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Assisted ventilation

机译:辅助通风

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摘要

Severe acute respiratory failure is one of the most frequent causes for patient admission to the intensive care unit (ICU). In the most severe conditions, invasive mechanical ventilation is a required life support in these patients.The polio epidemic that occurred in Denmark in 1952 demonstrated how careful airway management and the application of positive-pressure ventilation could dramatically reduce mortality in patients presenting with paralysis of the respiratory muscles. The focus on airway care and ventilator management encouraged the way forward for critical care facilities. Technological advances in the 1960s led to the development of sophisticated, physiological monitoring equipment. Later, further developments were introduced that included: improved understanding of mechanical ventilation pathophysiology in patients with severe-acute respiratory failure; the production of ventilators with improved technology, new ventilator modes that were aimed at improving patient outcomes; and since the early 1990s, the introduction of noninvasive ventilation (N1V) as a less invasive mode of ventilatory support in patients with intermediate severity of respiratory failure.
机译:严重的急性呼吸衰竭是患者进入重症监护病房(ICU)的最常见原因之一。在最严重的情况下,有创机械通气是这些患者的生活必需品。1952年在丹麦发生的小儿麻痹症流行病表明,谨慎的气道管理和正压通气的应用可以显着降低患有麻痹性麻痹的患者的死亡率呼吸肌。对气道护理和呼吸机管理的关注鼓励了重症监护设施的发展之路。 1960年代的技术进步导致了复杂的生理监测设备的发展。后来,进一步的发展被引入,包括:对重症急性呼吸衰竭患者对机械通气病理生理学的了解;生产具有改进技术的呼吸机,旨在改善患者预后的新呼吸机模式;自1990年代初以来,无呼吸通气(N1V)作为中等程度呼吸衰竭患者的一种微创通气支持。

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