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Is intraoperative low tidal volume ventilation worse in patients with preexisting systemic inflammatory response? Our insights to Chugh . study.

作者信息

Gonçalves Gil, Karim Habid M R, Esquinas Antonio M

机构信息

Pulmonology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2020 Apr-Jun;36(2):271-272. doi: 10.4103/joacp.JOACP_89_20. Epub 2020 Jun 15.

DOI:10.4103/joacp.JOACP_89_20
PMID:33013049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7480316/
Abstract
摘要

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Is intraoperative low tidal volume ventilation worse in patients with preexisting systemic inflammatory response? Our insights to Chugh . study.对于已有全身炎症反应的患者，术中低潮气量通气是否更糟？我们对Chugh研究的见解。
J Anaesthesiol Clin Pharmacol. 2020 Apr-Jun;36(2):271-272. doi: 10.4103/joacp.JOACP_89_20. Epub 2020 Jun 15.
2
Intraoperative low tidal volume ventilation strategy has no benefits during laparoscopic cholecystectomy.术中低潮气量通气策略在腹腔镜胆囊切除术中并无益处。
J Anaesthesiol Clin Pharmacol. 2017 Jan-Mar;33(1):57-63. doi: 10.4103/0970-9185.202200.
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Low tidal volume ventilation with low PEEP during surgery may induce lung inflammation.手术期间采用低潮气量通气并加用低水平呼气末正压可能会诱发肺部炎症。
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Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury.采用较低潮气量和呼气末正压的机械通气可预防无既往肺损伤患者的肺部炎症。
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Trend Analysis: Evolution of Tidal Volume Over Time for Patients Receiving Invasive Mechanical Ventilation趋势分析：接受有创机械通气患者潮气量随时间的变化
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Intraoperative adherence to a low tidal volume ventilation strategy in critically ill patients with preexisting acute lung injury.在患有预先存在的急性肺损伤的危重症患者中，术中坚持低潮气量通气策略。
J Crit Care. 2011 Apr;26(2):144-51. doi: 10.1016/j.jcrc.2010.08.002.
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Altered Profile of Circulating Endothelial-Derived Microparticles in Ventilator-Induced Lung Injury.呼吸机诱导性肺损伤中循环内皮细胞来源的微囊泡的改变。
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Noninvasive cardiac output measurement using partial carbon dioxide rebreathing is less accurate at settings of reduced minute ventilation and when spontaneous breathing is present.在分钟通气量降低和存在自主呼吸的情况下，使用部分二氧化碳重呼吸法进行无创心输出量测量的准确性较低。
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本文引用的文献

1
Low tidal volume ventilation strategy and organ functions in patients with pre-existing systemic inflammatory response.低潮气量通气策略与已有全身炎症反应患者的器官功能
J Anaesthesiol Clin Pharmacol. 2019 Oct-Dec;35(4):460-467. doi: 10.4103/joacp.JOACP_112_18.
2
Effect of surgeon's experience on complications from laparoscopic hysterectomy.外科医生经验对腹腔镜子宫切除术并发症的影响。
J Gynecol Obstet Hum Reprod. 2018 Feb;47(2):63-67. doi: 10.1016/j.jogoh.2017.11.004. Epub 2017 Nov 14.
3
High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial.全麻下开腹手术中高与低呼气末正压通气（PROVHILO 试验）：一项多中心随机对照试验。
Lancet. 2014 Aug 9;384(9942):495-503. doi: 10.1016/S0140-6736(14)60416-5. Epub 2014 Jun 2.
4
Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis.肺保护性通气策略与小潮气量对未发生急性呼吸窘迫综合征患者临床结局影响的 Meta 分析
JAMA. 2012 Oct 24;308(16):1651-9. doi: 10.1001/jama.2012.13730.
5
Meta-analysis: ventilation strategies and outcomes of the acute respiratory distress syndrome and acute lung injury.荟萃分析：急性呼吸窘迫综合征和急性肺损伤的通气策略与结局
Ann Intern Med. 2009 Oct 20;151(8):566-76. doi: 10.7326/0003-4819-151-8-200910200-00011.