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
- 2018.1
- 수록면
- 63 - 70 (8page)
이용수
초록· 키워드
오류제보하기
Management of mechanical ventilation is essential for patients with neuro-critical illnesses who may also have impairment of airways, lungs, respiratory muscles, and respiratory drive. However, balancing the approach to mechanical ventilation in the intensive care unit (ICU) with the need to prevent additional lung and brain injury, is challenging to intensivists. Lung protective ventilation strategies should be modified and applied to neuro-critically ill patients to maintain normocapnia and proper positive end expiratory pressure in the setting of neurological closed monitoring. Understanding the various parameters and graphic waveforms of the mechanical ventilator can provide information about the respiratory target, including appropriate tidal volume, airway pressure, and synchrony between patient and ventilator, especially in patients with neurological dysfunction due to irregularity of spontaneous respiration. Several types of asynchrony occur during mechanical ventilation, including trigger, flow, and termination asynchrony. This review aims to present the basic interpretation of mechanical ventilator waveforms and utilization of waveforms in various clinical situations in the neuro-ICU.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Holland MC / 2003 / The development of acute lung injury is associated with worse neurologic outcome in patients with severe traumatic brain injury / J Trauma 55:106~111
Bratton SL / 1997 / Acute lung injury in isolated traumatic brain injury / Neurosurgery 40:707~712
Amato MB / 1998 / Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome / N Engl J Med 338:347~354
Acute Respiratory Distress Syndrome Network / 2000 / Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome / N Engl J Med 342:1301~1308
Determann RM / 2010 / Ventilation with lower tidal volumes as compared with conventional tidal volumes for patients without acute lung injury: a preventive randomized controlled trial / Crit Care 14:R1
Bratton SL / 1997 / Acute lung injury in isolated traumatic brain injury / Neurosurgery 40:707~712
Amato MB / 1998 / Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome / N Engl J Med 338:347~354
Acute Respiratory Distress Syndrome Network / 2000 / Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome / N Engl J Med 342:1301~1308
Determann RM / 2010 / Ventilation with lower tidal volumes as compared with conventional tidal volumes for patients without acute lung injury: a preventive randomized controlled trial / Crit Care 14:R1
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