Program of Critical Care Medicine, University of British Columbia, Vancouver, BC, Canada.
Respir Physiol Neurobiol. 2012 Mar 15;180(2-3):162-72. doi: 10.1016/j.resp.2011.11.014. Epub 2011 Dec 2.
The use of mechanical ventilation has become widespread in the management of hypoxic respiratory failure. Investigations of pulmonary mechanics in this clinical scenario have demonstrated that there are significant differences in compliance, resistance and gas flow when compared with normal subjects. This paper will review the mechanisms by which pulmonary mechanics are assessed in mechanically ventilated patients and will review how the data can be used for investigative research purposes as well as to inform rational ventilator management.
机械通气在低氧性呼吸衰竭的治疗中已经得到广泛应用。对该临床情况下的肺力学的研究表明,与正常受试者相比,顺应性、阻力和气流存在显著差异。本文将回顾机械通气患者肺力学评估的机制,并回顾这些数据如何用于研究目的以及为合理的呼吸机管理提供信息。