Division of Pediatric Critical Care, Duke Children's Hospital, Durham, North Carolina.
Respir Care. 2023 Jun;68(6):838-845. doi: 10.4187/respcare.10908.
Adults and children who require extracorporeal membrane oxygenation for respiratory failure remain at risk for ongoing lung injury if ventilator management is not optimized. This review serves as a guide to assist the bedside clinician in ventilator titration for patients on extracorporeal membrane oxygenation, with a focus on lung-protective strategies. Existing data and guidelines for extracorporeal membrane oxygenation ventilator management are reviewed, including non-conventional ventilation modes and adjunct therapies.
对于因呼吸衰竭而需要体外膜肺氧合的成人和儿童，如果呼吸机管理未得到优化，他们仍将面临持续肺损伤的风险。本综述旨在为床边临床医生提供指导，帮助他们对接受体外膜肺氧合的患者进行呼吸机滴定，重点是肺保护策略。本文回顾了现有的体外膜肺氧合呼吸机管理数据和指南，包括非常规通气模式和辅助治疗。
