Right heart protective ventilation strategy in children with acute respiratory distress syndrome
10.3760/cma.j.issn.1673-4912.2019.06.003
- VernacularTitle:急性呼吸窘迫综合征患儿的右心保护通气策略
- Author:
Jiaqing LI
1
;
Caiyun YUAN
;
Hongjun MIAO
Author Information
1. 南京医科大学附属儿童医院麻醉科 210008
- Keywords:
Acute respiratory distress syndrome;
Mechanical ventilation;
Right heart protective ventilation
- From:
Chinese Pediatric Emergency Medicine
2019;26(6):412-414
- CountryChina
- Language:Chinese
-
Abstract:
Acute respiratory distress syndrome (ARDS) can cause pulmonary vascular dysfunction, increase right ventricular afterload and lead to right ventricular failure,also known as acute cor pulmonale. Mechanical ventilation to maintain oxygenation and ventilation has a negative impact on right ventricular function,which may lead to lung-right ventricular interaction and aggravate the deterioration of right ventricu-lar failure,which may be one of the causes of right ventricular failure. Therefore,in the treatment of mechani-cal ventilation for ARDS,attention must be paid to the right ventricular function of patients.
