Research advances on the mechanisms and prevention and treatment of patient self-inflicted lung injury
10.3760/cma.j.cn501120-20200610-00302
- VernacularTitle:自戕性肺损伤的机制和防治研究进展
- Author:
Zhiguo REN
1
;
Feng ZHU
Author Information
1. 解放军海军第971医院呼吸内科,青岛 266071
- Keywords:
Respiratory distress syndrome, adult;
Ventilator-induced lung injury;
Patient self-inflicted lung injury;
Spontaneous breathing;
Respiratory effort
- From:
Chinese Journal of Burns
2021;37(8):801-804
- CountryChina
- Language:Chinese
-
Abstract:
Researches have shown that lung injury due to excessive spontaneous breathing effort, that is, patient self-inflicted lung injury (P-SILI), may be the important manifestation and possible mechanism of ventilation-associated lung injury and ventilation-induced diaphragmatic dysfunction in acute respiratory distress syndrome (ARDS) patients who were mechanically ventilated with intense spontaneous breathing. This paper reviews the concept of P-SILI, possible occurrence mechanism, clinical significance, and prevention and treatment, in order to provide more ideas for clinical ARDS management.