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新生儿同步机械通气

Synchronous mechanical ventilation of the neonate.

作者信息

South M, Morley C J

出版信息

Arch Dis Child. 1986 Dec;61(12):1190-5. doi: 10.1136/adc.61.12.1190.

DOI:10.1136/adc.61.12.1190
PMID:3813611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1778180/
Abstract

We describe a simple technique of neonatal ventilation that induces the neonate to breathe in synchrony with the ventilator. This preserves the beneficial effects of spontaneous respiration (unlike therapeutic paralysis) and reduces potentially harmful interactions between baby and ventilator. The technique uses measurements of the neonate's own respiratory timing.

摘要

我们描述了一种新生儿通气的简单技术，该技术可诱导新生儿与呼吸机同步呼吸。这保留了自主呼吸的有益效果（与治疗性麻痹不同），并减少了婴儿与呼吸机之间潜在的有害相互作用。该技术利用了对新生儿自身呼吸时间的测量。

相似文献

1
Synchronous mechanical ventilation of the neonate.新生儿同步机械通气
Arch Dis Child. 1986 Dec;61(12):1190-5. doi: 10.1136/adc.61.12.1190.
2
Volume limited ventilation for treatment of severe respiratory distress in neonates.容量限制通气治疗新生儿严重呼吸窘迫
Acta Anaesthesiol Belg. 1984;35 Suppl:379-86.
3
Interaction of spontaneous respiration with artificial ventilation in preterm babies.
J Pediatr. 1983 Nov;103(5):769-73. doi: 10.1016/s0022-3476(83)80483-1.
4
Misinterpreted signals during guarantee volume ventilation in the newborn.
Pediatr Pulmonol. 2009 Aug;44(8):835-6. doi: 10.1002/ppul.21031.
5
Guidelines for ventilatory assistance in the neonate.
J Perinatol. 1988 Winter;8(1):65-8.
6
Volume-limited and volume-targeted ventilation.容量限制通气和容量目标通气。
Clin Perinatol. 2012 Sep;39(3):513-23. doi: 10.1016/j.clp.2012.06.016.
7
Volume-targeted ventilation in the neonate: time to change?
Arch Dis Child Fetal Neonatal Ed. 2008 Jan;93(1):F7-13. doi: 10.1136/adc.2006.113464. Epub 2007 Sep 3.
8
Newer modes of mechanical ventilation for patients with adult respiratory distress syndrome.成人呼吸窘迫综合征患者的新型机械通气模式
Crit Care Med. 1993 Sep;21(9 Suppl):S367-9. doi: 10.1097/00003246-199309001-00043.
9
Volume-targeted ventilation of newborns.新生儿容量目标通气
Clin Perinatol. 2007 Mar;34(1):93-105, vii. doi: 10.1016/j.clp.2006.12.007.
10
Synchronous respiration: which ventilator rate is best?
Acta Paediatr Scand. 1987 Sep;76(5):713-8. doi: 10.1111/j.1651-2227.1987.tb10554.x.

