Nazarenko M B, Kruglyakov N M, Semenov M S, Zabelin M V, Udalov Yu D, Samoylov A S, Popugaev K A
Botkin City Clinical Hospital, Moscow, Russia.
Burnazyan Federal Medical and Biophysical Center, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2017;81(5):104-116. doi: 10.17116/neiro2017815104-114.
Management of the respiratory tract and maintenance of adequate gas exchange are the basic goals of critical care. Injury to the nervous system is often accompanied by development of respiratory disorders. On the other hand, changes in the gas composition of arterial blood can cause brain damage. In addition, approaches to the patient with respiratory failure, which are used in general critical care and neurocritical care, may differ. The presented literature review is devoted to modern respiratory strategies used in neurocritical care.
呼吸道管理和维持充足的气体交换是重症监护的基本目标。神经系统损伤常伴有呼吸系统疾病的发生。另一方面,动脉血气成分的变化可导致脑损伤。此外,一般重症监护和神经重症监护中用于治疗呼吸衰竭患者的方法可能有所不同。本文献综述致力于神经重症监护中使用的现代呼吸策略。