Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA.
Respir Care. 2011 Dec;56(12):1956-8. doi: 10.4187/respcare.01211. Epub 2011 Jun 17.
Low-tidal-volume ventilation reduces mortality in patients with ARDS, but there are often challenges in implementing lung-protective ventilation, such as acidosis from hypercapnia. In a patient with severe ARDS we achieved adequate ventilation with a very low tidal volume (4 mL/kg ideal body weight) by inducing mild hypothermia (body temperature 35-36°C).
低潮气量通气可降低 ARDS 患者的死亡率，但在实施肺保护性通气时，常面临一些挑战，如高碳酸血症引起的酸中毒。我们通过诱导轻度低温（体温 35-36°C），使一位严重 ARDS 患者的潮气量（理想体重 4ml/kg）达到非常低的水平，从而实现了充分的通气。
