Monitoring and treatment of lung injury in patients with acute respiratory distress syndrome caused by inappropriate respiratory drive
Patient-self-inflincted lung injury(P-SILI)and ventilator induced lung injury(VILI)are the main causes of lung injury in acute respiratory distress syndrome(ARDS).This article reviews the currently commonly used monitoring indicators.The in-dicators include clinical signs,airway closure pressure,transpulmonary pressure,driving pressure,diaphragm function,respiratory power and others.The application of the above indicators in clinical situations of lung injury caused by improper respiratory drive and ventilators is described.The lung protection strategies and measures such as self-management,reasonable setting of positive end-expiratory pressure to avoid excessive lung expansion and collapse,prone position management,and carbon dioxide removal/extracorporeal membrane oxygenation technology are also introduced in this article.
NETL
NSTL
万方数据
