20xx年醫(yī)學(xué)專(zhuān)題—ards患者的肺復(fù)張-nursing(已改無(wú)錯(cuò)字)
2024-10-31 14 本頁(yè)面
【正文】 o Y, Goddon S, Dolhnikoff M, Hess D, Amato MBP。 Kacmarek RM. Repetitive highpressure recruitment maneuvers required to maximally recruit lung in a sheep model of acute respiratory distress syndrome. Crit Care Med 2001。 29:15791586,第二十六頁(yè)，共三十九頁(yè)。,肺復(fù)張對(duì)腦氧代謝(d224。ixi232。)的影響,Bein T, Kuhr LP, Bele S, Ploner F, Keyl C, Taeger K. Lung recruitment maneuver in patients with cerebral injury: effects on intracranial pressure and cerebral metabolism. Intensive Care Med 2002。 28: 554558,第二十七頁(yè)，共三十九頁(yè)。,肺復(fù)張對(duì)內(nèi)臟(n232。iz224。ng)血流的影響,Nunes S, Rothen HU, Brander L, Takala J, Jakob SM. Changes in Splanchnic Circulation During an Alveolar Recruitment Maneuver in Healthy Porcine Lungs. Anesth Analg 2004。 98: 14328,第二十八頁(yè)，共三十九頁(yè)。,肺復(fù)張的副作用,血流動(dòng)力學(xué)紊亂 延遲到血流動(dòng)力學(xué)穩(wěn)定后再進(jìn)行 發(fā)生氣壓傷 需對(duì)以下患者(hu224。nzhě)評(píng)估利弊 既往肺部囊性或大泡性疾病 既往肺部漏氣,第二十九頁(yè)，共三十九頁(yè)。,肺復(fù)張期間對(duì)患者(hu224。nzhě)的監(jiān)測(cè),動(dòng)脈血壓 脈搏和心律 SpO2 如果出現(xiàn)(chūxi224。n)并發(fā)癥 立即終止肺復(fù)張操作,第三十頁(yè)，共三十九頁(yè)。,肺復(fù)張對(duì)護(hù)士(h249。 shi)的要求,了解肺復(fù)張的目的 密切監(jiān)測(cè)生命體征的變化(bi224。nhu224。) 肺復(fù)張后不要輕易脫開(kāi)呼吸機(jī) 吸痰,第三十一頁(yè)，共三十九頁(yè)。,吸痰對(duì)氧合及肺容積(r243。ngjī)的影響,Dyhr T, Bonde J, Larsson A: Lung recruitment maneuvers are effective to regain lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome. Crit Care 2003, 7:5562,第三十二頁(yè)，共三十九頁(yè)。,吸痰管大小(d224。xiǎo)與壓力改變,Morrow BM, Futter MJ, Argent AC. Endotracheal suctioning: from principles to practice. Intensive Care Med 2004。 30: 11671
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