Helmi M, Gommers D
Department of Intensive Care Adults, Erasmus MC, Rotterdam, the Netherlands.
Acta Med Indones. 2013 Oct;45(4):329-36.
The last very-successful management of mechanical ventilation was in 2000 when application of low tidal volume and moderate pressure was introduced. It was then followed by the open- and baby-lung concept in order to open up the lung and keep the lung open. However, these strategies are followed with several adverse effects. Therefore, studies were performed in order to improve the outcome of mechanical ventilation with less invasive strategy. This review aims to summarize recent concept of less invasive mechanical ventilation.
上一次非常成功的机械通气管理是在2000年,当时引入了低潮气量和适度压力的应用。随后出现了开放肺和婴儿肺概念,以打开肺并保持肺开放。然而,这些策略伴随着一些不良反应。因此,开展了相关研究,以采用侵入性较小的策略改善机械通气的结果。本综述旨在总结近期侵入性较小的机械通气概念。