کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3113020 | 1192350 | 2014 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Nuevos modos de ventilación asistida
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کلمات کلیدی
بیمار-تهویه همزمان تهویه مکانیکی، کار تنفسی، تهویه همزمان بیمار، تهویه مکانیکی کمک، کار تنفس
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی
Recent major advances in mechanical ventilation have resulted in new exciting modes of assisted ventilation. Compared to traditional ventilation modes such as assisted-controlled ventilation or pressure support ventilation, these new modes offer a number of physiological advantages derived from the improved patient control over the ventilator. By implementing advanced closed-loop control systems and using information on lung mechanics, respiratory muscle function and respiratory drive, these modes are specifically designed to improve patient-ventilator synchrony and reduce the work of breathing. Depending on their specific operational characteristics, these modes can assist spontaneous breathing efforts synchronically in time and magnitude, adapt to changing patient demands, implement automated weaning protocols, and introduce a more physiological variability in the breathing pattern. Clinicians have now the possibility to individualize and optimize ventilatory assistance during the complex transition from fully controlled to spontaneous assisted ventilation. The growing evidence of the physiological and clinical benefits of these new modes is favoring their progressive introduction into clinical practice. Future clinical trials should improve our understanding of these modes and help determine whether the claimed benefits result in better outcomes.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Medicina Intensiva - Volume 38, Issue 4, May 2014, Pages 249-260
Journal: Medicina Intensiva - Volume 38, Issue 4, May 2014, Pages 249-260
نویسندگان
F. Suarez-Sipmann, por el Grupo de Trabajo de Insuficiencia Respiratoria Aguda de la SEMICYUC por el Grupo de Trabajo de Insuficiencia Respiratoria Aguda de la SEMICYUC,