Bedside Assessment of the Respiratory System During Invasive Mechanical Ventilation

被引：1

作者：

Giosa, Lorenzo ^{[1
,2
]}

Collins, Patrick D. ^{[1
,2
]}

Shetty, Sridevi ^{[1
]}

Lubian, Marta ^{[1
]}

Del Signore, Riccardo ^{[1
]}

Chioccola, Mara ^{[1
]}

Pugliese, Francesca ^{[1
]}

Camporota, Luigi ^{[1
,2
]}

机构：

[1] Guys & St Thomas NHS Fdn Trust, Dept Crit Care Med, London SE1 7EH, England

[2] Kings Coll London, Ctr Human & Appl Physiol Sci, Sch Basic & Med Biosci, London WC2R 2LS, England

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 23期

关键词：

mechanical ventilation; respiratory physiology; acute respiratory distress syndrome; END-EXPIRATORY PRESSURE; INDUCED LUNG INJURY; ESOPHAGEAL PRESSURE; GAS-EXCHANGE; VOLUME CURVE; DISTRESS; FLOW; DIAPHRAGM; FAILURE; STRAIN;

D O I：

10.3390/jcm13237456

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Assessing the respiratory system of a patient receiving mechanical ventilation is complex. We provide an overview of an approach at the bedside underpinned by physiology. We discuss the importance of distinguishing between extensive and intensive ventilatory variables. We outline methods to evaluate both passive patients and those making spontaneous respiratory efforts during assisted ventilation. We believe a comprehensive assessment can influence setting mechanical ventilatory support to achieve lung and diaphragm protective ventilation.

引用

页数：23

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