调整呼吸机设置以防止在正压通气时主动呼气。
Manipulation of ventilator settings to prevent active expiration against positive pressure inflation.
作者信息
Field D, Milner A D, Hopkin I E
出版信息
Arch Dis Child. 1985 Nov;60(11):1036-40. doi: 10.1136/adc.60.11.1036.
Abstract
Recent publications have suggested that in infants receiving artificial ventilatory support a particular pattern of interaction between spontaneous breaths and ventilator inflations (active expiration against each ventilator inflation) may be important in the production of pneumothoraces. We have looked at patterns of interaction from 47 preterm infants studied on 51 occasions. We found that active expiration against the ventilator occurred on a total of 16 occasions. This pattern was prevented on 14 occasions by altering the ventilator settings. In two other babies, the pattern persisted but neither baby developed a pneumothorax.
摘要
最近的出版物表明，在接受人工通气支持的婴儿中，自发呼吸与通气机充气之间的一种特定相互作用模式（每次通气机充气时主动呼气）可能在气胸的发生中起重要作用。我们观察了47例早产儿在51个不同时段的相互作用模式。我们发现，共有16个时段出现了对抗通气机的主动呼气。通过改变通气机设置，在14个时段预防了这种模式。在另外两个婴儿中，这种模式持续存在，但两个婴儿均未发生气胸。
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本文引用的文献
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