Control of breathing during mechanical ventilation: who is the boss?
Control of breathing during mechanical ventilation: who is the boss?
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DOI：
10.4187/respcare.01173
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发表时间：
2011-02
期刊：
影响因子：
2.5
通讯作者：
Parthasarathy S
中科院分区：
文献类型：
--
作者：
Williams K;Hinojosa-Kurtzberg M;Parthasarathy S
在过去的十年里，呼吸控制的概念已经越来越多地从理论概念转移到“现实世界”的应用科学。本综述的目的是考察呼吸控制的基本知识，讨论呼吸控制和机械通气之间的双向关系，并对这种知识在患者床边的应用进行批判性评估。呼吸控制原则在呼吸治疗师和肺科医生的培训课程中的比例仍然很低，而呼吸控制原则的日常床边应用仍然受到重症监护病房缺乏注重结果的研究的影响。相比之下，呼吸控制原则在患有睡眠障碍呼吸的门诊受试者的床边应用已经超过了重症患者。新技术的发展，更快的实时计算能力，以及呼吸机技术的微型化，可以将呼吸控制的概念带到床边，使危重患者受益。然而，市场力量、缺乏科学数据、缺乏研究资金和监管障碍需要克服。
Over the past decade, concepts of control of breathing have increasingly moved from being theoretical concepts to “real world” applied science. The purpose of this review is to examine the basics of control of breathing, discuss the bidirectional relationship between control of breathing and mechanical ventilation, and critically assess the application of this knowledge at the patient’s bedside. The principles of control of breathing remain under-represented in the training curriculum of respiratory therapists and pulmonologists, whereas the day-to-day bedside application of the principles of control of breathing continues to suffer from a lack of outcomes-based research in the intensive care unit. In contrast, the bedside application of the principles of control of breathing to ambulatory subjects with sleep-disordered breathing has out-stripped that in critically ill patients. The evolution of newer technologies, faster real-time computing abilities, and miniaturization of ventilator technology can bring the concepts of control of breathing to the bedside and benefit the critically ill patient. However, market forces, lack of scientific data, lack of research funding, and regulatory obstacles need to be surmounted.
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影响因子：
15.1
作者：
Futier, Emmanuel;Constantin, Jean-Michel;Bazin, Jean-Etienne
通讯作者：
Bazin, Jean-Etienne
DOI：
10.1164/rccm.200209-999oc
发表时间：
2002-12-01
影响因子：
24.7
作者：
Parthasarathy, S;Tobin, MJ
通讯作者：
Tobin, MJ
DOI：
10.1164/ajrccm.158.5.9802014
发表时间：
1998-11-01
影响因子：
24.7
作者：
Parthasarathy, S;Jubran, A;Tobin, MJ
通讯作者：
Tobin, MJ
影响因子：
3.3
作者：
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通讯作者：
PACK, AI
影响因子：
38.9
作者：
Ambrogio, Cristina;Lowman, Xazmin;Parthasarathy, Sairam
通讯作者：
Parthasarathy, Sairam