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1
Neonatal patient triggered ventilation.新生儿患者触发通气。
Arch Dis Child. 1988 Apr;63(4):394-7. doi: 10.1136/adc.63.4.394.
2
Limitations of patient triggered ventilation in neonates.新生儿患者触发通气的局限性。
Arch Dis Child. 1989 Jul;64(7 Spec No):924-9. doi: 10.1136/adc.64.7_spec_no.924.
3
High-frequency oscillatory ventilation combined with intermittent mandatory ventilation in critically ill neonates: 3 years of experience.高频振荡通气联合间歇强制通气治疗危重新生儿：3年经验总结
Eur J Pediatr. 1988 May;147(4):392-8. doi: 10.1007/BF00496418.
4
Comparison of triggering systems for neonatal patient triggered ventilation.
Arch Dis Child. 1991 Apr;66(4 Spec No):426-8. doi: 10.1136/adc.66.4_spec_no.426.
5
A prospective observational pilot study of synchronized nasal intermittent positive pressure ventilation (SNIPPV) as a primary mode of ventilation in infants > or = 28 weeks with respiratory distress syndrome (RDS).一项关于同步鼻间歇正压通气（SNIPPV）作为孕周≥28周的呼吸窘迫综合征（RDS）婴儿主要通气模式的前瞻性观察性试点研究。
J Perinatol. 2004 Aug;24(8):487-93. doi: 10.1038/sj.jp.7211131.
6
Early development: intermittent mandatory ventilation in neonatal respiratory support.早期发展：新生儿呼吸支持中的间歇强制通气
Int Anesthesiol Clin. 1980 Summer;18(2):39-51.
7
Recent advances in assisted ventilation for neonatal respiratory distress syndrome.新生儿呼吸窘迫综合征辅助通气的最新进展
Indian Pediatr. 1998 Jul;35(7):631-40.
8
[Results of the treatment of newborn infants with respiratory distress syndrome using intermittent mandatory respiration with positive end expiratory pressure].
Ginekol Pol. 1985 Oct;56(10):602-9.
9
Patient triggered ventilation in premature neonates.早产儿的患者触发通气
Arch Dis Child. 1988 Jan;63(1):77-8. doi: 10.1136/adc.63.1.77.
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Effects of synchronized intermittent mandatory ventilation versus pressure support plus volume guarantee ventilation in the weaning phase of preterm infants*.同步间歇指令通气与压力支持加容量保证通气对早产儿撤机阶段的影响*
Pediatr Crit Care Med. 2014 Mar;15(3):236-41. doi: 10.1097/PCC.0b013e3182a5570e.

引用本文的文献

1
Synchronized mechanical ventilation for respiratory support in newborn infants.同步机械通气用于新生儿呼吸支持
Cochrane Database Syst Rev. 2016 Sep 1;9(9):CD000456. doi: 10.1002/14651858.CD000456.pub5.
2
New modes of mechanical ventilation in the preterm newborn: evidence of benefit.早产新生儿机械通气的新模式：获益证据
Arch Dis Child Fetal Neonatal Ed. 2007 Nov;92(6):F508-12. doi: 10.1136/adc.2006.108852. Epub 2007 Sep 5.
3
Advances in neonatal conventional ventilation.新生儿常规通气的进展
Arch Dis Child Fetal Neonatal Ed. 1996 Sep;75(2):F135-40. doi: 10.1136/fn.75.2.f135.
4
Long term trigger ventilation in neonatal respiratory distress syndrome.新生儿呼吸窘迫综合征的长期触发通气
Arch Dis Child. 1993 Mar;68(3 Spec No):308-11. doi: 10.1136/adc.68.3_spec_no.308.
5
Randomised controlled trial of weaning by patient triggered ventilation or conventional ventilation.患者触发通气与传统通气撤机的随机对照试验
Eur J Pediatr. 1993 Jan;152(1):51-4. doi: 10.1007/BF02072516.
6
Monitoring respiratory activity in neonates using diaphragmatic electromyograph.
Med Biol Eng Comput. 1995 May;33(3 Spec No):385-90. doi: 10.1007/BF02510520.
7
Limitations of patient triggered ventilation in neonates.新生儿患者触发通气的局限性。
Arch Dis Child. 1989 Jul;64(7 Spec No):924-9. doi: 10.1136/adc.64.7_spec_no.924.
8
The effect of changes in inspiratory time on neonatal triggered ventilation.吸气时间变化对新生儿触发通气的影响。
Eur J Pediatr. 1990 Jun;149(9):648-50. doi: 10.1007/BF02034755.
9
Lung function abnormalities at 6 months of age after neonatal intensive care.新生儿重症监护后6个月时的肺功能异常
Arch Dis Child. 1991 Apr;66(4):472-6. doi: 10.1136/adc.66.4.472.
10
Comparison of triggering systems for neonatal patient triggered ventilation.
Arch Dis Child. 1991 Apr;66(4 Spec No):426-8. doi: 10.1136/adc.66.4_spec_no.426.

