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[新型冠状病毒肺炎:如何将无创通气设备转换为重症监护呼吸机]

[COVID-19: how to transform a noninvasive ventilation device in a critical care ventilator].

作者信息

Tusman G, Campos M, Gogniat E

机构信息

Departamento de Anestesia, Hospital Privado de Comunidad, Mar del Plata, Argentina.

Departamento de Anestesia, Sanatorio Finochietto, Buenos Aires, Argentina; Centro de Simulación, Asociación de Anestesia, Analgesia y Reanimación de Buenos Aires, Buenos Aires, Argentina.

出版信息

Rev Esp Anestesiol Reanim (Engl Ed). 2020 Aug-Sep;67(7):367-373. doi: 10.1016/j.redar.2020.05.002. Epub 2020 May 15.

Abstract

COVID-19 pandemic caused not only many deaths around the world but also made evident technical limitations of hospital and intensive care units (ICU). The growing demand of ICU ventilators in a short lapse of time constitutes one of the main community concerns. The main goal of this communication is to give simple solutions to transform a noninvasive ventilator in an invasive one for intubated patients. The proposal can be applied in two well defined strategies for the COVID-19 pandemic: To replace anesthesia workstations, leaving those machines to be used in patients. To apply this option in COVID-19 patients by way of a therapeutic "bridge", waiting for the release of a ventilator in the ICU.

摘要

新冠疫情不仅在全球造成了许多死亡,还凸显了医院和重症监护病房(ICU)的技术局限性。短时间内对ICU呼吸机需求的不断增长是主要的社会关切之一。本交流的主要目的是提供简单的解决方案,将无创呼吸机转换为适用于插管患者的有创呼吸机。该提议可应用于针对新冠疫情的两种明确策略:替代麻醉工作站,使这些机器可供患者使用。通过治疗“桥梁”将此选项应用于新冠患者,等待ICU中有呼吸机可用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab80/7225690/f5348ebd07b2/gr1_lrg.jpg

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