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[将患者转为自主呼吸过程中的机械通气模式]

[Modes of mechanical ventilation during transferring the patient to spontaneous breathing].

作者信息

Chemykh A S

出版信息

Anesteziol Reanimatol. 2013 Jan-Feb(1):74-6.

Abstract

Mechanical ventilation (MV) has become a general treatment in the intensive care unit in recent years. Mechanical ventilation is a resuscitation treatment; however MV causes many implications therefore it is to be finished as soon as the patient's condition begins improve. Modern transferring the patient to spontaneous breathing decreases implications number. Significant part of mechanical ventilation time (40%) is a time of weaning from mechanical ventilation. Weaning from MV is an economical, clinical and ethical problem. Many ventilation modes have introduced in clinical practice through the microprocessor technologies development. Supporting ventilation modes help to avoid some adverse effects of mechanical ventilation. The article deals with historical approaches development their advantages and limitations.

摘要

近年来,机械通气(MV)已成为重症监护病房的常规治疗手段。机械通气是一种复苏治疗方法;然而,MV会引发诸多问题,因此一旦患者病情开始好转,就应尽快停止使用。现代将患者转为自主呼吸可减少问题的数量。机械通气时间的很大一部分(40%)是脱机时间。脱机是一个经济、临床和伦理问题。随着微处理器技术的发展,许多通气模式已引入临床实践。辅助通气模式有助于避免机械通气的一些不良影响。本文探讨了历史方法的发展、它们的优点和局限性。

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