Adaptive Support Ventilation: Review of the Literature and Clinical Applications

نویسندگان

  • Shuo-Chueh Chen
  • Wei-Erh Cheng
  • Chuen-Ming Shih
  • Chia-Chen Chu
  • Chin-Jung Liu
  • S. C. Chen
  • W. E. Cheng
  • C. M. Shih
  • C. C. Chu
  • C. J. Liu
چکیده

Mechanical ventilation is frequently delivered to patients admitted to intensive care units to reduce the work of breathing (WOB), to improve oxygenation, or to assist ventilation. The interaction between patient and ventilator is complex with respect to a variety of variables including pressure, volume, flow, and time. Yet these variables can be adequately represented by a mathematical model, called the equation of motion for the respiratory system, which can be simplified as: Airway opening pressure+Pmus=(Flow x Resistance)+(Volume x Elastance) Where Pmus is respiratory muscle pressure and is calculated based on the following general equation: Pmus=Elastic Pressure+Resistive Pressure. The equation shows that for any mode, only one variable (i.e., pressure, volume, or flow) can be controlled at a time. So we can simplify the modes to pressure control versus volume control. Abstract

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تاریخ انتشار 2008