Lung protective ventilation strategies in paediatrics-A review

被引：4
作者：
Jauncey-Cooke, Jacqui I. [1 ,2 ]
Bogossian, Fiona [2 ]
East, Chris E. [2 ,3 ,4 ]
机构：
[1] Mater Childrens Hosp, PICU, Brisbane, Qld 4101, Australia
[2] Univ Queensland, Sch Nursing & Midwifery, Herston, Qld, Australia
[3] Univ Melbourne, Royal Womens Hosp, Dept Perinatal Med, Melbourne, Vic 3010, Australia
[4] Univ Melbourne, Royal Womens Hosp, Dept Obstet & Gynaecol, Melbourne, Vic 3010, Australia
来源：
AUSTRALIAN CRITICAL CARE | 2010年 / 23卷 / 02期
关键词：
Mechanical ventilation; Lung protective; strategies; Lung recruitment; PEEP; Paediatrics; END-EXPIRATORY PRESSURE; CONVENTIONAL MECHANICAL VENTILATION; FREQUENCY OSCILLATORY VENTILATION; ACUTE RESPIRATORY-FAILURE; HYPERCAPNIC ACIDOSIS; RABBIT MODEL; TIDAL VOLUME; GAS-EXCHANGE; RISK-FACTORS; INJURY;
D O I：
10.1016/j.aucc.2009.11.002
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Ventilator Associated Lung Injury (VALI) is an iatrogenic phenomena that significantly impacts on the morbidity and mortality of critically ill patients. The hazards associated with mechanical ventilation are becoming increasingly understood courtesy of a large body of research. Barotrauma, volutrauma and biotrauma all play a role in VALI. Concomitant to this growth in understanding is the development of strategies to reduce the deleterious impact of mechanical ventilation. The majority of the research is based upon adult populations but with careful extrapolation this review will focus on paediatrics. This review article describes the physiological basis of VALI and discusses the various lung protective strategies that clinicians can employ to minimise its incidence and optimise outcomes for paediatric patients. (C) 2009 Australian College of Critical Care Nurses Ltd. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.
引用
收藏
页码：81 / 88
页数：8
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