Interpretation of ventilator curves in patients with acute respiratory failure

被引：20

作者：

Correger, E. ^{[2
,3
]}

Murias, G. ^{[4
,5
]}

Chacon, E. ^{[1
]}

Estruga, A. ^{[1
]}

Sales, B. ^{[6
,7
]}

Lopez-Aguilar, J. ^{[1
,6
]}

Montanya, J. ^{[7
]}

Lucangelo, U. ^{[8
]}

Garcia-Esquirol, O. ^{[7
]}

Villagra, A. ^{[1
,6
]}

Villar, J. ^{[6
,9
]}

Kacmarek, R. M. ^{[10
,11
]}

Burgueno, M. J. ^{[1
]}

Blanch, L. ^{[1
,6
,7
]}

机构：

[1] Corp Sanitaria, Crit Care Ctr, Hosp Sabadell, Sabadell, Spain

[2] Hosp El Cruce, Grp Trabajo Fisiopatol Pulm Expt, Catedra Fisiol, FCM,UNLP, Buenos Aires, DF, Argentina

[3] Fdn Favaloro, Buenos Aires, DF, Argentina

[4] Clin Bazterrica, Buenos Aires, DF, Argentina

[5] Clin Santa Isabel, Buenos Aires, DF, Argentina

[6] ISCiii, CIBER Enfermedades Resp, Madrid, Spain

[7] Univ Autonoma Barcelona, Fundacio Parc Tauli, Corp Sanitaria, Univ Parc Tauli, Sabadell, Spain

[8] Univ Trieste, Dipartimento Med Perioperatoria, Osped Cattinara, I-34127 Trieste, Italy

[9] Hosp Univ Dr Negrin, MODERN, Res Unit, Las Palmas Gran Canaria, Spain

[10] Massachusetts Gen Hosp, Boston, MA 02114 USA

[11] Harvard Univ, Sch Med, Boston, MA USA

来源：

MEDICINA INTENSIVA | 2012年 / 36卷 / 04期

关键词：

Mechanical ventilation; Auto-PEEP; Pressure-volume curve; Stress index; Resistance; Elastance; Ineffective inspiratory effort; Dyssynchrony; Double trigger; Patient-ventilator interaction; Acute respiratory failure; END-EXPIRATORY PRESSURE; POSITIVE AIRWAY PRESSURE; VOLUME CURVES; MECHANICAL VENTILATION; RELEASE VENTILATION; FLOW LIMITATION; LUNG-MECHANICS; BEDSIDE; SUPPORT; SYSTEM;

D O I：

10.1016/j.medin.2011.08.005

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Mechanical ventilation is a therapeutic intervention involving the temporary replacement of ventilatory function with the purpose of improving symptoms in patients with acute respiratory failure. Technological advances have facilitated the development of sophisticated ventilators for viewing and recording the respiratory waveforms, which are a valuable source of information for the clinician. The correct interpretation of these curves is crucial for the correct diagnosis and early detection of anomalies, and for understanding physiological aspects related to mechanical ventilation and patient-ventilator interaction. The present study offers a guide for the interpretation of the airway pressure and flow and volume curves of the ventilator, through the analysis of different clinical scenarios. (C) 2011 Elsevier Espana, S.L. and SEMICYUC. All rights reserved.

引用

页码：294 / 306

页数：13

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