Ventilating Patients With Acute Severe Asthma What Do We Really Know?

被引：1

作者：

Burns, Suzanne M. ^{[1
]}

机构：

[1] Univ Virginia Hlth Syst, Sch Nursing, Charlottesville, VA USA

来源：

AACN ADVANCED CRITICAL CARE | 2006年 / 17卷 / 02期

关键词：

acute asthma; acute severe asthma; asthma; auto-PEEP; dynamic hyperinflation; mechanical ventilation;

D O I：

10.1097/00044067-200604000-00015

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The goal of mechanical ventilation for patients with acute severe asthma is to ensure adequate oxygenation, ventilation, and gas exchange while simultaneously preventing hyperinflation, auto-positive end expiratory pressure, and subsequent barotrauma. Though existing evidence on the topic is relatively scarce, the application of current knowledge may guide our practice and prevent iatrogenic complications. To that end, this article describes selected ventilatory management strategies for the patient with acute severe asthma, such as the limitation of tidal volume size and respiratory rate, selection of specific inspiratory and expiratory ratios, the use of positive end expiratory pressure, and the application of helium-oxygen mixtures.

引用

页码：186 / 193

页数：8

共 43 条

[1] Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome [J].

Amato, MBP ;

Barbas, CSV ;

Medeiros, DM ;

Magaldi, RB ;

Schettino, GDP ;

Lorenzi, G ;

Kairalla, RA ;

Deheinzelin, D ;

Munoz, C ;

Oliveira, R ;

Takagaki, TY ;

Carvalho, CRR .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (06) :347-354

[2] ASTHMA REQUIRING MECHANICAL VENTILATION - A LOW MORBIDITY APPROACH [J].

BELLOMO, R ;

MCLAUGHLIN, P ;

TAI, E ;

PARKIN, G .

CHEST, 1994, 105 (03) :891-896

[3] PERMISSIVE HYPERCAPNIA IN ACUTE RESPIRATORY-FAILURE [J].

BIDANI, A ;

TZOUANAKIS, AE ;

CARDENAS, VJ ;

ZWISCHENBERGER, JB .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (12) :957-962

[4] Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. [J].

Brower, RG ;

Matthay, MA ;

Morris, A ;

Schoenfeld, D ;

Thompson, BT ;

Wheeler, A ;

Wiedemann, HP ;

Arroliga, AC ;

Fisher, CJ ;

Komara, JJ ;

Perez-Trepichio, P ;

Parsons, PE ;

Wolkin, R ;

Welsh, C ;

Fulkerson, WJ ;

MacIntyre, N ;

Mallatratt, L ;

Sebastian, M ;

McConnell, R ;

Wilcox, C ;

Govert, J ;

Thompson, D ;

Clemmer, T ;

Davis, R ;

Orme, J ;

Weaver, L ;

Grissom, C ;

Eskelson, M ;

Young, M ;

Gooder, V ;

McBride, K ;

Lawton, C ;

d'Hulst, J ;

Peerless, JR ;

Smith, C ;

Brownlee, J ;

Pluss, W ;

Kallet, R ;

Luce, JM ;

Gottlieb, J ;

Elmer, M ;

Girod, A ;

Park, P ;

Daniel, B ;

Gropper, M ;

Abraham, E ;

Piedalue, F ;

Glodowski, J ;

Lockrem, J ;

McIntyre, R .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (18) :1301-1308

[5] Asthma - One hundred years of treatment and onward [J].

Chu, EK ;

Drazen, JM .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 171 (11) :1202-1208

[6]

COOK D, 1999, EVIDENCE REPORT CRIT

[7]

DARIOLI R, 1984, AM REV RESPIR DIS, V129, P385

[8] ARDSNet lower tidal volume ventilatory strategy may generate intrinsic positive end-expiratory pressure in patients with acute respiratory distress syndrome [J].

de Durante, G ;

del Turco, M ;

Rustichini, L ;

Cosimini, P ;

Giunta, F ;

Hudson, LD ;

Slutsky, AS ;

Ranieri, VM .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 165 (09) :1271-1274

[9] EFFECTS OF EXTRINSIC POSITIVE END-EXPIRATORY PRESSURE ON MECHANICALLY VENTILATED PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY-DISEASE AND DYNAMIC HYPERINFLATION [J].

GEORGOPOULOS, D ;

GIANNOULI, E ;

PATAKAS, D .

INTENSIVE CARE MEDICINE, 1993, 19 (04) :197-203

[10] Heliox vs air-oxygen mixtures for the treatment of patients with acute asthma - A systematic overview [J].

Ho, AMH ;

Lee, A ;

Karmakar, MK ;

Dion, PW ;

Chung, DC ;

Contardi, LH .

CHEST, 2003, 123 (03) :882-890

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