引用本文的文献

1
Respiratory entrainment related reverse triggering in mechanically ventilated children.机械通气患儿的呼吸触发相关逆向触发。
Respir Res. 2024 Mar 25;25(1):142. doi: 10.1186/s12931-024-02749-7.
2
Randomised controlled trial of patient triggered and conventional fast rate ventilation in neonatal respiratory distress syndrome.新生儿呼吸窘迫综合征中患者触发通气与传统快速率通气的随机对照试验
Arch Dis Child Fetal Neonatal Ed. 2000 Jan;82(1):F14-8. doi: 10.1136/fn.82.1.f14.
3
International randomised controlled trial of patient triggered ventilation in neonatal respiratory distress syndrome.新生儿呼吸窘迫综合征患者触发通气的国际随机对照试验
Arch Dis Child Fetal Neonatal Ed. 2000 Jan;82(1):F5-F10. doi: 10.1136/fn.82.1.f5.
4
Randomised trial of routine versus selective paralysis during ventilation for neonatal respiratory distress syndrome.新生儿呼吸窘迫综合征通气期间常规与选择性麻痹的随机试验
Arch Dis Child. 1993 Nov;69(5 Spec No):479-82. doi: 10.1136/adc.69.5_spec_no.479.
5
Computerised determination of spontaneous inspiratory and expiratory times in premature neonates during intermittent positive pressure ventilation. II: Results from 20 babies.间歇性正压通气期间早产儿自主吸气和呼气时间的计算机化测定。II：20例婴儿的结果。
Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F161-4. doi: 10.1136/fn.71.3.f161.
6
Computerised determination of spontaneous inspiratory and expiratory times in premature neonates during intermittent positive pressure ventilation. I: A new technique.间歇正压通气期间早产儿自主吸气和呼气时间的计算机化测定。I：一种新技术。
Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F156-60. doi: 10.1136/fn.71.3.f156.
7
The effect of changes in inspiratory time on neonatal triggered ventilation.吸气时间变化对新生儿触发通气的影响。
Eur J Pediatr. 1990 Jun;149(9):648-50. doi: 10.1007/BF02034755.
8
Inflation time in mechanical ventilation of preterm neonates.
Eur J Pediatr. 1991 Apr;150(6):440-3. doi: 10.1007/BF02093728.
9
Respiratory support using patient triggered ventilation in the neonatal period.新生儿期使用患者触发通气的呼吸支持。
Arch Dis Child. 1992 Jan;67(1 Spec No):69-71. doi: 10.1136/adc.67.1_spec_no.69.
10
Use of sedatives and muscle relaxants in newborn babies receiving mechanical ventilation.在接受机械通气的新生儿中使用镇静剂和肌肉松弛剂。
Arch Dis Child. 1992 Jul;67(7 Spec No):870-3. doi: 10.1136/adc.67.7_spec_no.870.

本文引用的文献

1
Prospective clinical comparison of two methods for mechanical ventilation of neonates: rapid rate and short inspiratory time versus slow rate and long inspiratory time.两种新生儿机械通气方法的前瞻性临床比较：快速频率和短吸气时间与慢速频率和长吸气时间。
J Pediatr. 1981 Jun;98(6):957-61. doi: 10.1016/s0022-3476(81)80604-x.
2
Fluctuating cerebral blood-flow velocity in respiratory-distress syndrome. Relation to the development of intraventricular hemorrhage.呼吸窘迫综合征中脑血流速度的波动。与脑室内出血发生的关系。
N Engl J Med. 1983 Jul 28;309(4):204-9. doi: 10.1056/NEJM198307283090402.
3
Respiratory reflexes in ventilated premature babies.通气早产婴儿的呼吸反射
Early Hum Dev. 1983 Mar;8(1):65-75. doi: 10.1016/0378-3782(83)90035-x.
4
Respiratory frequency according to sleep states and age in normal premature infants: a comparison with full term infants.
Pediatr Res. 1983 Feb;17(2):152-6. doi: 10.1203/00006450-198302000-00014.
5
Interaction of spontaneous respiration with artificial ventilation in preterm babies.
J Pediatr. 1983 Nov;103(5):769-73. doi: 10.1016/s0022-3476(83)80483-1.
6
Phase locking of the respiratory rhythm in cats to a mechanical ventilator.
Can J Physiol Pharmacol. 1983 Jun;61(6):599-607. doi: 10.1139/y83-092.
7
Pancuronium prevents pneumothoraces in ventilated premature babies who actively expire against positive pressure inflation.泮库溴铵可预防在正压通气时主动呼气的机械通气早产儿发生气胸。
Lancet. 1984 Jan 7;1(8367):1-3. doi: 10.1016/s0140-6736(84)90177-6.
8
The sensitivities and response times of ventilatory assistors.
Anesthesiology. 1971 Apr;34(4):321-6. doi: 10.1097/00000542-197104000-00007.
9
The effect of varying inspiratory gas flow rate on arterial oxygenation during IPPV in the respiratory distress syndrome.
Br J Anaesth. 1968 Jul;40(7):493-502. doi: 10.1093/bja/40.7.493.
10
Mechanical ventilation in newborn infants with respiratory railure.患有呼吸衰竭的新生儿的机械通气
Lancet. 1968 Aug 3;2(7562):227-31. doi: 10.1016/s0140-6736(68)92348-9.