急性呼吸窘迫综合征
医学
机械通风
通风(建筑)
振膜(声学)
麻醉
重症监护医学
肺
内科学
声学
机械工程
物理
工程类
扬声器
作者
Toyohiko Yoshida,Yuji Fujino,Marcelo Britto Passos Amato,Brian P. Kavanagh
标识
DOI:10.1164/rccm.201604-0748cp
摘要
Spontaneous respiratory effort during mechanical ventilation has long been recognized to improve oxygenation, and because oxygenation is a key management target, such effort may seem beneficial. Also, disuse and loss of peripheral muscle and diaphragm function is increasingly recognized, and thus spontaneous breathing may confer additional advantage. Reflecting this, epidemiologic data suggest that the use of partial (vs. full) support modes of ventilation is increasing. Notwithstanding the central place of spontaneous breathing in mechanical ventilation, accumulating evidence indicates that it may cause-or worsen-acute lung injury, especially if acute respiratory distress syndrome is severe and spontaneous effort is vigorous. This Perspective reviews the evidence for this phenomenon, explores mechanisms of injury, and provides suggestions for clinical management and future research.
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