Setting positive end-expiratory pressure in the severely obstructive patient.

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2023-12-11 DOI:10.1097/mcc.0000000000001131

Amal Jubran

引用次数: 0

Abstract

The response to positive end-expiratory pressure (PEEP) in patients with chronic obstructive pulmonary disease (COPD) requiring mechanical ventilation depends on the underlying pathophysiology. This review focuses on the pathophysiology of COPD, especially intrinsic PEEP (PEEPi) and its consequences, and the benefits of applying external PEEP during assisted ventilation when PEEPi is present.

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为严重阻塞患者设定呼气末正压。

需要机械通气的慢性阻塞性肺疾病（COPD）患者对呼气末正压（PEEP）的反应取决于潜在的病理生理学。本综述将重点关注 COPD 的病理生理学，尤其是内在 PEEP（PEEPi）及其后果，以及在辅助通气期间出现 PEEPi 时应用外部 PEEP 的益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.