压力控制容量保证在全身麻醉中的研究进展
Research advances in the application of pressure-controlled ventilation volume control during general anesthesia
白芙蓉 1易明亮 1饶新仪 1饶琳 1尹泓1
作者信息
- 1. 成都市第五人民医院(成都中医药大学附属第五人民医院)麻醉科,成都 611130
- 折叠
摘要
机械通气可能导致术后肺部并发症(PPC),影响患者预后.优化机械通气策略可以有效预防PPC.压力控制容量保证(PCV-VG)也称压力调节容量控制通气模式,是一种新兴通气模式,目前大量文献表明其在多方面优于既往术中常用的压力控制通气模式(PCV)与容量控制通气模式(VCV).文章介绍了PCV-VG的工作原理、实施方法及优势,对PCV-VG在全身麻醉中的研究进展进行概述,以期为术中选择最优化的通气模式提供参考,从而降低PPC的发生率.
Abstract
Mechanical ventilation may result in postoperative pulmonary complications(PPC)and subsequently affect patient outcomes.An optimized mechanical ventilation strategy is effective in preventing the incidence of PPC.Pressure-controlled volume-guaranteed(PCV-VG),also known as pressure-adjusted volume-controlled ventilation,is an emerging mode of ventilation,and a large body of literature now suggests that it is superior to both pressure-controlled ventilation(PCV)and volume-controlled ventilation(VCV),which have been commonly used in previous surgical procedures,in a number of ways..This review delineates the working prin-ciple,methods of application,and advantages of PCV-VG.Additionally,it summarizes the research advances of PCV-VG in general an-esthesia to provide a reference for selecting the optimal ventilation mode during operations to reduce the incidence of PPC.
关键词
压力控制容量保证/机械通气/麻醉,全身Key words
Pressure-controlled ventilation with volume guarantee/Mechanical ventilation/Anesthesia,general引用本文复制引用
基金项目
成都市高水平临床重点专科科研专项(GSPZX2022-02)
成都市卫生健康委员会医学科研项目(2023069)
出版年
2024
NETL
NSTL
万方数据