A narrative review of driving pressure as a monitoring indicator during mechanical ventilation with spontaneous breathing
A narrative review of driving pressure as a monitoring indicator during mechanical ventilation with spontaneous breathing
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自主呼吸机械通气期间驱动压作为监测指标的叙述性回顾
DOI：
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
jingye pan
中科院分区：
文献类型：
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作者：
xueshu yu;jingye pan
急性呼吸窘迫综合征（ARDS）的死亡率仍然很高，机械通气（MV）是重要的治疗手段。在MV期间，人们认识到自主呼吸的好处和不受控制的自主呼吸的缺点。目前监测自主呼吸的方法包括食管测压、P0.1 和膈肌功能监测。然而，这些方法都有局限性和不足。驱动压是反映肺应变的新指标，可指示肺的容量损伤，并与 ARDS 患者的死亡率独立相关。此外，最近的研究表明，驱动压监测在辅助支持通气中是可行的。本文总结了自主呼吸的现状，并探讨了是否可以方便地监测自主呼吸过程中的驱动压以实现肺保护通气。
The mortality of acute respiratory distress syndrome (ARDS) remains high, and mechanical ventilation (MV) is an essential means of treatment. During MV, people realize the benefits of spontaneous breathing and the disadvantages of uncontrolled spontaneous breathing. Current methods of monitoring spontaneous breathing include oesophageal manometry, P0.1, and diaphragm function monitoring. However, these methods have limitations and deficiencies. The driving pressure is a new indicator that reflects the strain of the lung, which indicates the volumetric injury of the lung and is independently associated with mortality in ARDS patients. Moreover, in recent studies, driving pressure monitoring has been shown to be feasible in assisted support ventilation. This review summarizes the current state of spontaneous breathing and examines whether it is convenient to monitor driving pressure during spontaneous breathing to achieve lung protection ventilation.