成人心肺复苏中非同步机械通气的管理策略

郭辉; 钟燕; 李昌盛; 柴林; 段辉; 段斌; 梁鹏飞; 马娇; 杨贤义; 方志成

doi:10.13201/j.issn.1009-5918.2022.11.011

成人心肺复苏中非同步机械通气的管理策略

- 湖北省十堰市太和医院急诊科湖北医药学院附属医院(湖北十堰，442000)
基金项目:
湖北省十堰市科技局指导项目(No：19Y36)

详细信息

通讯作者: 钟燕，E-mail：461657288@qq.com

^Δ审校者

中图分类号: R541.78

收稿日期: 2022-08-02

刊出日期: 2022-11-10

Management strategy of asynchronous mechanical ventilation in adults during cardiopulmonary resuscitation

- Department of Emergency, Shiyan Taihe Hospital, Affiliated to Hubei University of Medicine, Shiyan, Hubei, 442000, China

More Information

Corresponding author: ZHONG Yan, E-mail: 461657288@qq.com

Received Date: 02 August 2022

Publish Date: 10 November 2022

摘要

摘要: 心肺复苏国际指南建议对心搏骤停患者进行有效的通气，心搏骤停后呼吸系统顺应性下降，胸外按压中呼吸系统又有其特殊的呼吸力学变化，故机械通气不同于传统常规设置方法，然而目前最佳机械通气策略尚未建立，临床医生面临呼吸机管理策略问题，本综述的目的是总结目前不同的研究，提出非同步机械通气的初步管理策略：推荐PRVC通气模式、100%的吸氧浓度、通气频率10次/min、潮气量500~600 mL、关闭触发功能、峰压报警上限设置为80 cmH₂O(1 cmH₂O=0.098 kPa)及5 cmH₂O PEEP。心搏骤停患者心肺复苏中非同步通气的最佳的策略仍需要进一步研究。
- 成人 /
- 心搏骤停 /
- 心肺复苏 /
- 胸外按压 /
- 非同步机械通气
Abstract: International guidelines recommend effective ventilation for patients with cardiac arrest. Respiratory compliance decreases after cardiac arrest. During chest compression, the respiratory system has its special respiratory mechanics changes, so mechanical ventilation is different from the traditional conventional setting method. However, the optimal mechanical ventilation strategy has not been established, and clinicians are facing the problem of ventilator management strategy. This review aims to summarize different researches and propose the initial management strategy of asynchronous mechanical ventilation: PRVC ventilation mode, 100% oxygen concentration, ventilation frequency of 10 times/min, tidal volume of 500-600 mL, off trigger function, peak pressure alarm upper limit of 80 cmH₂O and 5 cmH₂O PEEP were recommended. The optimal strategy for asynchronous ventilation during cardiopulmonary resuscitation in patients with cardiac arrest requires further investigation.
- adult /
- cardiac arrest /
- cardiopulmonary resuscitation /
- chest compressions /
- asynchronous mechanical ventilation

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