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首页> 外文期刊>Acute and critical care. >Is the use of automated artificial manual breathing unit resuscitators justified during a pandemic mechanical ventilator crisis?
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Is the use of automated artificial manual breathing unit resuscitators justified during a pandemic mechanical ventilator crisis?

机译：在大流行机械呼吸机危机期间使用自动人工手动呼吸单元复苏器吗？

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Coronavirus disease-19 (COVID-19) has an acute onset, mainly affects the respiratory tract,and can progress to acute respiratory distress syndrome, which necessitates management inthe intensive care unit. This pandemic has created an unprecedented need for ventilatorsacross the globe. Of every 100 patients diagnosed, at least three patients require mechanicalventilation [1]. This has led to a widespread demand for ventilators in a bid reduce mortalityrates. In the United States alone, there is an acute ventilator shortage of 300,000–700,000 unitsaccording to the Centers for Disease Control and Prevention Pandemic Response Plans Report[2]. This has prompted policy makers to settle for cheaper alternatives for mechanicalventilators, specifically automated artificial manual breathing units (AMBU) bags or resuscitators.An automated AMBU resuscitator is a device with a built-in mechanism that alternatelysqueezes and releases the AMBU bag at a specific frequency in a cyclical fashion, thusobviating the need for a person to do the same (Figure 1). Many manufacturers have begunproducing automated AMBU bags, which are light weight, self-contained, rechargeable orbattery powered, and provide controlled breaths to the patient. They claim to provide cost-effectiveventilation in times of a pandemic crisis like COVID-19. When compared to its manualcounterpart, automated AMBU bags do provide an advantage to healthcare workers in thatthey are hands-free, allowing staff to perform other critical tasks relevant to patient care whileavoiding high intra-thoracic pressure and gastric insufflation, which may be associated withmanually bagging patients.
机译：冠状病毒疾病-19（Covid-19）具有急性发作，主要影响呼吸道，并且可以进展到急性呼吸窘迫综合征，这需要管理INTHE重症监护病房。这种大流行创造了对地球患者的前所未有的需求。每100名患者诊断出来，至少有三名患者需要机械血管[1]。这导致了对呼吸机的广泛需求减少了变得难变。仅在美国，急性呼吸机短缺为300,000-700,000个单位，疾病控制和预防大流行反应计划报告[2]。这促使政策制定者为机械传感器的更便宜的替代品，特别是自动化人工手动呼吸单元（AMBU）袋或复苏器.ANA自动化AMBU复苏器是一种具有内置机制的设备，可在特定频率下交替进行和释放AMBU袋子以周期性的方式，因此同步一个人需要做的（图1）。许多制造商已经开始处理自动化的AMBU袋，这是重量轻，自包含，可充电的orbattery供电，并向患者提供控制的呼吸。他们声称在Covid-19这样大流行危机时提供成本验证。与其手册相比，自动化AMBU袋确实为医疗保健工人提供了优势，而且允许员工执行与患者护理相关的其他关键任务，并且可以与胸内压力和胃吹塑有关，这可能与手段相关耐心。

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