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高频喷射通气的生理后果

Physiologic consequences of high frequency jet ventilation.

作者信息

Calkins J M

出版信息

Med Instrum. 1985 Sep-Oct;19(5):203-7.

PMID:3903446
Abstract

High frequency jet ventilation provides effective gas exchange at frequencies of 60 to 900 minute-1. The selection of mechanical ventilatory support is based on multiple factors, including potential physiologic advantages and disadvantages. Although HFJV has demonstrated no clear significant advantage over CMV in many clinical applications, because it produces significantly lower peak airway pressures than CMV, cardiac compromise and barotrauma might be prevented. In addition, in situations in which tissue movement should be minimized, e.g., microneurosurgery, HFJV may prove beneficial.

摘要

高频喷射通气在频率为60至900次/分钟时可提供有效的气体交换。机械通气支持的选择基于多种因素,包括潜在的生理优势和劣势。尽管在许多临床应用中,高频喷射通气相较于控制机械通气并未显示出明显的显著优势,但由于它产生的气道峰值压力明显低于控制机械通气,因此可能预防心脏功能不全和气压伤。此外,在需要尽量减少组织移动的情况下,例如显微神经外科手术,高频喷射通气可能被证明是有益的。

相似文献

1
Physiologic consequences of high frequency jet ventilation.高频喷射通气的生理后果
Med Instrum. 1985 Sep-Oct;19(5):203-7.
2
Cerebral and cardiopulmonary responses to high-frequency jet ventilation and conventional mechanical ventilation in a model of brain and lung injury.在脑肺损伤模型中,高频喷射通气和传统机械通气对脑和心肺的反应。
Anesth Analg. 1984 Dec;63(12):1065-70.
3
Hemodynamic effects of high-frequency jet ventilation.高频喷射通气的血流动力学效应
Anesth Analg. 1983 Mar;62(3):298-304.
4
Pulmonary embolism: high-frequency jet ventilation offers advantages over conventional mechanical ventilation.肺栓塞:高频喷射通气比传统机械通气具有优势。
Crit Care Med. 1987 Feb;15(2):114-7.
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Hemodynamic effects of different modes of mechanical ventilation in acute cardiac and pulmonary failure: an experimental study.不同机械通气模式对急性心功能和肺功能衰竭的血流动力学影响:一项实验研究
Crit Care Med. 1994 Oct;22(10):1624-30.
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[The effects of different patterns of mechanical ventilation on the respiratory mechanics and gas exchange in dogs severely injured by steam inhalation].[不同机械通气模式对蒸汽吸入严重损伤犬呼吸力学和气体交换的影响]
Zhonghua Shao Shang Za Zhi. 2000 Aug;16(4):234-6.
7
Effects of sequential changes from conventional ventilation to high-frequency oscillatory ventilation at increasing mean airway pressures in an ovine model of combined lung and head injury.在绵羊肺和头部联合损伤模型中,随着平均气道压力升高,从传统通气序贯性改变为高频振荡通气的效果。
Eur J Anaesthesiol. 2007 May;24(5):454-63. doi: 10.1017/S0265021506002006. Epub 2007 Jan 30.
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Comparison of venous admixture during high-frequency ventilation and conventional ventilation in oleic acid-induced pulmonary edema in dogs.油酸诱导犬肺水肿时高频通气与传统通气期间静脉血掺杂的比较。
Anesth Analg. 1982 Sep;61(9):735-40.
9
Prospective, randomized comparison of high-frequency oscillatory ventilation and conventional mechanical ventilation in pediatric respiratory failure.高频振荡通气与传统机械通气在小儿呼吸衰竭中的前瞻性随机对照研究。
Crit Care Med. 1994 Oct;22(10):1530-9.
10
Clinical applications of high-frequency jet ventilation.高频喷射通气的临床应用
Intensive Care Med. 1984;10(6):275-80. doi: 10.1007/BF00254315.

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1
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Surg Endosc. 2011 Nov;25(11):3518-25. doi: 10.1007/s00464-011-1751-9. Epub 2011 Jun 3.
2
Studies of wall shear and mass transfer in a large scale model of neonatal high-frequency jet ventilation.
Ann Biomed Eng. 1990;18(1):69-88. doi: 10.1007/BF02368418.