| 呼吸回路漏气导致呼吸机自动触发一例 |
| |
| 引用本文： | 罗旭颖,何璇,陈光强,周建新. 呼吸回路漏气导致呼吸机自动触发一例[J]. 中华重症医学电子杂志, 2019, 5(1): 75-77. DOI: 10.3877/cma.j.issn.2096-1537.2019.01.015 |
| |
| 作者姓名： | 罗旭颖 何璇 陈光强 周建新 |
| |
| 作者单位： | 1. 100050 首都医科大学附属北京天坛医院重症医学科 |
| |
| 基金项目： | 北京市科学技术委员会-首都市民健康培育(Z161100000116081) |
| |
| 摘 要： | 本研究中的一例无自主呼吸的深昏迷患者突然恢复"自主呼吸",但意识及神经系统体征却无好转,食道压监测提示为呼吸机自动触发。通过排查,发现由于呼气过滤器与集水器连接处螺纹口松动所致,重新连接紧密后,自动触发消失,患者无自主呼吸。可见食道压监测可以更加准确地识别人机失调,有助于更加准确地评估临床病情。
|
| 关 键 词： | 自动触发 人机失调 食道压 |
| 收稿时间： | 2018-03-03 |
Ventilator auto-triggering due to breathing circuit leakage |
| |
| Xuying Luo,Xuan He,Guangqiang Chen,Jianxin Zhou. Ventilator auto-triggering due to breathing circuit leakage[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 5(1): 75-77. DOI: 10.3877/cma.j.issn.2096-1537.2019.01.015 |
| |
| Authors: | Xuying Luo Xuan He Guangqiang Chen Jianxin Zhou |
| |
| Affiliation: | 1. Department of Intensive Care Unit, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100050, China |
| |
| Abstract: | A spontaneous breath was found in a patient who was diagnosed as cerebral infarction and had no apparent neurological function. Esophageal pressure monitoring showed that the breaths were not triggered by the patient effort, so it was identified as ventilator auto-triggering. It turned out to be caused by a leakage of the breathing circuit, and the auto-triggering disappeared after the leakage was solved. Esophageal pressure monitoring could help to identify patient-ventilator asynchrony and improve clinical judgment and decision-making. |
| |
| Keywords: | Auto-triggering Patient-ventilator asynchrony Esophageal pressure |
|
| 点击此处可从《中华重症医学电子杂志》浏览原始摘要信息 |
|
点击此处可从《中华重症医学电子杂志》下载全文 |
