应用食道压力指导急性呼吸窘迫综合征患者呼气末正压的设置
|
摘要
<正>呼气末正压(positive end-expiratory pressure,PEEP)是改善急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者氧合,增加呼吸系统顺应性和降低呼吸机诱导肺损伤(ventilator inducedlung injury,VILI)发生的最重要手段之一~([1]),但目前关于ARDS患者如何设置PEEP的问题仍存在较大争议~([2])。多项大规模的临床随机对照研究均提示PEEP水平高低与ARDS患者病死率无关~([3-5]),有学
引文
1 Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med, 2013, 369(22):2126-2136.
2 Gattinoni L, Carlesso E, Cressoni M. Selecting the'right'positive end-expiratory pressure level. Curr Opin Crit Care, 2015, 21(1):50-57.
3 Fan E, Brodie D, Slutsky AS. acute respiratory distress syndrome:advances in diagnosis and treatment. JAMA, 2018, 319(7):698-710.
4 Walkey AJ, Del Sorbo L, Hodgson CL, et al. Higher PEEP versus lower PEEP strategies for patients with acute respiratory distress syndrome. A systematic review and meta-analysis. Ann Am Thorac Soc, 2017, 14(Suppl 4):S297-S303.
5 Santa Cruz R, Rojas JI, Nervi R, et al. High versus low positive endexpiratory pressure(PEEP)levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev, 2013, 6(6):CD009098.
6 Gattinoni L, Tonetti T, Quintel M. Regional physiology of ARDS.Crit Care, 2017, 21(Suppl 3):312.
7 Mauri T, Yoshida T, Bellani G, et al. Esophageal and transpulmonary pressure in the clinical setting:meaning,usefulness and perspectives. Intensive Care Med, 2016, 42(9):1360-1373.
8 Cressoni M, Chiumello D, Algieri I, et al. Opening pressures and atelectrauma in acute respiratory distress syndrome. Intensive Care Med,2017, 43(5):603-611.
9 Chiumello D, Carlesso E, Cadringher P, et al. Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med, 2008, 178(4):346-355.
10 Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med, 2014, 189(5):520-531.
11 Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation:any safe threshold?. Am J Respir Crit Care Med, 2011, 183(10):1354-1462.
12 Yoshida T, Brochard L. Esophageal pressure monitoring:why,when and how. Curr Opin Crit Care, 2018, 24(3):216-222.
13 Brochard L. Measurement of esophageal pressure at bedside:pros and cons. Curr Opin Crit Care, 2014, 20(1):39-46.
14 Talmor D,Sarge T,O'Donnell CR, et al. Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med, 2006, 34(5):1389-1394.
15 Washko GR, O'Donnell CR, Loring SH. Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects. J Appl Physiol(1985),2006,100(3):753-758.
16 Loring SH, O'Donnell CR, Behazin N, et al. Esophageal pressures in acute lung injury:do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics,and lung stress?.J Appl Physiol(1985), 2010, 108(3):515-522.
17 Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med,2008, 359(20):2095-2104.
18 Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.N Engl J Med, 2000, 342(18):1301-1308.
19 Fish E, Novack V, Banner-Goodspeed VM, et al. The Esophageal Pressure-Guided Ventilation 2(EPVent2)trial protocol:a multicentre, randomised clinical trial of mechanical ventilation guided by transpulmonary pressure. BMJ Open, 2014, 4(9):e006356.
20 Pelosi P, Goldner M, McKibben A, et al. Recruitment and derecruitment during acute respiratory failure:an experimentalstudy. Am J Respir Crit Care Med, 2001,164(1):122-1230.
21 Gattinoni L, Chiumello D, Carlesso E, et al. Bench-to-bedside review:chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care, 2004, 8(5):350-355.
22 Staffieri F, Stripoli T, De Monte V, et al. Physiological effects of an open lung ventilatory strategy titrated on elastance-derived endinspiratory transpulmonary pressure:study in a pig model. Crit Care Med, 2012, 40(7):2124-2131.
23 Grasso S, Terragni P, Birocco A, et al. ECMO criteria for influenza A(H1N1)-associated ARDS:role of transpulmonary pressure.Intensive Care Med, 2012, 38(3):395-403.
24 Hedenstierna G. Esophageal pressure:benefit and limitations.Minerva Anestesiol, 2012, 78(8):959-966.
25 Chiumello D, Cressoni M, Colombo A, et al. The assessment of transpulmonary pressure in mechanically ventilated ARDS patients. Intensive Care Med, 2014, 40(11):1670-1678.
26 Chiumello D, Cressoni M, Carlesso E, et al. Bedside selection of positive end-expiratory pressure in mild, moderate, and severe acute respiratory distress syndrome. Crit Care Med, 2014, 42(2):252-264.
27 Gulati G, Novero A, Loring SH, et al. Pleural pressure and optimal positive end-expiratory pressure based on esophageal pressure versus chest wall elastance:incompatible results. Crit Care Med,2013,41(8):1951-1957.
28 Banchero N, Schwartz PE, Tsakiris AG, et al. Pleural and esophageal pressures in the upright body position. J Appl Physiol,1967,23(2):228-234.
29 Krebs J, Pelosi P, Tsagogiorgas C, et al. Effects of positive endexpiratory pressure on respiratory function and hemodynamics in patients with acute respiratory failure with and without intraabdominal hypertension:a pilot study. Crit Care, 2009, 13(5):R160.
