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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Leaks cause problems not only in Washington politics! Has the time come for cuffed endotracheal tubes for newborn ventilation?
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Leaks cause problems not only in Washington politics! Has the time come for cuffed endotracheal tubes for newborn ventilation?

机译:泄漏不仅在华盛顿政治中引起问题!袖带式气管插管进行新生儿通气的时间到了吗?

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摘要

Increasing awareness among clinicians of the dangers of hypocapnia and improved flow sensor technology available in modern infant ventilators has caused renewed interest in monitoring and controlling delivered tidal volume (VT). Volutrauma is now widely recognized as a key determinant of lung injury and a substantial body of evidence shows that volume-targeted ventilation can provide substantial benefits (1). However, as with any new technique, with increasing enthusiasm and wider use comes greater awareness of its limitations. This may be the case with volume-targeted ventilation in the presence of a large leak around an uncuffed endotracheal tube (ETT).
机译:临床医生对低碳酸血症危险性的认识不断提高,现代婴儿呼吸机中使用的流量传感器技术不断改进,引起了人们对监视和控制潮气量(VT)的新兴趣。现在,Volutrauma被公认为是肺损伤的关键决定因素,大量证据表明,以体积为目标的通气可以带来实质性益处(1)。但是,与任何新技术一样,随着热情的提高和更广泛的使用,人们对其限制的意识也越来越强。在未充气的气管插管(ETT)周围存在大量泄漏的情况下,以体积为目标的通气可能会出现这种情况。

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