跨肺壓與驅動壓在指導急性呼吸窘迫綜合征個體化機械通氣中的應用價值_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

黃立學 ,  朱光發

首都醫科大學附屬北京安貞醫院呼吸與危重癥醫學科（北京 100029）;

Corresponding?author：

朱光發, Email: gfzhu6388@sina.com

Keywords：

DOI：

10.7507/1671-6205.201712025

Video：

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Citation： 黃立學, 朱光發. 跨肺壓與驅動壓在指導急性呼吸窘迫綜合征個體化機械通氣中的應用價值. Chinese Journal of Respiratory and Critical Care Medicine, 2018, 17(5): 520-523. doi: 10.7507/1671-6205.201712025 Copy

1.	Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med, 2013, 369(22): 2126-2136.
2.	Saddy F, Sutherasan Y, Rocco PR, et al. Ventilator-associated lung injury during assisted mechanical ventilation. Semin Respir Crit Care Med, 2014, 35(4): 409-417.
3.	Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med, 1998, 338(6): 347-354.
4.	Acute Respiratory Distress Syndrome Network (Brower RG, Matthay MA, Morris A, et al). Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342(18): 1301-1308.
5.	Brochard L, Roudot-Thoraval F, Roupie E, et al. Tidal volume reduction for prevention of ventilator-induced lung injury in acute respiratory distress syndrome. Am J Respir Crit Care Med, 1998, 158(6): 1831-1838.
6.	Brower RG, Shanholtz CB, Fessler HE, et al. Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patients. Crit Care Med, 1999, 27(8): 1492-1498.
7.	Stewart TE, Meade MO, Cook DJ, et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure and Volume Limited Ventilation Strategy Group. N Engl J Med, 1998, 338(6): 355-361.
8.	Villar J, Kacmarek RM, Pérezméndez L, et al. A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial. Crit Care Med, 2006, 34(5): 1311-1318.
9.	Petrucci N, Iacovelli W. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev, 2007, 3: CD003844.
10.	Petrucci N, De Feo C. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev, 2013, 2: CD003844.
11.	中華醫學會呼吸病學分會呼吸危重癥醫學學組. 急性呼吸窘迫綜合征患者機械通氣指南(試行). 中華醫學雜志, 2016, 96(6): 404-424.
12.	Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med, 2015, 372(8): 747-755.
13.	Villar J, Martín-Rodríguez C, Domínguez-Berrot AM, et al. A quantile analysis of plateau and driving pressures: effects on mortality in patients with acute respiratory distress syndrome receiving lung-protective ventilation. Crit Care Med, 2017, 45(5): 843-850.
14.	Hubmayr RD, Pannu S. Understanding lung protection. Intensive Care Med, 2015, 41(12): 2184-2186.
15.	Kuchnicka K, Maciejewski D. Ventilator-associated lung injury. Anaesthesiol Intensive Ther, 2013, 45(3): 164-170.
16.	Loring SH, Malhotra A. Driving pressure and respiratory mechanics in ARDS. N Engl J Med, 2015, 372(8): 776-777.
17.	Bellani G, Grasselli G, Teggia-Droghi M, et al. Do spontaneous and mechanical breathing have similar effects on average transpulmonary and alveolar pressure? A clinical crossover study. Critical Care, 2016, 20(1): 1-10.
18.	Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med, 2014, 189(5): 520-531.
19.	解立新, 謝菲. 食管壓與跨肺壓. 中華結核和呼吸雜志, 2016, 39(9): 657-660.
20.	Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med, 2008, 359(20): 2095-2104.
21.	Grasso S, Terragni P, Birocco A, et al. ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure. Intensive Care Med, 2012, 38(3): 395.
22.	冉燕妮, 吳彬, 王兵. 應用食管壓與氧合法指導創傷性急性呼吸窘迫綜合征患者機械通氣呼氣末正壓選擇的比較研究. 中國呼吸與危重監護雜志, 2015, 14(6): 565-568.
23.	Soroksky A, Kheifets J, Solomonovich ZG, et al. Managing hypercapnia in patients with severe ARDS and low respiratory system compliance: the role of esophageal pressure monitoring—a case cohort study. Biomed Res Int, 2015, 2015: 385042.
24.	Pirrone M, Fisher D, Chipman D, et al. Recruitment maneuvers and positive end-expiratory pressure titration in morbidly obese ICU patients. Crit Care Med, 2016, 44(2): 300-307.
25.	Yang Y, Li Y, Liu SQ, et al. Positive end expiratory pressure titrated by transpulmonary pressure improved oxygenation and respiratory mechanics in acute respiratory distress syndrome patients with intra-abdominal hypertension. Chin Med J(Engl), 2013, 126(17): 3234-3239.

1. Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med, 2013, 369(22): 2126-2136.
2. Saddy F, Sutherasan Y, Rocco PR, et al. Ventilator-associated lung injury during assisted mechanical ventilation. Semin Respir Crit Care Med, 2014, 35(4): 409-417.
3. Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med, 1998, 338(6): 347-354.
4. Acute Respiratory Distress Syndrome Network (Brower RG, Matthay MA, Morris A, et al). Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342(18): 1301-1308.
5. Brochard L, Roudot-Thoraval F, Roupie E, et al. Tidal volume reduction for prevention of ventilator-induced lung injury in acute respiratory distress syndrome. Am J Respir Crit Care Med, 1998, 158(6): 1831-1838.
6. Brower RG, Shanholtz CB, Fessler HE, et al. Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patients. Crit Care Med, 1999, 27(8): 1492-1498.
7. Stewart TE, Meade MO, Cook DJ, et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure and Volume Limited Ventilation Strategy Group. N Engl J Med, 1998, 338(6): 355-361.
8. Villar J, Kacmarek RM, Pérezméndez L, et al. A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial. Crit Care Med, 2006, 34(5): 1311-1318.
9. Petrucci N, Iacovelli W. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev, 2007, 3: CD003844.
10. Petrucci N, De Feo C. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev, 2013, 2: CD003844.
11. 中華醫學會呼吸病學分會呼吸危重癥醫學學組. 急性呼吸窘迫綜合征患者機械通氣指南(試行). 中華醫學雜志, 2016, 96(6): 404-424.
12. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med, 2015, 372(8): 747-755.
13. Villar J, Martín-Rodríguez C, Domínguez-Berrot AM, et al. A quantile analysis of plateau and driving pressures: effects on mortality in patients with acute respiratory distress syndrome receiving lung-protective ventilation. Crit Care Med, 2017, 45(5): 843-850.
14. Hubmayr RD, Pannu S. Understanding lung protection. Intensive Care Med, 2015, 41(12): 2184-2186.
15. Kuchnicka K, Maciejewski D. Ventilator-associated lung injury. Anaesthesiol Intensive Ther, 2013, 45(3): 164-170.
16. Loring SH, Malhotra A. Driving pressure and respiratory mechanics in ARDS. N Engl J Med, 2015, 372(8): 776-777.
17. Bellani G, Grasselli G, Teggia-Droghi M, et al. Do spontaneous and mechanical breathing have similar effects on average transpulmonary and alveolar pressure? A clinical crossover study. Critical Care, 2016, 20(1): 1-10.
18. Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med, 2014, 189(5): 520-531.
19. 解立新, 謝菲. 食管壓與跨肺壓. 中華結核和呼吸雜志, 2016, 39(9): 657-660.
20. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med, 2008, 359(20): 2095-2104.
21. Grasso S, Terragni P, Birocco A, et al. ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure. Intensive Care Med, 2012, 38(3): 395.
22. 冉燕妮, 吳彬, 王兵. 應用食管壓與氧合法指導創傷性急性呼吸窘迫綜合征患者機械通氣呼氣末正壓選擇的比較研究. 中國呼吸與危重監護雜志, 2015, 14(6): 565-568.
23. Soroksky A, Kheifets J, Solomonovich ZG, et al. Managing hypercapnia in patients with severe ARDS and low respiratory system compliance: the role of esophageal pressure monitoring—a case cohort study. Biomed Res Int, 2015, 2015: 385042.
24. Pirrone M, Fisher D, Chipman D, et al. Recruitment maneuvers and positive end-expiratory pressure titration in morbidly obese ICU patients. Crit Care Med, 2016, 44(2): 300-307.
25. Yang Y, Li Y, Liu SQ, et al. Positive end expiratory pressure titrated by transpulmonary pressure improved oxygenation and respiratory mechanics in acute respiratory distress syndrome patients with intra-abdominal hypertension. Chin Med J(Engl), 2013, 126(17): 3234-3239.

Chinese Journal of Respiratory and Critical Care Medicine

跨肺壓與驅動壓在指導急性呼吸窘迫綜合征個體化機械通氣中的應用價值

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