30 Kubiak BD, Gatto LA, Jimenez EJ, et al. Plateau and transpulmonary pressure with elevated intra-abdominal pressure or atelectasis. J Surg Res, 2010, 159(1):e17-24.
2 Gattinoni L, Carlesso E, Cressoni M. Selecting the'right'positive end-expiratory pressure level. Curr Opin Crit Care, 2015, 21(1):50-57.
3 Fan E, Brodie D, Slutsky AS. acute respiratory distress syndrome:advances in diagnosis and treatment. JAMA, 2018, 319(7):698-710.
4 Walkey AJ, Del Sorbo L, Hodgson CL, et al. Higher PEEP versus lower PEEP strategies for patients with acute respiratory distress syndrome. A systematic review and meta-analysis. Ann Am Thorac Soc, 2017, 14(Suppl 4):S297-S303.
5 Santa Cruz R, Rojas JI, Nervi R, et al. High versus low positive endexpiratory pressure(PEEP)levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev, 2013, 6(6):CD009098.
6 Gattinoni L, Tonetti T, Quintel M. Regional physiology of ARDS.Crit Care, 2017, 21(Suppl 3):312.
7 Mauri T, Yoshida T, Bellani G, et al. Esophageal and transpulmonary pressure in the clinical setting:meaning,usefulness and perspectives. Intensive Care Med, 2016, 42(9):1360-1373.
8 Cressoni M, Chiumello D, Algieri I, et al. Opening pressures and atelectrauma in acute respiratory distress syndrome. Intensive Care Med,2017, 43(5):603-611.
9 Chiumello D, Carlesso E, Cadringher P, et al. Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med, 2008, 178(4):346-355.
10 Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med, 2014, 189(5):520-531.
11 Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation:any safe threshold?. Am J Respir Crit Care Med, 2011, 183(10):1354-1462.
12 Yoshida T, Brochard L. Esophageal pressure monitoring:why,when and how. Curr Opin Crit Care, 2018, 24(3):216-222.
13 Brochard L. Measurement of esophageal pressure at bedside:pros and cons. Curr Opin Crit Care, 2014, 20(1):39-46.
14 Talmor D,Sarge T,O'Donnell CR, et al. Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med, 2006, 34(5):1389-1394.
15 Washko GR, O'Donnell CR, Loring SH. Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects. J Appl Physiol(1985),2006,100(3):753-758.
16 Loring SH, O'Donnell CR, Behazin N, et al. Esophageal pressures in acute lung injury:do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics,and lung stress?.J Appl Physiol(1985), 2010, 108(3):515-522.
17 Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med,2008, 359(20):2095-2104.
18 Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.N Engl J Med, 2000, 342(18):1301-1308.
19 Fish E, Novack V, Banner-Goodspeed VM, et al. The Esophageal Pressure-Guided Ventilation 2(EPVent2)trial protocol:a multicentre, randomised clinical trial of mechanical ventilation guided by transpulmonary pressure. BMJ Open, 2014, 4(9):e006356.
20 Pelosi P, Goldner M, McKibben A, et al. Recruitment and derecruitment during acute respiratory failure:an experimentalstudy. Am J Respir Crit Care Med, 2001,164(1):122-1230.
21 Gattinoni L, Chiumello D, Carlesso E, et al. Bench-to-bedside review:chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care, 2004, 8(5):350-355.
22 Staffieri F, Stripoli T, De Monte V, et al. Physiological effects of an open lung ventilatory strategy titrated on elastance-derived endinspiratory transpulmonary pressure:study in a pig model. Crit Care Med, 2012, 40(7):2124-2131.
23 Grasso S, Terragni P, Birocco A, et al. ECMO criteria for influenza A(H1N1)-associated ARDS:role of transpulmonary pressure.Intensive Care Med, 2012, 38(3):395-403.
24 Hedenstierna G. Esophageal pressure:benefit and limitations.Minerva Anestesiol, 2012, 78(8):959-966.
25 Chiumello D, Cressoni M, Colombo A, et al. The assessment of transpulmonary pressure in mechanically ventilated ARDS patients. Intensive Care Med, 2014, 40(11):1670-1678.
26 Chiumello D, Cressoni M, Carlesso E, et al. Bedside selection of positive end-expiratory pressure in mild, moderate, and severe acute respiratory distress syndrome. Crit Care Med, 2014, 42(2):252-264.
27 Gulati G, Novero A, Loring SH, et al. Pleural pressure and optimal positive end-expiratory pressure based on esophageal pressure versus chest wall elastance:incompatible results. Crit Care Med,2013,41(8):1951-1957.
28 Banchero N, Schwartz PE, Tsakiris AG, et al. Pleural and esophageal pressures in the upright body position. J Appl Physiol,1967,23(2):228-234.
29 Krebs J, Pelosi P, Tsagogiorgas C, et al. Effects of positive endexpiratory pressure on respiratory function and hemodynamics in patients with acute respiratory failure with and without intraabdominal hypertension:a pilot study. Crit Care, 2009, 13(5):R160.
30 Kubiak BD, Gatto LA, Jimenez EJ, et al. Plateau and transpulmonary pressure with elevated intra-abdominal pressure or atelectasis. J Surg Res, 2010, 159(1):e17-24.