頁籤選單縮合
題名 | High-Frequency Oscillatory Ventilation--A New Management for Respiratory Distress Syndrome and Intractable Respiratory Failure=高頻振盪式呼吸--治療呼吸窘迫症候群及難以治癒呼吸衰竭的新治療法 |
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作者 | 鄭玫枝; 宋文舉; 陳淑貞; 黃碧桃; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 38:2 民86.03-04 |
頁次 | 頁87-97 |
分類號 | 415.41 |
關鍵詞 | High-frequency oscillatory ventilation; Mechanical ventilation; Respiratory distress syndrome; Respiratory failure; |
語文 | 英文(English) |
英文摘要 | High-frequency oscillatory ventilation (HFOV) has been proved to decrease the incidence of volutrauma and improve oxygenation and ventilation in severe pulmonary diseases by many investigators with animal studies and clinical reports,particulary in prematurities with severe respiratory distress syndrome. Patients with intractable respiratory failure or air-leak syndrome may be rescued by HFOV. During HFOV small volume, less than dead space, is delivered at high frequencies. Both inspiration and expiration are active. Oxygenation is mainly maintained by mean airway pressure to achieve optimal lung volume. Carbon dioxide elimination is mainly controlled by delivered volume. Mean airway pressure, fraction of inspiratory oxygen and amplitude are the only three items that need frequent adjustments after initial settings. The first two items determine the oxygenation and the last one defermines ventilation. Careful monitoring of conditions the patients, discontinuous learning and cooperation of all coworkers are important to use the new therapy. Further studies with long-term follow-up are important to assess its appropriate role in different treatment methods and different degrees of respiratory diseases. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。