Understanding mechanical ventilators.
Understanding mechanical ventilators.
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DOI：
10.1586/ers.10.66
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发表时间：
2010-12-01
影响因子：
3.9
通讯作者：
Chatburn, Robert L
中科院分区：
文献类型：
--
作者：
Chatburn, Robert L
呼吸护理学术界尚未采用标准化系统来分类和描述通气模式。因此，有足够的混乱，病人护理，临床医生教育，甚至呼吸机销售都处于危险之中。本文总结了过去15年来广泛发表的呼吸机模式分类法。具体而言，分类系统有三个组成部分：呼吸内的控制变量的描述;指令性呼吸和自主呼吸的顺序的描述;以及目标方案的规范。这种三级规范提供了细节的可伸缩性，使模式描述适合于特定的需要。在床边，我们只需要简单地参考使用第一或第一和第二组件的模式。为了区分类似的模式和品牌名称，我们需要包括所有组成部分。这种分类法使用呼吸系统的运动方程作为基本的理论框架。所有与描述机械通气模式相关的术语都在一个广泛的附录中定义。
The respiratory care academic community has not yet adopted a standardized system for classifying and describing modes of ventilation. As a result, there is enough confusion that patient care, clinician education and even ventilator sales are all put at risk. This article summarizes a ventilator mode taxonomy that has been extensively published over the last 15 years. Specifically, the classification system has three components: a description of the control variables within breath; a description of the sequence of mandatory and spontaneous breaths; and a specification for the targeting scheme. This three-level specification provides scalability of detail to make the mode description appropriate for the particular need. At the bedside, we need only refer to a mode briefly using the first or perhaps first and second components. To distinguish between similar modes and brand names, we would need to include all components. This taxonomy uses the equation of motion for the respiratory system as the underlying theoretical framework. All terms relevant to describing modes of mechanical ventilation are defined in an extensive appendix.