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本文引用的文献

1
Progression of regional lung strain and heterogeneity in lung injury: assessing the evolution under spontaneous breathing and mechanical ventilation.肺损伤中局部肺应变及异质性的进展:评估自主呼吸和机械通气下的演变情况
Ann Intensive Care. 2020 Aug 6;10(1):107. doi: 10.1186/s13613-020-00725-0.
2
Elastic power but not driving power is the key promoter of ventilator-induced lung injury in experimental acute respiratory distress syndrome.弹性力而非驱动力是实验性急性呼吸窘迫综合征中呼吸机所致肺损伤的关键促进因素。
Crit Care. 2020 Jun 3;24(1):284. doi: 10.1186/s13054-020-03011-4.
3
Bedside dynamic calculation of mechanical power: A validation study.床边机械动力的动态计算:一项验证研究。
J Crit Care. 2020 Apr;56:167-170. doi: 10.1016/j.jcrc.2019.12.027. Epub 2020 Jan 2.
4
Mechanical power at a glance: a simple surrogate for volume-controlled ventilation.一目了然的机械功率:容量控制通气的简单替代指标。
Intensive Care Med Exp. 2019 Nov 27;7(1):61. doi: 10.1186/s40635-019-0276-8.
5
Adaptive Support Ventilation Attenuates Ventilator Induced Lung Injury: Human and Animal Study.适应性支持通气减轻呼吸机相关性肺损伤:人体和动物研究。
Int J Mol Sci. 2019 Nov 21;20(23):5848. doi: 10.3390/ijms20235848.
6
Airway and transpulmonary driving pressures and mechanical powers selected by INTELLiVENT-ASV in passive, mechanically ventilated ICU patients.被动机械通气 ICU 患者中 INTELLiVENT-ASV 选择的气道和跨肺驱动压及机械功率。
Heart Lung. 2020 Jul-Aug;49(4):427-434. doi: 10.1016/j.hrtlng.2019.11.001. Epub 2019 Nov 14.
7
Static and Dynamic Contributors to Ventilator-induced Lung Injury in Clinical Practice. Pressure, Energy, and Power.临床实践中呼吸机所致肺损伤的静态和动态因素。压力、能量和功率。
Am J Respir Crit Care Med. 2020 Apr 1;201(7):767-774. doi: 10.1164/rccm.201908-1545CI.
8
How I optimize power to avoid VILI.我如何优化通气以避免呼吸机相关性肺损伤。
Crit Care. 2019 Oct 21;23(1):326. doi: 10.1186/s13054-019-2638-8.
9
Ventilator-induced lung injury and lung mechanics.呼吸机诱导的肺损伤与肺力学
Ann Transl Med. 2018 Oct;6(19):378. doi: 10.21037/atm.2018.06.29.
10
Mechanical power of ventilation is associated with mortality in critically ill patients: an analysis of patients in two observational cohorts.通气的机械动力与危重症患者的死亡率相关:对两个观察队列患者的分析。
Intensive Care Med. 2018 Nov;44(11):1914-1922. doi: 10.1007/s00134-018-5375-6. Epub 2018 Oct 5.

从机械功率角度重新诠释呼吸机所致肺损伤

[Reinterpreting the ventilator-induced lung injury from the prospective of mechanical power].

作者信息

Liu X B, Zhu F

机构信息

Department of Burn Surgery, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2021 Mar 20;37(3):292-295. doi: 10.3760/cma.j.cn501120-20200203-00039.

DOI:10.3760/cma.j.cn501120-20200203-00039
PMID:33765726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11917340/
Abstract

Mechanical power is the power that the ventilator transmits to the respirator for lung ventilation. In recent years, some researchers have suggested that mechanical power may be a good indicator for assessing ventilator-induced lung injury in general, which can be used for guiding the best mechanical ventilation strategy. While introducing the definition and calculation method of mechanical power, this paper focuses on the association and potential mechanism of mechanical power with ventilator-induced lung injury, which aims to provide a new perspective and research direction for clinical understanding of ventilator-induced lung injury.

摘要

机械功率是呼吸机传递给呼吸器官用于肺通气的功率。近年来,一些研究人员提出,机械功率总体上可能是评估呼吸机相关性肺损伤的一个良好指标,可用于指导最佳机械通气策略。本文在介绍机械功率的定义和计算方法的同时,重点探讨机械功率与呼吸机相关性肺损伤的关联及潜在机制,旨在为临床理解呼吸机相关性肺损伤提供新的视角和研究方向。