tailieunhanh - Báo cáo khoa học: "Clinical review: Bedside assessment of alveolar recruitment"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Bedside assessment of alveolar recruitment. | Available online http content 8 3 163 Review Clinical review Bedside assessment of alveolar recruitment Jean-Christophe Richard1 Salvatore M Maggiore2 and Alain Mercat3 Medical Intensive Care Unit Rouen University Hospital Rouen France 2Department of Anaesthesiology and Intensive Care Agostino Gemelli Hospital Università Cattolica del sacro cuore Rome Italy 3Angers University Hospital Angers France Correspondence Jean-Christophe Richard Published online 22 October 2003 Critical Care 2004 8 163-169 DOI cc2391 This article is online at http content 8 3 163 2004 BioMed Central Ltd Abstract Recruitment is a dynamic physiological process that refers to the reopening of previously gasless lung units. Cumulating evidence has led to a better understanding of the rules that govern both recruitment and derecruitment during mechanical ventilation of patients with acute respiratory distress syndrome. Therefore not only the positive end-expiratory pressure but also the tidal volume the inspired oxygen fraction repeated tracheal suctioning as well as sedation and paralysis may affect recruitment of acute respiratory distress syndrome lungs that are particularly prone to alveolar instability. In the present article we review the recently reported data concerning the physiological significance of the pressure-volume curve and its use to assess alveolar recruitment. We also describe alternate techniques that have been proposed to assess recruitment at the bedside. Whether recruitment should be optimized remains an ongoing controversy that warrants further clinical investigation. Keywords acute lung injury acute respiratory distress syndrome alveolar recruitment mechanical ventilation pressure-volume curve volume history Introduction More than 30 years after the first description of acute respiratory distress syndrome ARDS cumulating evidence reinforces the idea that mechanical ventilation per se can promote .

TÀI LIỆU LIÊN QUAN
TỪ KHÓA LIÊN QUAN
TÀI LIỆU MỚI ĐĂNG
crossorigin="anonymous">
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.