Division of Pulmonary Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States.
Semin Fetal Neonatal Med. 2019 Oct;24(5):101041. doi: 10.1016/j.siny.2019.101041. Epub 2019 Oct 15.
There is a variety of portable ventilators on the market, each with its' own features. A clinician needs to understand the unique characteristics of the ventilators available in his or her region, as well as the nuances of primary and secondary settings for these portable home ventilators in order to create a comfortable breath that allows for adequate gas exchange for the patient. Understanding the interplay of the portable home ventilator and the ventilator circuit is also a key component of transitioning a patient to a portable home ventilator. This review details characteristics of some of the more commonly used machines in the United States, as well as the settings to be considered in supporting a child with chronic respiratory failure outside of the hospital. As more patients are being discharged from the hospital with mechanical home ventilation, new ventilators are being developed that expand upon features of current machines.
市场上有各种各样的便携式呼吸机，每种都有其独特的特点。临床医生需要了解其所在地区可用的呼吸机的独特特点，以及这些便携式家用呼吸机的主要和次要设置的细微差别，以便为患者创造舒适的呼吸，从而实现充分的气体交换。了解便携式家用呼吸机和呼吸机回路的相互作用也是将患者过渡到便携式家用呼吸机的关键组成部分。这篇综述详细介绍了美国一些更常用的机器的特点，以及在医院外为患有慢性呼吸衰竭的儿童提供支持时需要考虑的设置。随着越来越多的患者带着家用呼吸机出院，新的呼吸机正在开发中，这些呼吸机扩展了现有机器的功能。
