Defining a Ventilation Strategy for Flexible Bronchoscopy on Mechanically Ventilated Patients in the Medical Intensive Care Unit

Yonatan Y. Greenstein; Eric Shakespeare; Peter Doelken; Paul H. Mayo

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Defining a Ventilation Strategy for Flexible Bronchoscopy on Mechanically Ventilated Patients in the Medical Intensive Care Unit

机译：在医学密集监护病房机械通风患者上定义柔性支气管镜的通风策略

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Background: Flexible bronchoscopy (FB) in intubated patients on mechanical ventilation increases airway resistance. During FB, two ventilatory strategies are possible: maintaining tidal volume (VT) while maintaining baseline CO2 or allowing reduction of FT. The former strategy carries risk of hyperinflation due to expiratory flow limitation with FB. The aim of the authors was too study end expiratory lung volume (EELV) during FB of intubated subjects while limiting VT. Methods: We studied 16 subjects who were intubated on mechanical ventilation and required FB. Changes in EELV were measured by respiratory inductance plethysmography. Ventilator mechanics, EELV, and arterial blood gases, were measured.

机译：背景：机械通气插管患者的柔性支气管镜（FB）会增加气道阻力。在FB期间，有两种通气策略是可行的：维持潮气量（VT），同时维持基线CO2或允许减少FT。前一种策略由于FB的呼气流量限制而存在过度充气的风险。作者的目的是在限制VT的同时研究插管受试者在FB期间的呼气末肺容积（EELV）。方法：我们研究了16名接受机械通气插管且需要FB的受试者。通过呼吸电感容积描记术测量EELV的变化。测量呼吸机力学、EELV和动脉血气。

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来源
《Journal of bronchology & interventional pulmonology》 |2017年第3期|共5页
作者
Yonatan Y. Greenstein; Eric Shakespeare; Peter Doelken; Paul H. Mayo;
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作者单位

Department of Medicine Hofstra Northwell School of Medicine Division of Pulmonary Critical Care;

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原文格式 PDF
正文语种 eng
中图分类呼吸系及胸部疾病;
关键词
bronchoscopy; pulmonary gas exchange; plethysmography;

机译：支气管镜检查;肺气体交换;体检;

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2. The efficacy and effectiveness of machine learning for weaning in mechanically ventilated patients at the intensive care unit: a systematic review [J] . Man Ting Kwong, Glen Wright Colopy, Anika M.Weber, 生物设计与制作(英文) . 2019,第001期
3. Early mobilization for mechanically ventilated patients in the intensive care unit:a systematic review and meta-analysis [J] . Meng Yue, Zhan-Ying Ma, Meng-Jie Lei, 护理前沿（英文） . 2018,第004期
4. Early mobilization for mechanically ventilated patients in the intensive care unit: a systematic review and meta-analysis [J] . Meng Yue, Zhan-Ying Ma, Meng-Jie Lei, 护理研究（英文版） . 2018,第004期
5. Defining a Ventilation Strategy for Flexible Bronchoscopy on Mechanically Ventilated Patients in the Medical Intensive Care Unit [J] . Yonatan Y. Greenstein, Eric Shakespeare, Peter Doelken, Journal of bronchology & interventional pulmonology . 2017,第3期

机译：在医学密集监护病房机械通风患者上定义柔性支气管镜的通风策略
6. Atrial Fibrillation on Intensive Care Unit Admission Independently Increases the Risk of Weaning Failure in Nonheart Failure Mechanically Ventilated Patients in a Medical Intensive Care Unit A Retrospective Case-Control Study [J] . Tseng Yen-Han, Ko Hsin-Kuo, Tseng Yen-Chiang, Medicine. . 2016,第20期

机译：重症监护室入院的心房纤颤独立增加了医疗重症监护室中非心力衰竭机械通气患者断奶失败的风险回顾性病例对照研究
7. The use of tracheostomy speaking valves in mechanically ventilated patients results in improved communication and does not prolong ventilation time in cardiothoracic intensive care unit patients [J] . Sutt Anna-Liisa, Cornwell Petrea, Mullany Daniel, Journal of critical care . 2015,第3期

机译：在机械通气患者中使用气管造口术瓣膜可改善沟通，并且不会延长心胸重症监护病房患者的通气时间
8. AN IMPROVED BLOOD GAS INTELLIGENT HYBRID MODEL FOR MECHANICALLY VENTILATED PATIENTS IN THE INTENSIVE CARE UNIT [C] . A.Wang, G.Panoutsos, M.Mahfouf, Biomedical Engineering . 2007

机译：集中式护理机构机械通气患者的改进型血液智能混合模型
9. Genetic relationships between Candida albicans strains isolated from dental plaque, tracheal secretions, and bronchoalveolar lavage fluid from mechanically-ventilated intensive care unit patients. [D] . Sung, Robert S. 2011

机译：从机械通风的重症监护病房患者的牙菌斑，气管分泌物和支气管肺泡灌洗液中分离出的白色念珠菌菌株之间的遗传关系。
10. Bedside measurement of changes in lung impedance to monitor alveolar ventilation in dependent and non-dependent parts by electrical impedance tomography during a positive end-expiratory pressure trial in mechanically ventilated intensive care unit patients [O] . Ido G Bikker, Steffen Leonhardt, Dinis Reis Miranda, 2010

机译：在机械通气的重症监护病房患者呼气末正压试验中通过电阻抗X线断层摄影术在床旁测量肺阻抗的变化以监测依赖和不依赖部位的肺泡通气
11. Atrial Fibrillation on Intensive Care Unit Admission Independently Increases the Risk of Weaning Failure in Nonheart Failure Mechanically Ventilated Patients in a Medical Intensive Care Unit [O] . Yen-Han Tseng, Hsin-Kuo Ko, Yen-Chiang Tseng, 2016

机译：心房颤动的密集护理单元入院的颤动独立地增加了在医学密集护理单位的非清醒机械通风患者中断奶失败的风险
12. THE APPLICATION OF VIRTUAL INTENSIVE CARE UNIT PRINCIPLES IN THE AEROMEDICAL EVACUATION ENVIRONMENT CAN IMPROVE PATIENT SAFETY, LEAD TO BETTER PATIENT OUTCOMES AND DELIVER INTEGRATED MEDICAL CARE. [R] . DOLIHITE, B. 2016

机译：虚拟强化保健单位原则在航空医疗环境中的应用可以提高患者安全，带来更好的患者结果并提供综合医疗服务。

Defining a Ventilation Strategy for Flexible Bronchoscopy on Mechanically Ventilated Patients in the Medical Intensive Care Unit

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