Permissive hypercapnia.
نویسندگان
چکیده
Mechanical ventilation using high tidal volume (VT) and transpulmonary pressure can damage the lung, causing ventilator-induced lung injury. Permissive hypercapnia, a ventilatory strategy for acute respiratory failure in which the lungs are ventilated with a low inspiratory volume and pressure, has been accepted progressively in critical care for adult, pediatric, and neonatal patients requiring mechanical ventilation and is one of the central components of current protective ventilatory strategies.
منابع مشابه
هیپرکاپنی و هیپوکسمی اختیاری در نوزادان
Current, lung protection strategy possesses some degree of hypercapnia and hypoxia. Permissive hypercapnia and hypoxia may attenuate the complications of mechanical ventilation in neonates. Adapting this approach and thorough understanding of the biopathologic effects of hypercapnia and hypoxia could prevent mechano-trauma and air leak syndromes. This helps protecting the lung and inflammator...
متن کاملEffects of permissive hypercapnia on pulmonary and neurodevelopmental sequelae in extremely low birth weight infants: a meta-analysis
OBJECTIVES To perform a systematic review and meta-analysis of the efficacy and safety of permissive hypercapnia in extremely low birth weight infants. METHODS A systematic search of MEDLINE, EMBASE, the Cochrane Database of randomized trials. Eligibility and quality of trials were assessed, and data on study design, patient characteristics, and relevant outcomes were extracted. RESULTS Fou...
متن کاملHypercapnia and hypocapnia in neonates.
BACKGROUND The arterial partial pressure of carbon dioxide (PaCO2) represents the balance between CO2 production and consumption. Abnormal increase or decrease in PaCO2 can affect the body's internal environment and function. Permissive hypercapnia has aroused more attention as a novel ventilatory therapy. The aim of this study was to elucidate the effects of hypercapnia and hypocapnia on the f...
متن کاملPermissive hypercapnia and risk for brain injury and developmental impairment.
OBJECTIVE Permissive hypercapnia is a respiratory-care strategy that is used to reduce the risk for lung injury. The goal of this study was to evaluate whether permissive hypercapnia is associated with higher risk for intraventricular hemorrhage and early childhood behavioral and functional problems than normocapnia among very low birth weight infants. METHODS Very low birth weight infants fr...
متن کاملPermissive Hypercapnia Results in Decreased Functional Vessel Density in the Skin of Extremely Low Birth Weight Infants
Citation: Puchwein-Schwepcke AF, Schottmayer K, Mormanová Z, Dreyhaupt J, Genzel-Boroviczeny O and Thome UH (2018) Permissive Hypercapnia Results in Decreased Functional Vessel Density in the Skin of Extremely Low Birth Weight Infants. Front. Pediatr. 6:52. doi: 10.3389/fped.2018.00052 Permissive Hypercapnia results in Decreased Functional Vessel Density in the Skin of Extremely low Birth Weigh...
متن کاملBench-to-bedside review: Permissive hypercapnia
Current protective lung ventilation strategies commonly involve hypercapnia. This approach has resulted in an increase in the clinical acceptability of elevated carbon dioxide tension, with hypoventilation and hypercapnia 'permitted' in order to avoid the deleterious effects of high lung stretch. Advances in our understanding of the biology of hypercapnia have prompted consideration of the pote...
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ورودعنوان ژورنال:
- Emergency medicine clinics of North America
دوره 26 4 شماره
صفحات -
تاریخ انتشار 2008