Palmer J E
Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, New Bolton Center, Kennett Square.
Vet Clin North Am Equine Pract. 1994 Apr;10(1):167-85. doi: 10.1016/s0749-0739(17)30373-5.
Many sick neonatal foals have respiratory failure secondary to perinatal hypoxia, sepsis, or pneumonia. These foals require ventilatory support to prevent respiratory embarrassment and other complications associated with chronic hypoxia and hypercapnia. This article discusses practical aspects of ventilatory therapy, such as choosing a candidate for mechanical ventilation, choosing the proper ventilatory mode, placing a foal on a ventilator, maintaining a foal on mechanical ventilation, and weaning from mechanical ventilation. This article details some of the techniques that have been developed based on experiences with mechanical ventilation of neonatal foals and encourages other clinicians to consider ventilatory therapy as a feasible option.
许多患病新生马驹因围产期缺氧、败血症或肺炎而继发呼吸衰竭。这些马驹需要通气支持以防止呼吸窘迫以及与慢性缺氧和高碳酸血症相关的其他并发症。本文讨论了通气治疗的实际问题,如选择机械通气的候选对象、选择合适的通气模式、将马驹置于呼吸机上、维持马驹机械通气以及从机械通气中撤机。本文详细介绍了一些基于新生马驹机械通气经验而开发的技术,并鼓励其他临床医生将通气治疗视为一种可行的选择。