Pressure Modes of Mechanical Ventilation The Good, the Bad, and the Ugly

被引:3
作者
Burns, Suzanne M. [1 ]
机构
[1] Univ Virginia Hlth Syst, Med Intens Care Unit, Sch Nursing & APN 2, Nursing Acute & Specialty Care Program, Box 800782, Charlottesville, VA 22903 USA
关键词
advanced pressure modes; mechanical ventilation; pressure modes of ventilation;
D O I
10.1097/01.AACN.0000340721.78495.25
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Numerous pressure modes are currently available on ventilators. The application of microprocessor technology has resulted in sophisticated mode options that are very responsive to patient-initiated efforts, yet little is known about how to use the modes or their effect on patient outcomes. This article describes a wide variety of pressure modes including traditional modes such as pressure support and pressure-controlled ventilation in addition to less traditional new modes such as airway pressure release ventilation, biphasic positive airway pressure, Pressure Augmentation (Bear 1000, Viasys Healthcare, Yorba Linda, California), Volume Support (Maquet, Bridgewater, New Jersey), Pressure Regulated Volume Control (Maquet, Bridgewater, New Jersey), Volume Ventilation Plus (Puritan Bennett, Boulder, Colorado), Adaptive Support Ventilation (Hamilton Medical, Switzerland), and Proportional Assist Ventilation (Drager Medical, Richmond Hill, Ontario, Canada). The "good, the bad, and the ugly" issues surrounding the application, evaluation, and outcomes of the modes are discussed.
引用
收藏
页码:399 / 411
页数:13
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