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内源性呼气末正压对呼吸顺应性的影响。

Effect of intrinsic positive end-expiratory pressure on respiratory compliance.

作者信息

Caviedes I, Benito S, Mancebo J, Net A

出版信息

Crit Care Med. 1986 Nov;14(11):947-9. doi: 10.1097/00003246-198611000-00007.

DOI:10.1097/00003246-198611000-00007
PMID:3533422
Abstract

We evaluated the influence of intrinsic positive end-expiratory pressure (PEEPi) on the measurement of static respiratory compliance in 15 adult patients with acute respiratory failure under mechanical ventilation. Modifying the inspiratory/expiratory ratio from 1:2 to 2:1, and the respiratory frequency from 15 to 20 and 25 breath/min significantly changed compliance values. Because PEEPi can increase the work of breathing, we suggest adjusting ventilatory variables to minimize PEEPi.

摘要

我们评估了内在呼气末正压(PEEPi)对15例接受机械通气的急性呼吸衰竭成年患者静态呼吸顺应性测量的影响。将吸呼比从1:2调整为2:1,呼吸频率从15次/分钟调整为20次/分钟和25次/分钟,显著改变了顺应性值。由于PEEPi会增加呼吸功,我们建议调整通气变量以尽量减少PEEPi。

相似文献

1
Effect of intrinsic positive end-expiratory pressure on respiratory compliance.内源性呼气末正压对呼吸顺应性的影响。
Crit Care Med. 1986 Nov;14(11):947-9. doi: 10.1097/00003246-198611000-00007.
2
Respiratory resistance and intrinsic positive end-expiratory pressure (PEEPi) in patients with the adult respiratory distress syndrome (ARDS).成人呼吸窘迫综合征(ARDS)患者的呼吸阻力和内源性呼气末正压(PEEPi)
Eur Respir J. 1988 Aug;1(8):726-31.
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COPD patients and mechanical ventilation with positive end expiratory pressure (PEEP).慢性阻塞性肺疾病患者与呼气末正压通气(PEEP)的机械通气。
Monaldi Arch Chest Dis. 1994 Jun;49(3 Suppl 1):40-2.
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[Effect of neurally adjusted ventilatory assist on trigger of mechanical ventilation in acute exacerbation of chronic obstructive pulmonary disease patients with intrinsic positive end-expiratory pressure].[神经调节通气辅助对伴有内源性呼气末正压的慢性阻塞性肺疾病急性加重期患者机械通气触发的影响]
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Pathophysiologic basis of acute respiratory distress in patients who fail a trial of weaning from mechanical ventilation.机械通气撤机试验失败患者急性呼吸窘迫的病理生理基础。
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Expiratory flow limitation and intrinsic positive end-expiratory pressure at zero positive end-expiratory pressure in patients with adult respiratory distress syndrome.成人呼吸窘迫综合征患者在呼气末正压为零时的呼气气流受限和内源性呼气末正压
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[Inspiratory resistance during mechanical ventilation: effect of positive end expiratory pressure].[机械通气时的吸气阻力:呼气末正压的影响]
Minerva Anestesiol. 1990 Oct;56(10):1241-2.
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Physiologic effects of positive end-expiratory pressure in patients with chronic obstructive pulmonary disease during acute ventilatory failure and controlled mechanical ventilation.慢性阻塞性肺疾病患者在急性通气衰竭和控制机械通气期间呼气末正压的生理效应
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Randomized, prospective trial of pressure-limited versus volume-controlled ventilation in severe respiratory failure.重度呼吸衰竭中压力限制通气与容量控制通气的随机前瞻性试验
Crit Care Med. 1994 Jan;22(1):22-32. doi: 10.1097/00003246-199401000-00009.

引用本文的文献

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Intrinsic PEEP on static pressure-volume curves.静态压力-容积曲线上的内源性呼气末正压
Intensive Care Med. 1990;16(4):233-6. doi: 10.1007/BF01705157.