Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Clinical study of mechanical ventilation in acute cardiogenic pulmonary edema patients].
To study the application of mechanical ventilation in acute cardiogenic pulmonary edema (ACPE), and compare the changes in hemodynamics between continuous positive airway pressure proportional pressure support (CPAP-PPS) with continuous positive airway pressure-pressure support ventilation (CPAP-PSV). ⋯ Hemodynamic monitoring should be performed when medicinal intervention and non-invasive/invasive ventilation are given to ACPE patients. Pressure controlled ventilation is recommended, and PEEP should be individualized (normally 6-15 cm H(2)O). Spontaneous ventilation should be restored as soon as possible, CPAP-PPS mode is practicable in patients in whom weaning of mechanical ventilation is difficult.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Use of acute physiology and chronic health evaluation III in evaluating prognosis of chronic obstructive pulmonary disease in elderly patients on mechanical ventilation].
To investigate the feasibility of estimating risk of prognosis and hospital mortality in elderly patients (> or =60 years old) with chronic obstructive pulmonary disease (COPD) under the treatment of mechanical ventilation by using acute physiology and chronic health evaluation III (APACHE III). ⋯ APACHE III score and its dynamic change could be an ideal tool to predict risk for hospital mortality in elderly patients with COPD on mechanical ventilation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Effects of different modes of artificial ventilation on lung injury in dog model of acute respiratory distress syndrome].
To investigate the effects of different modes of artificial ventilation on lung injury in a dog model of acute respiratory distress syndrome (ARDS), and to evaluate the protective effect of various parameters in mechanical ventilation on lung injury. ⋯ Large tidal volumes with high inspiratory flow and high respiratory rate may cause severe ventilator induced lung injury (VILI). Reduction of inspiratory flow and respiratory rate with large tidal volume ventilation may provide pulmonary protection.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Clinical study of the setting of positive end expiratory pressure in patients with acute cardiogenic pulmonary edema during mechanical ventilation].
To compare the effects on hemodynamics and lung mechanics when different positive end expiratory pressure (PEEP) levels were used in acute cardiac pulmonary edema. ⋯ The mode of artificial ventilation should be adjusted according to the changes in hemodynamics and lung mechanics. PEEP should be individualized, and 5-7 cm H(2)O (normally below 10 cm H(2)O) is suitable.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Dynamic change in respiratory mechanic dynamics and its clinical significance during mechanical ventilation in hyaline membrane disease of children].
To explore the characteristics of changes in respiratory mechanic dynamics and clinical significance in hyaline membrane disease (HMD) under mechanical ventilation. ⋯ Respiratory mechanic dynamics monitoring is beneficial in evaluating the severity of hyaline membrane disease and complications, guiding mechanical ventilation management and weaning.