MacDonald K D, Johnson S R
Department of Respiratory Care Service, Kaiser Permanente Medical Center, Los Angeles, California, USA.
Respir Care Clin N Am. 1996 Dec;2(4):607-18.
There are few controlled pediatric studies comparing the various modes of ventilation in terms of patient outcomes. Thus at this time the choice of ventilator mode depends largely on the apparatus available, the patient's disease state, and personal preference based on one's experience. The next generation of ventilators may well allow the use of the best of both modes, setting both pressure and volume minimums and maximums, safely meeting ventilation targets. Today's challenges are to become familiar with the various modes of ventilators available, understand the developing physiology of the lung and lung disease pathophysiology, and incorporate all this into proper ventilator strategies to prevent ventilator-induced lung injury.
很少有对照的儿科研究从患者预后方面比较各种通气模式。因此，目前通气模式的选择很大程度上取决于可用设备、患者的疾病状态以及基于个人经验的个人偏好。下一代呼吸机很可能允许同时采用两种模式的优点，设定压力和容量的最小值和最大值，安全地实现通气目标。当今的挑战是熟悉现有的各种通气模式，了解肺发育中的生理学和肺部疾病的病理生理学，并将所有这些纳入适当的通气策略以预防呼吸机相关性肺损伤。
