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难治性低氧血症的抢救策略:批判性评估

Rescue strategies for refractory hypoxemia: a critical appraisal.

作者信息

Villar Jesús, Kacmarek Robert M

出版信息

F1000 Med Rep. 2009 Nov 26;1:91. doi: 10.3410/M1-91.

DOI:10.3410/M1-91
PMID:20948686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2948334/
Abstract

Mechanical ventilation is the most important aspect of supportive care of patients with severe acute respiratory failure. Most research directed to improving the prognosis of these patients has focused on improving support of the injured lung. In this report, current knowledge on innovative ways to manage refractory hypoxemia and ventilation without further damaging the injured lung is briefly discussed.

摘要

机械通气是重症急性呼吸衰竭患者支持治疗最重要的方面。大多数旨在改善这些患者预后的研究都集中在加强对受损肺的支持上。在本报告中,将简要讨论关于在不进一步损害受损肺的情况下处理难治性低氧血症和通气的创新方法的现有知识。

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Management of refractory hypoxemia.难治性低氧血症的管理
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本文引用的文献

1
Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial.常规通气支持与体外膜肺氧合治疗成人严重呼吸衰竭的疗效及经济学评估(CESAR):一项多中心随机对照试验
Lancet. 2009 Oct 17;374(9698):1351-63. doi: 10.1016/S0140-6736(09)61069-2. Epub 2009 Sep 15.
2
Recruitment manoeuvres for adults with acute lung injury receiving mechanical ventilation.接受机械通气的急性肺损伤成人患者的肺复张策略
Cochrane Database Syst Rev. 2009 Apr 15(2):CD006667. doi: 10.1002/14651858.CD006667.pub2.
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Prone positioning in hypoxemic respiratory failure: meta-analysis of randomized controlled trials.低氧性呼吸衰竭中的俯卧位通气:随机对照试验的荟萃分析
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Pharmacotherapy of acute lung injury and acute respiratory distress syndrome.急性肺损伤和急性呼吸窘迫综合征的药物治疗
Curr Med Chem. 2008;15(19):1911-24. doi: 10.2174/092986708785132942.
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Effect of mechanical ventilation in the prone position on clinical outcomes in patients with acute hypoxemic respiratory failure: a systematic review and meta-analysis.俯卧位机械通气对急性低氧性呼吸衰竭患者临床结局的影响:一项系统评价和荟萃分析。
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Crit Care Med. 2008 Apr;36(4):1043-8. doi: 10.1097/01.CCM.0b013e318168fcab.
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The effect of prone positioning in acute respiratory distress syndrome or acute lung injury: a meta-analysis. Areas of uncertainty and recommendations for research.俯卧位通气对急性呼吸窘迫综合征或急性肺损伤的影响:一项荟萃分析。研究的不确定性领域及建议。
Intensive Care Med. 2008 Jun;34(6):1002-11. doi: 10.1007/s00134-008-1062-3. Epub 2008 Mar 19.
8
Understanding high-frequency oscillation: lessons from the animal kingdom.理解高频振荡:来自动物王国的启示。
Intensive Care Med. 2007 Aug;33(8):1316-8. doi: 10.1007/s00134-007-0706-z. Epub 2007 Jun 12.
9
Application of ECMO in multitrauma patients with ARDS as rescue therapy.体外膜肺氧合(ECMO)在合并急性呼吸窘迫综合征(ARDS)的多发伤患者中作为挽救治疗的应用。
J Card Surg. 2007 May-Jun;22(3):180-4. doi: 10.1111/j.1540-8191.2007.00381.x.
10
Respiratory controversies in the critical care setting. Does high-frequency ventilation offer benefits over conventional ventilation in adult patients with acute respiratory distress syndrome?重症监护环境下的呼吸争议。对于患有急性呼吸窘迫综合征的成年患者,高频通气是否比传统通气更具优势?
Respir Care. 2007 May;52(5):595-605; discussion 606-8.