Effect of Sustained Inflation in Extra ulmonar Acute Res irator Distress S ndrome
- VernacularTitle:控制性肺膨胀术治疗肺外型急性呼吸窘迫综合征的疗效分析
- Author:
Xia Qin YUAN
1
;
Zhiyan HUI
Author Information
1. 延安大学附属医院重症医学科
- Keywords:
Extrapulmonary acute respiratory disstress syndrome;
Sustained inflation;
Alveolar recruitment
- From:
Chinese Journal of Clinical Medicine
2014;(5):546-548
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study clinical effectiveness of sustained inflation (SI)on extrapulmonary acute respiratory disstress syndrome(ARDS).Methods:Twenty-four patients with extrapulmonary ARDS were included from January 2011 to September 2012 .Patients were randomly divided into control group (n=10)and SI group (n=14).Both groups were given lung protec-tive ventilation (LPV),and SI (45 cmH2 O,20 s)was conducted for alveolar recruitment in SI group.Heart rate (HR),mean arterial pressure (MAP),transcutaneous oxygen saturation (SpO2 ),PaO2/FiO2 ,mechanical ventilation time,ICU hospitaliza-tion time were compared between the two groups.Results:SpO2 ,PaO2/FiO2 were increased significantly at 2 h after applying SI in SI group (P <0.05),while there were no significant differences in HR,MAP,mechanical ventilation time,ICU hospitali-zation time between the two groups (P >0.05).No other serious complications were observed.Conclusions:SI can effectively improve oxygenation in patients with extrapulmonary ARDS.It is safe and effective to hemodynamics alveolar recruitment.
