지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 307 - 322 (16page)
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초록· 키워드
오류제보하기
In mechanically ventilated patients, assisted mechanical ventilation (MV) is employed early, following the acute phase of critical illness, in order to eliminate the detrimental effects of controlled MV, most notably the development of ventilator-induced diaphragmatic dysfunction. Nevertheless, the benefits of assisted MV are often counteracted by the development of patient-ventilator dyssynchrony.
Patient-ventilator dyssynchrony occurs when either the initiation and/or termination of mechanical breath is not in time agreement with the initiation and termination of neural inspiration, respectively, or if the magnitude of mechanical assist does not respond to the patient’s respiratory demand. As patient-ventilator dyssynchrony has been associated with several adverse effects and can adversely influence patient outcome, every effort should be made to recognize and correct this occurrence at bedside. To detect patient-ventilator dyssynchronies, the physician should assess patient comfort and carefully inspect the pressure- and flowtime waveforms, available on the ventilator screen of all modern ventilators. Modern ventilators offer several modifiable settings to improve patient-ventilator interaction. New proportional modes of ventilation are also very helpful in improving patient-ventilator interaction.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
[학술지(정
Aslanian P / 1998 / Effects of flow triggering on breathing effort during partial ventilatory support / Am J Respir Crit Care Med 157 : 135 ~ 143
Blanch L / 2015 / Asynchronies during mechanical ventilation are associated with mortality / Intensive Care Med 41 : 633 ~ 641
Bonmarchand G / 1996 / Increased initial flow rate reduces inspiratory work of breathing during pressure support ventilation in patients with exacerbation of chronic obstruc
Bosma K / 2007 / Patient-ventilator interaction and sleep in mechanically ventilated patients:pressure support versus proportional assist ventilation / Crit Care Med 35 : 10
Aslanian P / 1998 / Effects of flow triggering on breathing effort during partial ventilatory support / Am J Respir Crit Care Med 157 : 135 ~ 143
Blanch L / 2015 / Asynchronies during mechanical ventilation are associated with mortality / Intensive Care Med 41 : 633 ~ 641
Bonmarchand G / 1996 / Increased initial flow rate reduces inspiratory work of breathing during pressure support ventilation in patients with exacerbation of chronic obstruc
Bosma K / 2007 / Patient-ventilator interaction and sleep in mechanically ventilated patients:pressure support versus proportional assist ventilation / Crit Care Med 35 : 10
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