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持续气道正压通气期间采用按需气流的疗效。

Efficacy of flow-by during continuous positive airway pressure ventilation.

作者信息

Saito S, Tokioka H, Kosaka F

机构信息

Department of Anesthesiology and Resuscitology, Okayama University Hospital, Japan.

出版信息

Crit Care Med. 1990 Jun;18(6):654-6. doi: 10.1097/00003246-199006000-00016.

DOI:10.1097/00003246-199006000-00016
PMID:2188790
Abstract

We investigated clinically the differences in respiratory work of patients imposed by three modes of one ventilator: the flow-by system, the demand valve system, and the pressure support system. Inspiratory work using flow-by and pressure support systems was reduced sufficiently when compared to the demand valve system. Moreover, fluctuation of the airway pressure was minimal with the flow-by mode. These results suggest that the flow-by mode is beneficial to patients breathing spontaneously with continuous positive airway pressure.

摘要

我们对一台呼吸机的三种模式(持续气流系统、按需阀系统和压力支持系统)给患者呼吸功带来的差异进行了临床研究。与按需阀系统相比,使用持续气流系统和压力支持系统时的吸气功显著降低。此外,持续气流模式下气道压力的波动最小。这些结果表明,持续气流模式对接受持续气道正压通气的自主呼吸患者有益。

相似文献

1
Efficacy of flow-by during continuous positive airway pressure ventilation.持续气道正压通气期间采用按需气流的疗效。
Crit Care Med. 1990 Jun;18(6):654-6. doi: 10.1097/00003246-199006000-00016.
2
Tracheal pressure triggering a demand-flow continuous positive airway pressure system decreases patient work of breathing.气管压力触发按需流量持续气道正压通气系统可降低患者的呼吸功。
Crit Care Med. 1996 Nov;24(11):1829-34. doi: 10.1097/00003246-199611000-00012.
3
Imposed work of breathing and methods of triggering a demand-flow, continuous positive airway pressure system.呼吸做功以及触发按需流量持续气道正压通气系统的方法。
Crit Care Med. 1993 Feb;21(2):183-90. doi: 10.1097/00003246-199302000-00007.
4
Comparison of inspiratory work of breathing between flow-triggered and pressure-triggered demand flow systems in rabbits.兔体内流量触发与压力触发按需流量系统呼吸吸气功的比较。
Crit Care Med. 1994 Jun;22(6):1002-9. doi: 10.1097/00003246-199406000-00020.
5
Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure.气管内导管吸气做功及按需持续气道正压的压力支持补偿
Chest. 1988 Mar;93(3):499-505. doi: 10.1378/chest.93.3.499.
6
Effects of expiratory flow resistance on inspiratory work of breathing.呼气气流阻力对呼吸吸气功的影响。
Chest. 1988 Apr;93(4):795-9. doi: 10.1378/chest.93.4.795.
7
Demand and continuous flow intermittent mandatory ventilation systems.需求型和持续气流间歇性强制通气系统。
Chest. 1985 May;87(5):625-30. doi: 10.1378/chest.87.5.625.
8
Effects of disposable or interchangeable positive end-expiratory pressure valves on work of breathing during the application of continuous positive airway pressure.一次性或可互换呼气末正压阀在持续气道正压通气应用过程中对呼吸功的影响。
Crit Care Med. 1994 Aug;22(8):1219-26. doi: 10.1097/00003246-199408000-00004.
9
Decreasing imposed work of the breathing apparatus to zero using pressure-support ventilation.使用压力支持通气将呼吸设备施加的功降至零。
Crit Care Med. 1993 Sep;21(9):1333-8. doi: 10.1097/00003246-199309000-00017.
10
Inspiratory work of breathing during spontaneous ventilation using demand valves and continuous flow systems.使用按需阀和持续气流系统进行自主通气时的吸气呼吸功。
Am Rev Respir Dis. 1988 Aug;138(2):300-4. doi: 10.1164/ajrccm/138.2.300.

引用本文的文献

1
Consensus conference on mechanical ventilation--January 28-30, 1993 at Northbrook, Illinois, USA. Part 2.机械通气共识会议——1993年1月28日至30日于美国伊利诺伊州诺斯布鲁克。第二部分。
Intensive Care Med. 1994;20(2):150-62. doi: 10.1007/BF01707673.