventilation may also be toxic and should be withdrawn when clinically appropriate.
有创机械通气是治疗呼吸衰竭患者的一项挽救生命的干预措施。最常用的机械通气模式是辅助控制通气、同步间歇指令通气和压力支持通气。当用作诊断工具时,呼吸机可提供有关呼吸系统静态顺应性和气道阻力的数据。临床情况以及从呼吸机获得的数据使临床医生能够通过调整呼吸机设置来提供有效且安全的有创机械通气。虽然在许多情况下机械通气可维持生命,但它也可能有不良影响,在临床适当时应予以撤机。