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Alveolar recruitment in acute respiratory distress syndrome: should we open the lung (no matter what) or may accept (part of) the lung closed?

作者信息

Del Sorbo Lorenzo, Tonetti Tommaso, Ranieri V Marco

机构信息

Interdepartmental Division of Critical Care Medicine, University Health Network, University of Toronto, Toronto, Canada.

Department of Anesthesiology, Emergency and Intensive Care Medicine, University of Göttingen, Göttingen, Germany.

出版信息

Intensive Care Med. 2019 Oct;45(10):1436-1439. doi: 10.1007/s00134-019-05734-7. Epub 2019 Aug 16.

DOI:10.1007/s00134-019-05734-7
PMID:31420682
Abstract
摘要

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本文引用的文献

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Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial.肺复张与滴定式呼气末正压通气（PEEP）对比低PEEP对急性呼吸窘迫综合征患者死亡率的影响：一项随机临床试验
JAMA. 2017 Oct 10;318(14):1335-1345. doi: 10.1001/jama.2017.14171.
2
An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome.美国胸科学会/欧洲危重病医学会/重症医学学会机械通气临床实践指南：急性呼吸窘迫综合征成人患者机械通气。
Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263. doi: 10.1164/rccm.201703-0548ST.
3
PEEP-Induced Lung Recruitment Maneuver Combined with Prone Position for ARDS: A Single-Center, Prospective, Randomized Clinical Trial.
呼气末正压通气诱导的肺复张手法联合俯卧位治疗急性呼吸窘迫综合征：一项单中心、前瞻性、随机临床试验
J Clin Med. 2024 Feb 1;13(3):853. doi: 10.3390/jcm13030853.
4
Understanding the mechanisms of ventilator-induced lung injury using animal models.利用动物模型了解呼吸机诱导性肺损伤的机制。
Intensive Care Med Exp. 2023 Nov 27;11(1):82. doi: 10.1186/s40635-023-00569-5.
5
Clinical Applicability of Electrical Impedance Tomography in Patient-Tailored Ventilation: A Narrative Review.电阻抗断层成像在个体化通气中的临床应用：叙述性综述。
Tomography. 2023 Oct 18;9(5):1903-1932. doi: 10.3390/tomography9050150.
6
Lung Recruitment Assessed by Electrical Impedance Tomography (RECRUIT): A Multicenter Study of COVID-19 Acute Respiratory Distress Syndrome.肺复张评估的电阻抗断层成像（RECRUIT）：一项 COVID-19 急性呼吸窘迫综合征的多中心研究。
Am J Respir Crit Care Med. 2023 Jul 1;208(1):25-38. doi: 10.1164/rccm.202212-2300OC.
7
Time constant to determine PEEP levels in mechanically ventilated COVID-19 ARDS: a feasibility study.机械通气治疗 COVID-19 所致 ARDS 患者时，用时间常数法确定呼气末正压水平：一项可行性研究。
BMC Anesthesiol. 2022 Dec 13;22(1):387. doi: 10.1186/s12871-022-01935-8.
8
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Intensive Care Med. 2022 Jul;48(7):936-938. doi: 10.1007/s00134-022-06715-z. Epub 2022 May 2.
9
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Am J Respir Crit Care Med. 2022 Jun 1;205(11):1300-1310. doi: 10.1164/rccm.202108-1972OC.
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Effect of proning and recruitment on physio-anatomical variables in COVID-19 pneumonia.俯卧位通气和肺复张对新型冠状病毒肺炎患者生理解剖学变量的影响。
Intensive Care Med. 2022 May;48(5):636-637. doi: 10.1007/s00134-022-06627-y. Epub 2022 Jan 21.
Ventilator-induced lung injury.呼吸机相关性肺损伤
N Engl J Med. 2013 Nov 28;369(22):2126-36. doi: 10.1056/NEJMra1208707.
4
High-frequency oscillation in early acute respiratory distress syndrome.早期急性呼吸窘迫综合征中的高频振荡。
N Engl J Med. 2013 Feb 28;368(9):795-805. doi: 10.1056/NEJMoa1215554. Epub 2013 Jan 22.
5
Dead space fraction changes during PEEP titration following lung recruitment in patients with ARDS.PEEP 滴定期间，ARDS 患者肺复张后，死腔分数发生变化。
Respir Care. 2012 Oct;57(10):1578-85. doi: 10.4187/respcare.01497. Epub 2012 Mar 12.
6
Lungs of patients with acute respiratory distress syndrome show diffuse inflammation in normally aerated regions: a [18F]-fluoro-2-deoxy-D-glucose PET/CT study.急性呼吸窘迫综合征患者的肺部在正常通气区域呈现弥漫性炎症：一项[18F]-氟代-2-脱氧-D-葡萄糖PET/CT研究。
Crit Care Med. 2009 Jul;37(7):2216-22. doi: 10.1097/CCM.0b013e3181aab31f.
7
Pulmonary atelectasis during low stretch ventilation: "open lung" versus "lung rest" strategy.低张通气期间的肺不张：“肺开放”与“肺休息”策略
Crit Care Med. 2009 Mar;37(3):1046-53. doi: 10.1097/CCM.0b013e3181968e7e.
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Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome.急性呼吸窘迫综合征低潮气量通气时的潮气量过度充气
Am J Respir Crit Care Med. 2007 Jan 15;175(2):160-6. doi: 10.1164/rccm.200607-915OC. Epub 2006 Oct 12.
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Lung recruitment in patients with the acute respiratory distress syndrome.急性呼吸窘迫综合征患者的肺复张
N Engl J Med. 2006 Apr 27;354(17):1775-86. doi: 10.1056/NEJMoa052052.
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Effects of cyclic opening and closing at low- and high-volume ventilation on bronchoalveolar lavage cytokines.低容量和高容量通气时周期性开闭对支气管肺泡灌洗细胞因子的影响。
Crit Care Med. 2004 Jan;32(1):168-74. doi: 10.1097/01.CCM.0000104203.20830.AE.