Comment j’utilise les curares dans le SDRA - Quels sont les modes d’action supposés des curares au cours du SDRA ?
作者： J. Bourenne , J. Carvelli , B. Coiffard , F. Daviet , G. Parzy
关键词:
摘要: Le syndrome de detresse respiratoire aigue (SDRA) est une cause frequente prise en charge reanimation et concerne pres d’un quart des patients necessitant la mise sous ventilation mecanique (VM). Malgre amelioration constante sa symptomatique, il reste pourvoyeur d’une mortalite elevee, surtout dans ses formes severes moderees. Des traitements adjuvants a VM protectrice sont souvent necessaires chez les plus hypoxemiques. Parmi ceux-ci, curarisation continue therapeutique frequemment utilisee. Outre precoce durable l’hematose, elle permet probablement diminution lesions induites par montre, un travail randomise controle, reduction severes. L’utilisation cisatracurium facon transitoire phase initiale l’agression pulmonaire desormais place reconnue l’arsenal du SDRA. Ses indications doivent cependant se limiter aux SDRA modere severe (PaO2/FiO2 < mmHg, voire 120 mmHg), pour courte duree, guidee l’amelioration patient. L’abolition spontanee (VS) ne concoit effet qu’a graves, conjointement posture decubitus ventral doit suite laisser strategie integrant au vite VS. La posologie curares le monitorage meritent encore d’etre precises. Cette revue but d’envisager, synthetique pragmatique, ces differents aspects cours
revuesonline.com参考文章(20)
J W Leatherman, W L Fluegel, W S David, S F Davies, C Iber, Muscle weakness in mechanically ventilated patients with severe asthma. American Journal of Respiratory and Critical Care Medicine. ,vol. 153, pp. 1686- 1690 ,(1996) , 10.1164/AJRCCM.153.5.8630621
Franck Lagneau, Laurent Benayoun, Benoît Plaud, Francine Bonnet, Jean Favier, Jean Marty, The interpretation of train-of-four monitoring in intensive care: what about the muscle site and the current intensity? Intensive Care Medicine. ,vol. 27, pp. 1058- 1063 ,(2001) , 10.1007/S001340100964
Marc Gainnier, Antoine Roch, Jean-Marie Forel, Xavier Thirion, Jean-Michel Arnal, Stéphane Donati, Laurent Papazian, Effect of neuromuscular blocking agents on gas exchange in patients presenting with acute respiratory distress syndrome. Critical Care Medicine. ,vol. 32, pp. 113- 119 ,(2004) , 10.1097/01.CCM.0000104114.72614.BC
Dietrich Henzler, Nadine Hochhausen, Ralf Bensberg, Alexander Schachtrupp, Sonja Biechele, Rolf Rossaint, Ralf Kuhlen, Effects of preserved spontaneous breathing activity during mechanical ventilation in experimental intra-abdominal hypertension Intensive Care Medicine. ,vol. 36, pp. 1427- 1435 ,(2010) , 10.1007/S00134-010-1827-3
Takeshi Yoshida, Hiroshi Rinka, Arito Kaji, Akira Yoshimoto, Hideki Arimoto, Toshinori Miyaichi, Masanori Kan, The impact of spontaneous ventilation on distribution of lung aeration in patients with acute respiratory distress syndrome: airway pressure release ventilation versus pressure support ventilation. Anesthesia & Analgesia. ,vol. 109, pp. 1892- 1900 ,(2009) , 10.1213/ANE.0B013E3181BBD918
Claude Guérin, Jean Reignier, Jean-Christophe Richard, Pascal Beuret, Arnaud Gacouin, Thierry Boulain, Emmanuelle Mercier, Michel Badet, Alain Mercat, Olivier Baudin, Marc Clavel, Delphine Chatellier, Samir Jaber, Sylvène Rosselli, Jordi Mancebo, Michel Sirodot, Gilles Hilbert, Christian Bengler, Jack Richecoeur, Marc Gainnier, Frédérique Bayle, Gael Bourdin, Véronique Leray, Raphaele Girard, Loredana Baboi, Louis Ayzac, None, Prone Positioning in Severe Acute Respiratory Distress Syndrome The New England Journal of Medicine. ,vol. 368, pp. 2159- 2168 ,(2013) , 10.1056/NEJMOA1214103
Hermann Wrigge, Jörg Zinserling, Peter Neumann, Thomas Muders, Anders Magnusson, Christian Putensen, Göran Hedenstierna, Spontaneous breathing with airway pressure release ventilation favors ventilation in dependent lung regions and counters cyclic alveolar collapse in oleic-acid-induced lung injury: a randomized controlled computed tomography trial. Critical Care. ,vol. 9, pp. 1- 10 ,(2005) , 10.1186/CC3908
Laurent Papazian, Jean-Marie Forel, Arnaud Gacouin, Christine Penot-Ragon, Gilles Perrin, Anderson Loundou, Samir Jaber, Jean-Michel Arnal, Didier Perez, Jean-Marie Seghboyan, Jean-Michel Constantin, Pierre Courant, Jean-Yves Lefrant, Claude Guérin, Gwenaël Prat, Sophie Morange, Antoine Roch, Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome The New England Journal of Medicine. ,vol. 363, pp. 1107- 1116 ,(2010) , 10.1056/NEJMOA1005372
Michael J. Murray, Heidi DeBlock, Brian Erstad, Anthony Gray, Judi Jacobi, Che Jordan, William McGee, Claire McManus, Maureen Meade, Sean Nix, Andrew Patterson, M. Karen Sands, Richard Pino, Ann Tescher, Richard Arbour, Bram Rochwerg, Catherine Friederich Murray, Sangeeta Mehta, Clinical practice guidelines for sustained neuromuscular blockade in the adult critically ill patient Critical Care Medicine. ,vol. 30, pp. 142- 156 ,(2016) , 10.1097/CCM.0000000000002027
CHRISTIAN PUTENSEN, SABINE ZECH, HERMANN WRIGGE, JÖRG ZINSERLING, FRANK STÜBER, TILMANN VON SPIEGEL, NORBERT MUTZ, Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. American Journal of Respiratory and Critical Care Medicine. ,vol. 164, pp. 43- 49 ,(2001) , 10.1164/AJRCCM.164.1.2001078