Department of Surgery, Division of Trauma & Critical Care, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, Ohio.
Division of Trauma/Critical Care, Department of Surgery, University of Cincinnati, Cincinnati, Ohio.
Respir Care. 2021 Jul;66(7):1173-1183. doi: 10.4187/respcare.09198.
COVID-19 resulting from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in a pandemic of respiratory failure previously unencountered. Early in the pandemic, concentrated infections in high-density population cities threatened to overwhelm health systems, and ventilator shortages were predicted. An early proposed solution was the use of shared ventilation, or the use of a single ventilator to support ≥ 2 patients. Spurred by ill-conceived social media posts, the idea spread in the lay press. Prior to 2020, there were 7 publications on this topic. A year later, more than 40 publications have addressed the technical details for shared ventilation, clinical experience with shared ventilation, as well as the numerous limitations and ethics of the technique. This is a review of the literature regarding shared ventilation from peer-reviewed articles published in 2020.
由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的 COVID-19 导致了以前从未遇到过的呼吸衰竭大流行。在大流行早期,高密度人口城市的集中感染威胁到卫生系统,预计会出现呼吸机短缺。早期提出的解决方案是使用共享通气,或使用单个呼吸机为≥2 名患者提供支持。受构思不佳的社交媒体帖子的推动,这一想法在大众媒体中传播开来。在 2020 年之前,只有 7 篇关于这个主题的出版物。一年后,有 40 多篇出版物已经解决了共享通气的技术细节、共享通气的临床经验,以及该技术的众多限制和伦理问题。这是对 2020 年同行评审文章中关于共享通气的文献综述。