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机械通气患者容积二氧化碳描记法的临床应用。

Clinical use of volumetric capnography in mechanically ventilated patients.

机构信息

Simulation Center for Mechanical Ventilation, Karlsruhe, Germany.

Department of Anesthesiology and Intensive Care Medicine, Rostock University Medical Center, Rostock, Germany.

出版信息

J Clin Monit Comput. 2020 Feb;34(1):7-16. doi: 10.1007/s10877-019-00325-9. Epub 2019 May 31.

Abstract

Capnography is a first line monitoring system in mechanically ventilated patients. Volumetric capnography supports noninvasive and breath-by-breath information at the bedside using mainstream CO and flow sensors placed at the airways opening. This volume-based capnography provides information of important body functions related to the kinetics of carbon dioxide. Volumetric capnography goes one step forward standard respiratory mechanics and provides a new dimension for monitoring of mechanical ventilation. The article discusses the role of volumetric capnography for the clinical monitoring of mechanical ventilation.

摘要

二氧化碳监测是机械通气患者的一线监测系统。容积二氧化碳监测采用主流 CO 和流量传感器在气道开口处,对机械通气患者进行床边无创、逐次呼吸的监测。这种基于容积的二氧化碳监测提供了与二氧化碳动力学相关的重要身体功能的信息。容积二氧化碳监测在标准呼吸力学的基础上更进一步,为机械通气监测提供了一个新的维度。本文讨论了容积二氧化碳监测在机械通气临床监测中的作用。

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