Labrousse J, Tenaillon A, Longchal J, Chastre J, Lissac J
Nouv Presse Med. 1979 Mar 3;8(10):759-63.
In a group of 14 patients (7 males and 7 females) ventilated artificially for acute respiratory distress syndrome, the authors defined a level of optimal expiratory positive pressure giving an FiO2 = 1, an arterial pO2 greater than or equal to 400 mmhg and/or an intrapulmonary shunt less than or equal to 15%. Improvement in arterial pO2 under such conditions would appear to be related to maximum alveolar recrutment. This optimal level of expiratory positive pressure would appear to be independent of values of total static pulmonary compliance. The long term use of this technique would seem to be encouraging.
在一组14例因急性呼吸窘迫综合征接受人工通气的患者（7名男性和7名女性）中，作者确定了一个最佳呼气末正压水平，该水平可使吸入氧浓度（FiO2）=1、动脉血氧分压（pO2）大于或等于400 mmHg和/或肺内分流小于或等于15%。在这种情况下动脉pO2的改善似乎与最大肺泡复张有关。这种最佳呼气末正压水平似乎与总静态肺顺应性的值无关。长期使用该技术似乎是令人鼓舞的。
