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有创机械通气期间的不同步:叙述性综述与更新

Asynchronies during invasive mechanical ventilation: narrative review and update.

作者信息

Saavedra Santiago Nicolás, Barisich Patrick Valentino Sepúlveda, Maldonado José Benito Parra, Lumini Romina Belén, Gómez-González Alberto, Gallardo Adrián

机构信息

Servicio de Medicina Física y Rehabilitación, Hospital Alemán, Buenos Aires, Argentina.

Servicio de Medicina Física y Rehabilitación, Hospital San Juan de Dios, La Serena, Chile.

出版信息

Acute Crit Care. 2022 Nov;37(4):491-501. doi: 10.4266/acc.2022.01158. Epub 2022 Nov 30.

Abstract

Invasive mechanical ventilation is a frequent therapy in critically ill patients in critical care units. To achieve favorable outcomes, patient and ventilator interaction must be adequate. However, many clinical situations could attempt against this principle and generate a mismatch between these two actors. These asynchronies can lead the patient to worst outcomes; that is why it is vital to recognize and treat these entities as soon as possible. Early detection and recognition of the different asynchronies could favor the reduction of the days of mechanical ventilation, the days of hospital stay, and intensive care and improve clinical results.

摘要

有创机械通气是重症监护病房中危重症患者常用的治疗方法。为了取得良好的治疗效果,患者与呼吸机之间必须有充分的相互作用。然而,许多临床情况可能违背这一原则,导致这两个因素之间出现不匹配。这些不同步情况可能导致患者出现更差的治疗结果;这就是为什么尽快识别和处理这些情况至关重要。尽早发现和识别不同的不同步情况有助于减少机械通气天数、住院天数和重症监护时间,并改善临床治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1bf/9732206/a09d070f3f4b/acc-2022-01158f1.jpg

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