医学
通风(建筑)
重症监护医学
潮气量
呼吸系统
工程类
内科学
机械工程
出处
期刊:Archives of Disease in Childhood-fetal and Neonatal Edition
[BMJ]
日期:2018-08-01
卷期号:104 (1): F108-F112
被引量:52
标识
DOI:10.1136/archdischild-2017-314734
摘要
Despite level 1 evidence for important benefits of volume-targeted ventilation (VTV), many vulnerable extremely preterm infants continue to be exposed to traditional pressure-controlled ventilation. Lack of suitable equipment and a lack of appreciation of the fact that ‘one size does NOT fit all’ appear to contribute to the slow uptake of VTV. This review attempts to improve clinicians’ understanding of the way VTV works and to provide essential information about evidence-based tidal volume (V T ) targets. Focus on underlying lung pathophysiology, individualised ventilator settings and V T targets are keys to successful use of VTV thereby improving important clinical outcomes.
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