지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.7 No.4
- 발행연도
- 2020.1
- 수록면
- 243 - 244 (2page)
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초록· 키워드
오류제보하기
Acute respiratory failure is a commonly encountered entity in the emergency department and intensive care unit. Non-invasive positive pressure ventilation (NIPPV) has dramatically changed the management of acute respiratory failure, particularly when chronic obstructive pulmonary disease (COPD) or congestive heart failure is the underlying etiology.1,2 In the case of hypercapnic respiratory failure due to COPD, the NIPPV augments the ability of the patient to ventilate by assisting with the work of breathing and therefore increasing tidal volume and ensuring a minimum respiratory rate. Traditional settings for a bilevel positive airway pressure ventilator (BPAP) include an inspiratory positive airway pressure (IPAP) and an expiratory positive airway pressure. Adjustments in the IPAP change the tidal volume delivered for a given breath. The difference between IPAP and expiratory positive airway pressure is the driving pressure, which, in combination with respiratory rate, determines a patient’s ventilation. The limitations of this device are that it requires frequent attention from the physician or respiratory therapist in order to assure that a patient has an adequate tidal volume. Factors that may influence adequate tidal volumes are dynamic and include level of consciousness, position, and lung compliance. If any of these factors change during a patient’s hospital course, it may reduce the tidal volume and thus ventilation, which can be deleterious to the patient if unrecognized or underrecognized.
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등록된 정보가 없습니다.
참고문헌 (6)
참고문헌 신청
Lightowler JV / 2003 / Non-invasive positive pressure ventilation to treat respiratory failure resulting from exacerbations of chronic obstructive pulmonary disease : cochrane systematic review and meta-analysis / BMJ 326:185
Winck JC / 2006 / Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema : a systematic review and meta-analysis / Crit Care 10:R69
Magdy DM / 2020 / Effect of average volume-assured pressure support treatment on health-related quality of life in COPD patients with chronic hypercapnic respiratory failure : a randomized trial / Respir Res 21:64
Briones Claudett KH / 2013 / Noninvasive mechanical ventilation with average volume assured pressure support(AVAPS)in patients with chronic obstructive pulmonary disease and hypercapnic encephalopathy / BMC Pulm Med 13:12
Ramachandran M / 2019 / Role Of Non Invasive Ventilation With Average Volume Assured Pressure Support(AVAPS)mode in patients with COPD and type II respiratory failure / Eur Respir J 54(Suppl 63):PA2298
Winck JC / 2006 / Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema : a systematic review and meta-analysis / Crit Care 10:R69
Magdy DM / 2020 / Effect of average volume-assured pressure support treatment on health-related quality of life in COPD patients with chronic hypercapnic respiratory failure : a randomized trial / Respir Res 21:64
Briones Claudett KH / 2013 / Noninvasive mechanical ventilation with average volume assured pressure support(AVAPS)in patients with chronic obstructive pulmonary disease and hypercapnic encephalopathy / BMC Pulm Med 13:12
Ramachandran M / 2019 / Role Of Non Invasive Ventilation With Average Volume Assured Pressure Support(AVAPS)mode in patients with COPD and type II respiratory failure / Eur Respir J 54(Suppl 63):PA2298
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