本文引用的文献

1
An explanation for failure of impedance apnoea alarm systems.阻抗式呼吸暂停警报系统故障原因解析。
Arch Dis Child. 1980 Jan;55(1):63-5. doi: 10.1136/adc.55.1.63.
2
Oesophageal pressure measurements in ventilated preterm babies.通气早产婴儿的食管压力测量
Arch Dis Child. 1982 Nov;57(11):851-5. doi: 10.1136/adc.57.11.851.
3
Respiratory reflexes in ventilated premature babies.通气早产婴儿的呼吸反射
Early Hum Dev. 1983 Mar;8(1):65-75. doi: 10.1016/0378-3782(83)90035-x.
4
Interaction of spontaneous respiration with artificial ventilation in preterm babies.
J Pediatr. 1983 Nov;103(5):769-73. doi: 10.1016/s0022-3476(83)80483-1.
5
Pancuronium prevents pneumothoraces in ventilated premature babies who actively expire against positive pressure inflation.泮库溴铵可预防在正压通气时主动呼气的机械通气早产儿发生气胸。
Lancet. 1984 Jan 7;1(8367):1-3. doi: 10.1016/s0140-6736(84)90177-6.
6
The therapeutic actions of theophylline in preterm ventilated infants.
Early Hum Dev. 1985 Oct;12(1):15-22. doi: 10.1016/0378-3782(85)90132-x.
7
Inspiratory times when weaning from mechanical ventilation.机械通气撤机时的吸气时间。
Arch Dis Child. 1987 Dec;62(12):1269-70. doi: 10.1136/adc.62.12.1269.
8
Comparison of different rates of artificial ventilation in preterm neonates with respiratory distress syndrome.呼吸窘迫综合征早产儿不同人工通气速率的比较
Acta Paediatr Scand. 1987 Sep;76(5):706-12. doi: 10.1111/j.1651-2227.1987.tb10553.x.
9
Patient triggered ventilation in premature neonates.早产儿的患者触发通气
Arch Dis Child. 1988 Jan;63(1):77-8. doi: 10.1136/adc.63.1.77.
10
Patient-triggered ventilation in the newborn.
Lancet. 1986 Jul 5;2(8497):17-9. doi: 10.1016/s0140-6736(86)92562-6.

新生儿患者触发通气。

Neonatal patient triggered ventilation.

作者信息

Greenough A, Pool J

机构信息

Department of Child Health, King's College Hospital, London.

出版信息

Arch Dis Child. 1988 Apr;63(4):394-7. doi: 10.1136/adc.63.4.394.

DOI:10.1136/adc.63.4.394
PMID:3284480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1778807/
Abstract

Patient triggered ventilation was assessed in 14 neonates (gestational age 24-40 weeks). Inspiratory changes in airflow, monitored by a pneumotachograph, were used to trigger the ventilator and this was not associated with complications. Patient triggered ventilation was maintained for up to eight hours (mean duration five hours). In 13 of 14 infants oxygenation improved and this was associated in most with an increase in rate of delivered positive pressure inflations and inflating volumes. A greater improvement in oxygenation was shown when trigger mode was used during the recovery phase of respiratory distress syndrome. Only one infant, who made very little respiratory effort, failed to improve. We conclude that patient triggered ventilation may be used as an effective form of neonatal ventilation.

摘要

对14名新生儿（胎龄24 - 40周）进行了患者触发通气评估。通过呼吸流速仪监测气流的吸气变化，以此触发呼吸机，且未出现相关并发症。患者触发通气维持了长达8小时（平均时长5小时）。14名婴儿中有13名的氧合状况得到改善，多数情况是与输送的正压通气频率和通气量增加有关。在呼吸窘迫综合征的恢复阶段使用触发模式时，氧合改善更为明显。只有一名呼吸努力极少的婴儿未出现改善。我们得出结论，患者触发通气可作为新生儿通气的一种有效形式。