Hess D R, Medoff B D
Harvard Medical School, Boston, Massachusetts, USA.
Respir Care Clin N Am. 1998 Sep;4(3):439-73.
Mechanical ventilation of the patient with COPD is a balance between avoiding overdistension, auto-PEEP, providing adequate gas exchange, and allowing patient-ventilator synchrony. Figure 13 shows an approach that the authors have found helpful to achieve these goals.
慢性阻塞性肺疾病(COPD)患者的机械通气是在避免肺过度膨胀、内源性呼气末正压(auto-PEEP)、提供充足气体交换以及实现患者与呼吸机同步之间取得平衡。图13展示了一种作者认为有助于实现这些目标的方法。