20xx年醫(yī)學(xué)專題—ards肺復(fù)張的實(shí)施(邱海波)-文庫吧在線文庫
【正文】 1.1ｂ0.9,recruiting maneuver,Measureｂ,1.1ｂ0.9 Leave PEEP unchanged,ｂstress index 0.9,ｂ1.1 Decrease PEEP until 1.1stress index 0.9,Crit Care Med, 2004, 32: 10181027,肺開放(kāif224。ng)總結(jié),邱海波(hǎi bō)。肺開放后的PEEP選擇 Stress index。C. Surfactant 滅活。,Recommendations,Use PCV in preference to SI Safer, “multiple〞, effective, maintains ventilation, simple Monitor hemodynamics during recruiting interval. 以下情況需重復(fù)作RM: 體位改變, 管路(ɡuǎn l249。ng)持續(xù)時(shí)間的決定因素,CCM, 2004, 32: 23712377,28 mixedbreed pigs Models of ARDS: OA VILI Pneumonia(PNM) RM SI Increased PEEP PCV,第三十二頁，共三十七頁。,CPAP模式: PS 0, PEEP 3040 cmH2O, 2050s 2. BIPAP: Ph /PL 3040cmH2O, 2050s 3. Insp Hold: 將吸氣保持(bǎoch237。 y224。nt237。n)的病理生理后果 肺復(fù)張的臨床實(shí)施 Prone position Spontaneous breathing High VT and sigh RM,第二十一頁，共三十七頁。nɡ)實(shí)施 Prone position Spontaneous breathing High VT and sigh RM,第十九頁，共三十七頁。,Time course of Prone on PaO2/FiO2 between ARDSp vs ARDSexp,Time response of Prone position on PaO2/FiO2 between ARDSp vs ARDSexp,黃英姿, 邱海波. 肺內(nèi)外源性ARDS實(shí)施(sh237。nɡ t237。 20:611,Intraalveolar proteins inactivate alv surfactant in a dosedependent way 1mg surfactant = inhibitory effect of 1mg plasma protein,C. Surfactant 滅活
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