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Non-synchronized unassisted spontaneous ventilation may minimize the risk of high global tidal volume and transpulmonary pressure, but it is not free from pendelluft.

作者信息

Cornejo Rodrigo A, Brito Roberto, Arellano Daniel H, Morais Caio C A

机构信息

Unidad de Pacientes Críticos, Departamento de Medicina, Hospital Clínico Universidad de Chile, Independencia, Santiago, Chile.

Divisão de Fisioterapia, Hospital das Clínicas da Universidade Federal de Pernambuco, Recife, Brazil.

出版信息

Intensive Care Med. 2025 Jan;51(1):194-196. doi: 10.1007/s00134-024-07707-x. Epub 2024 Nov 4.

DOI:10.1007/s00134-024-07707-x
PMID:39495324
Abstract
摘要

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1
Non-synchronized unassisted spontaneous ventilation may minimize the risk of high global tidal volume and transpulmonary pressure, but it is not free from pendelluft.非同步无辅助自主通气可将高总体潮气量和跨肺压的风险降至最低,但仍无法避免摆动通气。
Intensive Care Med. 2025 Jan;51(1):194-196. doi: 10.1007/s00134-024-07707-x. Epub 2024 Nov 4.
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Spontaneous breathing during lung-protective ventilation in an experimental acute lung injury model: high transpulmonary pressure associated with strong spontaneous breathing effort may worsen lung injury.在实验性急性肺损伤模型中保护性通气时的自主呼吸:高跨肺压伴强烈自主呼吸努力可能加重肺损伤。
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Effects of inspiratory flow on lung stress, pendelluft, and ventilation heterogeneity in ARDS: a physiological study.吸气流量对 ARDS 肺应力、 Pendelluft 和通气异质性的影响:一项生理研究。
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Spontaneous effort causes occult pendelluft during mechanical ventilation.机械通气时自发努力可导致潜隐摆动气。
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Pendelluft in hypoxemic patients resuming spontaneous breathing: proportional modes versus pressure support ventilation.低氧血症患者恢复自主呼吸时的pendelluft现象:比例模式与压力支持通气的比较
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Effects of Ventilatory Settings on Pendelluft Phenomenon During Mechanical Ventilation.通气设置对机械通气期间 Pendelluft 现象的影响。
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Pendelluft in the bronchial tree.支气管树中的摆动气。
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本文引用的文献

1
Pressure control plus spontaneous ventilation versus volume assist-control ventilation in acute respiratory distress syndrome. A randomised clinical trial.急性呼吸窘迫综合征中压力控制加自主通气与容量辅助控制通气的比较:一项随机临床试验
Intensive Care Med. 2024 Oct;50(10):1647-1656. doi: 10.1007/s00134-024-07612-3. Epub 2024 Sep 17.
2
Pendelluft in hypoxemic patients resuming spontaneous breathing: proportional modes versus pressure support ventilation.低氧血症患者恢复自主呼吸时的pendelluft现象:比例模式与压力支持通气的比较
Ann Intensive Care. 2023 Dec 20;13(1):131. doi: 10.1186/s13613-023-01230-w.
3
Inflammatory biomarkers and pendelluft magnitude in ards patients transitioning from controlled to partial support ventilation.
ARDS 患者从控制性机械通气转为部分支持通气时的炎症生物标志物和 Pendelluft 幅度。
Sci Rep. 2022 Nov 23;12(1):20233. doi: 10.1038/s41598-022-24412-1.
4
Lung- and Diaphragm-Protective Ventilation.肺和膈肌保护通气。
Am J Respir Crit Care Med. 2020 Oct 1;202(7):950-961. doi: 10.1164/rccm.202003-0655CP.
5
Potentially harmful effects of inspiratory synchronization during pressure preset ventilation.压力预置通气时吸气同步可能产生的有害影响。
Intensive Care Med. 2013 Nov;39(11):2003-10. doi: 10.1007/s00134-013-3032-7. Epub 2013 Aug 9.