Luján Manel, Lalmolda Cristina
Servei de Pneumologia, Hospital Universitari Parc Taulí, 08208 Sabadell, Spain.
Centro de Investigacion Biomédica en Red (CIBERES), 28029 Madrid, Spain.
J Clin Med. 2023 Apr 18;12(8):2942. doi: 10.3390/jcm12082942.
The choice of a ventilator model for a single patient is usually based on parameters such as size (portability), presence or absence of battery and ventilatory modes. However, there are many details within each ventilator model about triggering, pressurisation or autotitration algorithms that may go unnoticed, but may be important or may justify some drawbacks that may occur during their use in individual patients. This review is intended to emphasize these differences. Guidance is also provided on the operation of autotitration algorithms, in which the ventilator is able to take decisions based on a measured or estimated parameter. It is important to know how they work and their potential sources of error. Current evidence on their use is also provided.
为单个患者选择呼吸机型号通常基于尺寸（便携性）、有无电池以及通气模式等参数。然而，每个呼吸机型号在触发、增压或自动滴定算法方面存在许多细节，这些细节可能未被注意到，但可能很重要，或者可以解释在个体患者使用过程中可能出现的一些缺点。本综述旨在强调这些差异。还提供了关于自动滴定算法操作的指导，在该算法中，呼吸机能够根据测量或估计的参数做出决策。了解它们的工作方式及其潜在的误差来源很重要。同时也提供了关于其使用的当前证据。
