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Driving airway pressure: should we use a static measure to describe a dynamic phenomenon?

作者信息

Santini Alessandro, Votta Emiliano, Protti Alessandro, Mezidi Mehdi, Guérin Claude

机构信息

Dipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, via F. Sforza 35, 20100, Milan, Italy.

Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy.

出版信息

Intensive Care Med. 2017 Oct;43(10):1544-1545. doi: 10.1007/s00134-017-4850-9. Epub 2017 Jun 1.

DOI:10.1007/s00134-017-4850-9
PMID:28573391
Abstract
摘要

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Driving airway pressure: should we use a static measure to describe a dynamic phenomenon?驱动气道压力：我们应该用静态指标来描述动态现象吗？
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Airway driving pressure and lung stress in ARDS patients.急性呼吸窘迫综合征患者的气道驱动压与肺应力
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A dynamic morphometric model of the normal lung for studying expiratory flow limitation in mechanical ventilation.一种用于研究机械通气中呼气流量受限的正常肺动态形态计量模型。
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Driving airway and transpulmonary pressure are correlated to VILI determinants during controlled ventilation.在控制通气期间，驱动气道压和跨肺压与呼吸机所致肺损伤的决定因素相关。
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Estimation of true driving pressure during airway pressure release ventilation : Discussion on "Early application of airway pressure release ventilation may reduce the duration of mechanical ventilation in acute respiratory distress syndrome".气道压力释放通气期间真实驱动压力的估算：关于“急性呼吸窘迫综合征中早期应用气道压力释放通气可能缩短机械通气时间”的讨论
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What changes can be expected during high frequency jet ventilation when the rate of ventilation, the I:E ratio and the driving pressure are modified? A laboratory study.当通气频率、吸呼比和驱动压力发生改变时，高频喷射通气会出现哪些预期变化？一项实验室研究。
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[Low flow technique to perform static pressure-volume curve during mechanical ventilation].
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Mean Airway Pressure As a Predictor of 90-Day Mortality in Mechanically Ventilated Patients.平均气道压力可预测机械通气患者 90 天死亡率。
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引用本文的文献

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Impact of mechanical power on ICU mortality in ventilated critically ill patients: a retrospective study with continuous real-life data.机械通气对 ICU 重症患者死亡率的影响：一项使用连续真实数据的回顾性研究。
Eur J Med Res. 2024 Oct 7;29(1):491. doi: 10.1186/s40001-024-02082-1.
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Should we titrate ventilation based on driving pressure? Maybe not in the way we would expect.我们应该根据驱动压力来调整通气吗？也许并非我们所期望的那样。
Ann Transl Med. 2018 Oct;6(19):389. doi: 10.21037/atm.2018.09.48.

本文引用的文献

1
Effect of end-inspiratory plateau pressure duration on driving pressure.吸气末平台压持续时间对驱动压的影响。
Intensive Care Med. 2017 Apr;43(4):587-589. doi: 10.1007/s00134-016-4651-6. Epub 2016 Dec 20.
2
Role of Strain Rate in the Pathogenesis of Ventilator-Induced Lung Edema.应变率在呼吸机诱导性肺水肿发病机制中的作用
Crit Care Med. 2016 Sep;44(9):e838-45. doi: 10.1097/CCM.0000000000001718.
3
Respiratory mechanics in anesthetized paralyzed humans: effects of flow, volume, and time.麻醉瘫痪患者的呼吸力学：流量、容积和时间的影响
J Appl Physiol (1985). 1989 Dec;67(6):2556-64. doi: 10.1152/jappl.1989.67.6.2556.
4
Analysis of behavior of the respiratory system in ARDS patients: effects of flow, volume, and time.急性呼吸窘迫综合征患者呼吸系统行为分析：流量、容积和时间的影响
J Appl Physiol (1985). 1991 Jun;70(6):2719-29. doi: 10.1152/jappl.1991.70.6.2719.
5
Pulmonary and chest wall mechanics in anesthetized paralyzed humans.麻醉瘫痪的人体中的肺和胸壁力学
J Appl Physiol (1985). 1991 Jun;70(6):2602-10. doi: 10.1152/jappl.1991.70.6.2602.