弹性反冲
医学
慢性阻塞性肺病
病理生理学
机械通风
肺
动态恶性通货膨胀
通风(建筑)
呼吸系统
弱点
心脏病学
浪费的
呼吸生理学
断奶
重症监护医学
肺容积
内科学
外科
工程类
机械工程
作者
Gaetano Scaramuzzo,Irene Ottaviani,Carlo Alberto Volta,Savino Spadaro
出处
期刊:Minerva Medica
[Edizioni Minerva Medica]
日期:2022-07-01
卷期号:113 (3)
被引量:11
标识
DOI:10.23736/s0026-4806.22.07974-5
摘要
In the chronic obstructive pulmonary disease (COPD), lung and chest-wall morphological alterations determine important and peculiar approaches to mechanical ventilation. Lung emphysema and reduced elastic recoil increase expiratory time, thus worsening dynamic hyperinflation, while airways chronic inflammation rises resistances and can determine distal air-trapping. Muscle wasting and fast fibers prevalence can result in weakness and in an earlier onset of muscle fatigue, prolonging the weaning process. In this narrative review, we explored the connection between altered pathophysiology and necessity for respiratory assistance in COPD, focusing on non-invasive and invasive respiratory management, lung monitoring and weaning difficulties.
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