• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

一种用于检测在鼻咽通气辅助下自主呼吸或控制呼吸过程中漏气流和潮气量波形的新计算方法。

A New Computational Method for Detecting Leak Flow and Tidal Volume Waveforms During Spontaneous or Mandatory Breathing Assisted with Nasopharyngeal Ventilation.

作者信息

Montecchia Francesco, Papoff Paola

机构信息

Medical Engineering Laboratory, Department of Civil Engineering and Computer Science Engineering, University of Rome "Tor Vergata", 1 Politecnico Street, 00133 Rome, Italy.

Pediatric Intensive Care Unit, Department of Pediatrics, Sapienza University of Rome, 00100 Rome, Italy.

出版信息

Sensors (Basel). 2025 Mar 24;25(7):2022. doi: 10.3390/s25072022.

DOI:10.3390/s25072022
PMID:40218535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991569/
Abstract

Nasopharyngeal ventilation (NPV) is a common technique used to support breathing, particularly when a patient's respiration is inadequate, such as under sedation. It involves delivering oxygen through an endotracheal tube positioned above the glottis. Accurate tidal volume measurement is crucial for anesthesiologists, with the gold standard being a pneumotachograph. However, due to leakage from the mouth or mask, this method has limitations when applied to NPV. This study introduces a computational model that calculates respiratory flow in real time by accounting for leak flow. Results show that tidal volume measurements using this method are comparable to the gold standard, assuming the model's assumptions hold true.

摘要

鼻咽通气(NPV)是一种用于支持呼吸的常用技术,特别是当患者呼吸不足时,例如在镇静状态下。它涉及通过置于声门上的气管内导管输送氧气。准确测量潮气量对麻醉医生至关重要,金标准是呼吸流速计。然而,由于口腔或面罩漏气,该方法应用于NPV时存在局限性。本研究引入了一种计算模型,该模型通过考虑漏流实时计算呼吸流量。结果表明,假设该模型的假设成立,使用此方法测量的潮气量与金标准相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/7fdf7a3e61ab/sensors-25-02022-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/092d27796f8e/sensors-25-02022-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/5a76ddbc3aff/sensors-25-02022-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/109a0e7e14df/sensors-25-02022-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/6cae08610723/sensors-25-02022-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/a549a77c1445/sensors-25-02022-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/66b2a22682db/sensors-25-02022-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/dc72f67b126f/sensors-25-02022-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/dba1f48bf279/sensors-25-02022-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/8028da4c5e49/sensors-25-02022-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/0119369b1224/sensors-25-02022-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/639cec1199d1/sensors-25-02022-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/0706b12cf2dc/sensors-25-02022-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/7fdf7a3e61ab/sensors-25-02022-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/092d27796f8e/sensors-25-02022-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/5a76ddbc3aff/sensors-25-02022-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/109a0e7e14df/sensors-25-02022-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/6cae08610723/sensors-25-02022-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/a549a77c1445/sensors-25-02022-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/66b2a22682db/sensors-25-02022-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/dc72f67b126f/sensors-25-02022-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/dba1f48bf279/sensors-25-02022-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/8028da4c5e49/sensors-25-02022-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/0119369b1224/sensors-25-02022-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/639cec1199d1/sensors-25-02022-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/0706b12cf2dc/sensors-25-02022-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0707/11991569/7fdf7a3e61ab/sensors-25-02022-g013.jpg

