Dellaca' Raffaele L, Veneroni Chiara, Farre' Ramon
Dipartimento di Elettronica, Informazione e Bioingegneria - DEIB, Politecnico di Milano University, Milan, Italy.
Unitat de Biofísica i Bioenginyeria, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain.
Breathe (Sheff). 2017 Jun;13(2):84-98. doi: 10.1183/20734735.007817.
This review addresses how the combination of physiology, medicine and engineering principles contributed to the development and advancement of mechanical ventilation, emphasising the most urgent needs for improvement and the most promising directions of future development. Several aspects of mechanical ventilation are introduced, highlighting on one side the importance of interdisciplinary research for further development and, on the other, the importance of training physicians sufficiently on the technological aspects of modern devices to exploit properly the great complexity and potentials of this treatment.
To learn how mechanical ventilation developed in recent decades and to provide a better understanding of the actual technology and practice.To learn how and why interdisciplinary research and competences are necessary for providing the best ventilation treatment to patients.To understand which are the most relevant technical limitations in modern mechanical ventilators that can affect their performance in delivery of the treatment.To better understand and classify ventilation modes.To learn the classification, benefits, drawbacks and future perspectives of automatic ventilation tailoring algorithms.
本综述探讨了生理学、医学和工程学原理的结合如何推动了机械通气的发展与进步，强调了最迫切的改进需求以及未来最有前景的发展方向。介绍了机械通气的几个方面，一方面突出了跨学科研究对进一步发展的重要性，另一方面强调了对医生进行充分的现代设备技术方面培训的重要性，以便正确利用这种治疗方法的高度复杂性和潜力。
了解近几十年来机械通气是如何发展的，并更好地理解实际技术和实践。了解为患者提供最佳通气治疗为何以及如何需要跨学科研究和能力。理解现代机械通气机中哪些是最相关的技术限制，这些限制会影响其治疗效果。更好地理解和分类通气模式。了解自动通气调整算法的分类、优点、缺点和未来前景。
