Storre J H, Dellweg D
Lungenklinik Köln-Merheim, Kliniken der Stadt Köln gGmbH, Lehrkrankenhaus der Universität Witten/Herdecke, Köln.
Fachkrankenhaus Kloster Grafschaft GmbH, Lehrkrankenhaus der Philipps-Universität Marburg, Schmallenberg.
Pneumologie. 2014 Aug;68(8):532-41. doi: 10.1055/s-0034-1365742. Epub 2014 Jul 9.
Patients undergoing mechanical ventilation are usually treated in the intensive care unit. Monitoring of these patients is challenging for all members of the medical staff. Understanding the aetiology of respiratory failure as well as the pathophysiological principles is essential for appropriate monitoring and treatment. Besides observation of clinical signs, different monitoring methods have become available including invasive and non-invasive diagnostic tools. Furthermore, knowledge about oxygen supply and oxygen consumption as well as respiratory muscle capacities and workload is important. The current article presents an overview of these issues and evaluates different diagnostic tools to monitor ventilator-dependent patients.
接受机械通气的患者通常在重症监护病房接受治疗。对这些患者进行监测对全体医护人员来说都具有挑战性。了解呼吸衰竭的病因以及病理生理原理对于进行适当的监测和治疗至关重要。除了观察临床体征外，还出现了包括有创和无创诊断工具在内的不同监测方法。此外，了解氧气供应和氧气消耗以及呼吸肌能力和工作量也很重要。本文概述了这些问题，并评估了用于监测依赖呼吸机患者的不同诊断工具。
