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Hypercapnia: is it protective in lung injury?

机译:高碳酸血症:对肺损伤有保护作用吗?

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Hypercapnic acidosis has been regarded as a tolerated side effect of protective lung ventilation strategies. Various in vivo and ex vivo animal studies have shown beneficial effects in acute lung injury setting, but some recent work raised concerns about its anti-inflammatory properties. This mini-review article aims to expand the potential clinical spectrum of hypercapnic acidosis in critically ill patients with lung injury. Despite the proven benefits of hypercapnic acidosis, further safety studies including dose-effect, level-and-onset of anti-inflammatory effect, and safe applicability period need to be performed in various models of lung injury in animals and humans to further elucidate its protective role.
机译:高碳酸血症性酸中毒被认为是肺保护性通气策略的耐受性副作用。各种体内和离体动物研究已显示出在急性肺损伤环境中的有益作用,但最近的一些工作引起了人们对其抗炎特性的关注。这篇小型综述文章旨在扩大重症肺损伤患者高碳酸血症性酸中毒的潜在临床范围。尽管高碳酸血症性酸中毒具有公认的益处,但仍需要在动物和人类的各种肺损伤模型中进行包括剂量效应,抗炎作用的水平和发作以及安全适用期在内的进一步安全性研究,以进一步阐明其保护作用角色。

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