McKibben A W, Ravenscraft S A
Department of Pulmonary and Critical Care Medicine, St. Paul-Ramsey Medical Center, Minnesota, USA.
Clin Chest Med. 1996 Sep;17(3):395-410. doi: 10.1016/s0272-5231(05)70323-3.
Pressure and volume modes of mechanical ventilation are available as options in the current generation of ventilators, giving clinicians many choices when managing a mechanically ventilated patient. In volume cycled ventilation, tidal volume is set and airway pressures are measured, whereas in pressure-controlled ventilation, pressure is set and volume is measured. This article reviews the characteristics of these two ventilatory modes and discusses in detail conversion from one mode to the other. Pertinent clinical studies and recent direct comparisons of volume-cycled and pressure-controlled ventilation are reviewed.
在当前一代呼吸机中，压力模式和容积模式的机械通气均可作为选项，这使得临床医生在管理机械通气患者时有多种选择。在容积控制通气中，设定潮气量并测量气道压力，而在压力控制通气中，设定压力并测量容积。本文回顾了这两种通气模式的特点，并详细讨论了从一种模式转换为另一种模式的方法。还回顾了相关的临床研究以及容积控制通气和压力控制通气最近的直接比较。
