Lung-protective Ventilation Strategies and Adjunctive Treatments for the Emergency Medicine Patient with Acute Respiratory Failure

被引：24

作者：

Wright, Brian J. ^{[1
,2
]}

机构：

[1] SUNY Stony Brook, Sch Med, Dept Emergency Med, Stony Brook, NY 11794 USA

[2] SUNY Stony Brook, Sch Med, Dept Surg, Stony Brook, NY 11794 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2014年 / 32卷 / 04期

关键词：

Acute respiratory failure; Acute respiratory distress syndrome; Mechanical ventilation; EXTRACORPOREAL MEMBRANE-OXYGENATION; INHALED NITRIC-OXIDE; LOWER TIDAL VOLUMES; DISTRESS-SYNDROME; MECHANICAL VENTILATION; CLINICAL-OUTCOMES; PRONE POSITION; HYPEROXIA; INJURY; ASSOCIATION;

D O I：

10.1016/j.emc.2014.07.012

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Respiratory failure is a frequent disease process encountered in the emergency department. There is significant need for improvement in the care of patients on mechanical ventilation. If not contraindicated, lung-protective ventilation strategies should be used. It is important to consider pathophysiology (shunting, dead space ventilation, and low venous admixture) when formulating treatment strategies in patients who are difficult to oxygenate or ventilate or when Pao(2), Paco(2), and pH can only be maintained at unsafe ventilator settings.

引用

页码：871 / +

页数：18

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