Intrinsic positive end-expiratory pressure during ventilation through small endotracheal tubes during general anesthesia: incidence, mechanism, and predictive factors
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- 作者：Marco Gemma ; MDa ; gemma.marco@hsr.it" class="auth_mail" title="E-mail the corresponding author (Senior Registrar) ; Elisa Nicelli ; MDa ; nicelli.elisa@hsr.it" class="auth_mail" title="E-mail the corresponding author (Registrar) ; Daniele Corti ; MDa ; corti.daniele@hsr.it" class="auth_mail" title="E-mail the corresponding author (Senior Resident) ; Assunta De Vitis ; MDa ; devitis.assunta@hsr.it" class="auth_mail" title="E-mail the corresponding author (Senior Registrar) ; Nicolò ; Patroniti ; MDb ; nicolo.patroniti@unimib.it" class="auth_mail" title="E-mail the corresponding author (Senior Registrar) ; Giuseppe Foti ; MDc ; g.foti@ospedale.lecco.it" class="auth_mail" title="E-mail the corresponding author (Associated Professor) ; Maria Rosa Calvi ; MDa ; calvi.mariarosa@hsr.it" class="auth_mail" title="E-mail the corresponding author (Senior Registrar) ; Luigi Beretta ; MDa ; beretta.luigi@hsr.it" class="auth_mail" title="E-mail the corresponding author (Professor)
- 关键词：Mechanical ventilation ; Intrinsic PEEP ; Pulmonary dynamic hyperinflation ; Airflow obstruction ; Barotauma
- 刊名：Journal of Clinical Anesthesia
- 出版年：2016
- 出版时间：June 2016
- 年：2016
- 卷：31
- 期：Complete
- 页码：124-130
- 全文大小：424 K
文摘
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Mechanical ventilation through small tracheal tubes often yields intrinsic PEEP.
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Lung derecruitment and O2 desaturation are rare and reversible with extrinsic PEEP.
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Intrinsic PEEP, due to hyperinflation, is uncorrectable by extrinsic PEEP.
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Plateau airway pressure is correlated to intrinsic PEEP.