相似文献

1
A New Computational Method for Detecting Leak Flow and Tidal Volume Waveforms During Spontaneous or Mandatory Breathing Assisted with Nasopharyngeal Ventilation.一种用于检测在鼻咽通气辅助下自主呼吸或控制呼吸过程中漏气流和潮气量波形的新计算方法。
Sensors (Basel). 2025 Mar 24;25(7):2022. doi: 10.3390/s25072022.
2
Linear model and algorithm to automatically estimate the pressure limit of pressure controlled ventilation for delivering a target tidal volume.用于自动估计压力控制通气的压力极限以输送目标潮气量的线性模型和算法。
J Clin Monit Comput. 2006 Feb;20(1):1-10. doi: 10.1007/s10877-006-7090-z. Epub 2006 Mar 6.
3
[Clinical application of the tidal flow-volume curve--a computer simulation].潮气量-流量曲线的临床应用——计算机模拟
Masui. 2014 Apr;63(4):462-7.
4
Novel mandibular advancement bite block with supplemental oxygen to both nasal and oral cavity improves oxygenation during esophagogastroduodenoscopy: a bench comparison.新型下颌前伸式咬合块,同时向鼻腔和口腔供氧,可改善食管胃十二指肠镜检查期间的氧合作用:一项台架比较研究。
J Clin Monit Comput. 2019 Jun;33(3):523-530. doi: 10.1007/s10877-018-0173-9. Epub 2018 Jul 4.
5
Noninvasive cardiac output measurement using partial carbon dioxide rebreathing is less accurate at settings of reduced minute ventilation and when spontaneous breathing is present.在分钟通气量降低和存在自主呼吸的情况下,使用部分二氧化碳重呼吸法进行无创心输出量测量的准确性较低。
Anesthesiology. 2003 Apr;98(4):830-7. doi: 10.1097/00000542-200304000-00007.
6
Effect of lung compliance and endotracheal tube leakage on measurement of tidal volume.肺顺应性和气管导管漏气对潮气量测量的影响。
Crit Care. 2004 Dec;8(6):R398-402. doi: 10.1186/cc2954. Epub 2004 Oct 6.
7
Double Cycling During Mechanical Ventilation: Frequency, Mechanisms, and Physiologic Implications.机械通气中的双重循环:频率、机制和生理意义。
Crit Care Med. 2018 Sep;46(9):1385-1392. doi: 10.1097/CCM.0000000000003256.
8
The effects of pressure- versus volume-controlled ventilation on ventilator work of breathing.压力控制通气与容量控制通气对呼吸肌做功的影响。
Biomed Eng Online. 2020 Sep 15;19(1):72. doi: 10.1186/s12938-020-00815-x.
9
Patients alter power of breathing as the primary response to changes in pressure support ventilation.患者通过改变呼吸动力来作为对压力支持通气改变的主要反应。
J Crit Care. 2020 Jun;57:208-213. doi: 10.1016/j.jcrc.2020.03.004. Epub 2020 Mar 7.
10
Effects of tidal volume on work of breathing during lung-protective ventilation in patients with acute lung injury and acute respiratory distress syndrome.潮气量对急性肺损伤和急性呼吸窘迫综合征患者肺保护性通气期间呼吸功的影响。
Crit Care Med. 2006 Jan;34(1):8-14. doi: 10.1097/01.ccm.0000194538.32158.af.

本文引用的文献

1
Clinical review of non-invasive ventilation.无创通气的临床评价。
Eur Respir J. 2024 Nov 7;64(5). doi: 10.1183/13993003.00396-2024. Print 2024 Nov.
2
Diaphragm excursions as proxy for tidal volume during spontaneous breathing in invasively ventilated ICU patients.在接受有创通气的重症监护病房患者自主呼吸期间,膈肌移动作为潮气量的替代指标。
Intensive Care Med Exp. 2023 Oct 27;11(1):73. doi: 10.1186/s40635-023-00553-z.
3
Nasopharyngeal Ventilation Compared to Facemask Ventilation: A Prospective, Randomized, Crossover Trial in Two Different Elective Cohorts.
鼻咽通气与面罩通气的比较:在两个不同择期队列中的前瞻性、随机、交叉试验。
Cureus. 2023 May 15;15(5):e39049. doi: 10.7759/cureus.39049. eCollection 2023 May.
4
Nasopharyngeal tubes in pediatric anesthesia: Is the flow-dependent pressure drop across the tube suitable for calculating oropharyngeal pressure?小儿麻醉中的鼻咽管:管内流量依赖性压力降是否适合计算口咽压力?
Paediatr Anaesth. 2021 Jul;31(7):809-819. doi: 10.1111/pan.14194. Epub 2021 May 6.
5
Tidal volume transmission during non-synchronized nasal intermittent positive pressure ventilation via RAM cannula.经 RAM 管行非同步鼻塞式间歇正压通气时潮气量的传递。
J Perinatol. 2019 May;39(5):723-729. doi: 10.1038/s41372-019-0333-x. Epub 2019 Feb 12.
6
A flow-leak correction algorithm for pneumotachographic work-of-breathing measurement during high-flow nasal cannula oxygen therapy.一种用于高流量鼻导管吸氧治疗期间呼吸功测量的呼吸流速-漏气校正算法。
Med Eng Phys. 2018 Apr;54:32-43. doi: 10.1016/j.medengphy.2018.02.004. Epub 2018 Mar 2.
7
Two-parameter leak estimation in non-invasive ventilation.
Annu Int Conf IEEE Eng Med Biol Soc. 2017 Jul;2017:153-156. doi: 10.1109/EMBC.2017.8036785.
8
Real time noninvasive estimation of work of breathing using facemask leak-corrected tidal volume during noninvasive pressure support: validation study.无创压力支持期间使用面罩漏气校正潮气量进行呼吸功的实时无创估计:验证研究
J Clin Monit Comput. 2016 Jun;30(3):285-94. doi: 10.1007/s10877-015-9716-5. Epub 2015 Jun 13.
9
A comparison of leak compensation during pediatric noninvasive ventilation: a lung model study.小儿无创通气时漏补偿的比较:肺模型研究。
Respir Care. 2014 Feb;59(2):241-51. doi: 10.4187/respcare.02616. Epub 2013 Jul 2.
10
Is volume and leak monitoring feasible during nasopharyngeal continuous positive airway pressure in neonates?在新生儿经鼻持续气道正压通气时进行容量和漏气监测是否可行?
Intensive Care Med. 2009 Nov;35(11):1934-41. doi: 10.1007/s00134-009-1651-9.