Department of Anaesthesiology, Intensive Care and Emergency Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
Department of Anaesthesiology and Intensive Care, Central Clinical Hospital Ministry of Interior and Administration, Warsaw, Poland.
Anaesthesiol Intensive Ther. 2022;54(1):62-70. doi: 10.5114/ait.2022.112889.
Substantial efforts have been undertaken to identify and minimise factors responsible for the development of ventilator-induced lung injury. A novel approach to this problem addresses energy dissipated in lung tissue during the breathing cycle as one of the key problems. Flow-controlled ventilation is a new modality of mechanical ventilation based on a constant flow during both inspiration and expiration. This review aims to evaluate the current evidence available regarding flow-controlled ventilation. Lastly, three cases of flow-controlled ventilation application are presented: ventilation with a small lumen tube during tracheal resection, one-lung ventilation during thoracoscopic lobectomy, and ventilation of a critically ill patient with acute respiratory distress syndrome in an intensive care unit setting.
人们已经做出了大量努力来识别和最小化导致呼吸机相关性肺损伤的因素。一种解决这个问题的新方法是将呼吸周期中肺组织消耗的能量作为一个关键问题来解决。流量控制通气是一种基于吸气和呼气过程中恒流的新型机械通气方式。本综述旨在评估目前有关流量控制通气的可用证据。最后,介绍了流量控制通气的三个应用案例:在气管切除术中使用小腔管通气、在胸腔镜肺叶切除术中使用单肺通气、以及在重症监护病房中使用急性呼吸窘迫综合征的危重症患者进行通气。