کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
11015119 | 1789293 | 2018 | 38 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Expiratory Flow Limitation During Mechanical Ventilation
ترجمه فارسی عنوان
محدودیت جریان انقباض در طی تهویه مکانیکی
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
NIVPEEPEELVEFL - EF.LPEEPi - PEEPCOPD - بیماری مزمن انسدادی ریهArtificial respiration - تنفس مصنوعیnoninvasive ventilation - تهویه غیرتهاجمی یا ونتیلاسیون غیرتهاجمیAssisted ventilation - تهویه کمکDynamic hyperinflation - تورم پویاEnd-expiratory lung volume - حجم ریه بی پایانIntrinsic positive end-expiratory pressure - فشار مثبت انتهای بیحسی مثبت ذاتیPositive end-expiratory pressure - فشار مثبت در انتهای بیحسیExpiratory flow limitation - محدودیت جریان انقباض
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Expiratory flow limitation (EFL) is present when the flow cannot rise despite an increase in the expiratory driving pressure. The mechanisms of EFL are debated but are believed to be related to the collapsibility of small airways. In patients who are mechanically ventilated, EFL can exist during tidal ventilation, representing an extreme situation in which lung volume cannot decrease, regardless of the expiratory driving forces. It is a key factor for the generation of auto- or intrinsic positive end-expiratory pressure (PEEP) and requires specific management such as positioning and adjustment of external PEEP. EFL can be responsible for causing dyspnea and patient-ventilator dyssynchrony, and it is influenced by the fluid status of the patient. EFL frequently affects patients with COPD, obesity, and heart failure, as well as patients with ARDS, especially at low PEEP. EFL is, however, most often unrecognized in the clinical setting despite being associated with complications of mechanical ventilation and poor outcomes such as postoperative pulmonary complications, extubation failure, and possibly airway injury in ARDS. Therefore, prompt recognition might help the management of patients being mechanically ventilated who have EFL and could potentially influence outcome. EFL can be suspected by using different means, and this review summarizes the methods to specifically detect EFL during mechanical ventilation.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Chest - Volume 154, Issue 4, October 2018, Pages 948-962
Journal: Chest - Volume 154, Issue 4, October 2018, Pages 948-962
نویسندگان
Detajin MD, Irene MD, Domenico Luca MD, Lu MD, Cinta Millan MD, Thomas RRT, Laurent MD,