Proportional modes of ventilation: technology to assist physiology
作者： Annemijn H. Jonkman , Michela Rauseo , Guillaume Carteaux , Irene Telias , Michael C. Sklar
DOI: 10.1007/S00134-020-06206-Z
关键词:
摘要: Proportional modes of ventilation assist the patient by adapting to his/her effort, which contrasts with all other modes. The two proportional are referred as neurally adjusted ventilatory (NAVA) and load-adjustable gain factors (PAV+): they deliver inspiratory in proportion patient’s hence directly respond changes needs. Due their working principles, NAVA PAV+ have ability provide self-adjusted lung diaphragm-protective ventilation. As these differ from ‘classical’ such pressure support (PSV), setting the inspiratory level is often puzzling for clinicians at bedside it not based on usual parameters tidal volumes PaCO2 targets. This paper provides an in-depth overview principles PAV+ and physiological differences PSV. Understanding fundamental applying any assisted mode bedside. We review different methods during PAV+ , (future) indices monitoring effort. Last, automated mentioned.
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