Ragaller Maximillian, Richter Torsten
Department of Anesthesiology and Intensive Care Medicine, University Hospital Carl Gustav Carus, Dresden, Germany.
J Emerg Trauma Shock. 2010 Jan;3(1):43-51. doi: 10.4103/0974-2700.58663.
Every year, more information accumulates about the possibility of treating patients with acute lung injury or acute respiratory distress syndrome with specially designed mechanical ventilation strategies. Ventilator modes, positive end-expiratory pressure settings, and recruitment maneuvers play a major role in these strategies. However, what can we take from these experimental and clinical data to the clinical practice? In this article, we discuss substantial options of mechanical ventilation together with some adjunctive therapeutic measures, such as prone positioning and inhalation of nitric oxide.
每年，关于采用专门设计的机械通气策略治疗急性肺损伤或急性呼吸窘迫综合征患者的可能性，都会积累更多信息。通气模式、呼气末正压设置和肺复张手法在这些策略中起着主要作用。然而，我们能从这些实验和临床数据中借鉴什么用于临床实践呢？在本文中，我们将讨论机械通气的多种选择以及一些辅助治疗措施，如俯卧位通气和吸入一氧化氮。
