Goldstein B, Papadakos P J
Division of Pediatric Pulmonology/Critical Care, University of Rochester Medical Center, NY 14642.
Am J Crit Care. 1994 Jan;3(1):11-5.
We report the use of pressure-controlled inverse-ratio ventilation in two children with acute respiratory failure who were failing conventional mechanical ventilation. The children had subsequent improvement in oxygenation and ventilation without hemodynamic compromise. Pressure-controlled inverse-ratio ventilation was well tolerated by one patient who had increased intracranial pressure secondary to head injury. We were able to successfully hyperventilate, improve oxygenation and control intracranial pressure in this patient while using pressure-controlled inverse-ratio ventilation, which may prove to be an alternative method of ventilation for children with severe lung disease.
我们报告了对两名常规机械通气治疗失败的急性呼吸衰竭儿童使用压力控制反比通气的情况。这两名儿童随后氧合和通气得到改善，且未出现血流动力学损害。一名因头部受伤继发颅内压升高的患者对压力控制反比通气耐受良好。在该患者使用压力控制反比通气时，我们成功实现了过度通气、改善了氧合并控制了颅内压，这可能被证明是重症肺病儿童的一种替代通气方法。
