Jolliet P, Sommer-Buhler J, Abajo B, Chevrolet J C
Division des soins intensifs de médecine, Hôpitaux Universitaires de Genève, Hôpital Cantonal.
Schweiz Med Wochenschr. 1997 Jan 25;127(4):107-21.
Non-invasive ventilation has been in use for many years to provide long-term home ventilatory support to patients with chronic respiratory failure. In recent years, it has emerged on the intensive care scene as a means of avoiding intubation in acute respiratory failure. The results of several studies indicate that such an approach can lead to a reduction in mortality and duration of hospital stay compared to conventional mechanical ventilation with endotracheal intubation. The purpose of this article is to explore the various ventilatory techniques available, the choice of respirator and ventilatory mode in various clinical conditions, and to discuss some of the logistics involved in the optimal use of this technique.
无创通气已应用多年，用于为慢性呼吸衰竭患者提供长期家庭通气支持。近年来，它在重症监护领域崭露头角，成为急性呼吸衰竭时避免气管插管的一种手段。多项研究结果表明，与采用气管插管的传统机械通气相比，这种方法可降低死亡率并缩短住院时间。本文旨在探讨现有的各种通气技术、不同临床情况下呼吸机和通气模式的选择，并讨论该技术最佳应用中涉及的一些后勤问题。
