床旁即时超声检查在指导机械通气患者撤机中的研究进展
Research progress on point-of-care ultrasound in guiding the withdrawal of mechanical ventilation process
张靖君 1贾莉莉 2孙英 2刘伟华 2喻文立2
作者信息
- 1. 天津医科大学一中心临床学院,天津 300070
- 2. 天津市第一中心医院麻醉科,天津 300192
- 折叠
摘要
机械通气在重症医学科、麻醉学科等广泛应用,是重症患者及全麻手术患者重要的呼吸支持手段,机械通气时间延长或缩短均会对患者造成不良影响.因此,准确评估撤机时机尤为重要.床旁即时超声检查因其无创、高效等优点在撤机过程中广泛应用.文章将从导致撤机失败的呼吸肌功能和心脏负荷两大方面入手,阐述呼吸肌超声、肺部超声、心脏超声检查在机械通气患者撤机中的研究进展.通过多器官联合超声指标指导机械通气患者撤机或成为趋势.
Abstract
Mechanical ventilation is widely used in critical care medicine and anesthesiology.It is an important respiratory support for critically ill patients and patients undergoing surgery under general anesthesia.Either prolonged or shortened duration of mechanical ventilation may cause adverse effects.Therefore,it is of importance to accurately evaluate the time to weaning.Point-of-care ultrasound is widely used during the withdrawal of mechanical ventilation,due to its non-invasive nature and high efficiency.This paper introduces the research progress on respiratory muscle ultrasound,lung ultrasound and cardiac ultrasound in patients during the withdrawal of mechanical ventilation from the aspects of respiratory muscle function and cardiopulmonary function which lead to weaning failure.It has become a trend to guide the withdrawal of mechanical ventilation through multi-organ combined with ultrasound indicators.
关键词
床旁即时超声/机械通气/撤机Key words
Point-of-care ultrasound/Mechanical ventilation/Weaning引用本文复制引用
基金项目
国家自然科学基金面上项目(82072219)
天津市医学重点学科(专科)建设项目(TJYXZDXK-045A)
天津市麻醉科研发展计划(TJMZ2022-M001)
出版年
2024
NETL
NSTL
万方数据