期刊
CRITICAL CARE MEDICINE
卷 38, 期 -, 页码 E58-E65出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/CCM.0b013e3181cde600
关键词
acute respiratory distress syndrome; H1N1; mechanical ventilation; influenza; swine flu; hypoxemic respiratory failure; low tidal volume ventilation; high-frequency oscillatory ventilation; noninvasive ventilation; acute lung injury
Novel H1N1 swine origin influenza virus has led to a worldwide pandemic. During the pandemic, a significant number of patients became critically ill primarily because of respiratory failure. Most of these patients required intubation and mechanical ventilation and were treated with conventional modes of mechanical ventilation using a lung-protective strategy with low tidal volumes, plateau pressures < 30 to 35 cm H2O, and optimal positive end-expiratory pressure. In some patients with persistent hypoxemia, alternative modes of ventilation, such as high-frequency oscillatory ventilation and airway pressure release ventilation, were used. We review the ventilatory management, recruitment maneuvers, prone positioning, and goals of ventilatory therapy for hypoxemic respiratory failure in general, as well as lessons learned in the management of H1N1-related respiratory failure. (Crit Care Med 2010; 38[ Suppl.]: e58-e65)
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据