Top

Gepubliceerd in:

2017 | OriginalPaper | Hoofdstuk

5. Beademingsvormen

Auteur : Hans ter Haar

Gepubliceerd in: Mechanische beademing op de intensive care

Uitgeverij: Bohn Stafleu van Loghum

Samenvatting

Beademingsvormen onderscheiden zich van elkaar door verschillen in adempatroon, de wijze waarop een inspiratie wordt gestart of gestopt, hoe het gasmengsel wordt toegediend en of aanvullende algoritmes aanwezig zijn om op een voorgeprogrammeerde manier te reageren op specifieke omstandigheden. Volumegecontroleerde beademing is een klassieke beademingsvorm die niet veel meer wordt gebruikt op intensive cares in Europa maar nog wel in de rest van de wereld. In Europa wordt vooral gebruikgemaakt van drukgecontroleerde beademing of moderne varianten daarop. Ondersteunende beademingsvormen als Pressure Support worden zeer veel gebruikt bij patiënten waar kracht en/of gaswisseling tekortschieten maar wel voldoende ademdrive aanwezig is. Recente ontwikkelingen betreffen beademingsvormen met triggering op basis van diafragma-activiteit en (deels) zelfsturende beademingsvormen. Aan de hand van de systematische classificatie volgens Chatburn kunnen beademingsvormen in detail beschreven worden, hetgeen vergelijking van beademingsvormen van verschillende fabrikanten beter mogelijk maakt.

vorige hoofdstuk Beginselen van mechanische beademing

volgende hoofdstuk Het instellen van de beademingsmachine

Chatburn RL. Classification of ventilator modes: update and proposal for implementation. Respir Care. 2007;52(3):301–23.PubMed

Chatburn RL, Mireles-Cabodevila E. Closed-loop control of mechanical ventilation: description and classification of targeting schemes. Respir Care. 2011;56(1):85–98.CrossRefPubMed

Rittayamai N, Katsios CM, Beloncle F, et al. Pressure-controlled vs volume-controlled ventilation in acute respiratory failure: a physiology-based narrative and systematic review. Chest. 2015;148(2):340–55.CrossRefPubMed

Al-Saady N. Bennett Ed. Decelerating inspiratory flow waveform improves lung mechanics and gas exchange in patients on intermittent positive-pressure ventilation. Intensive Care Med. 1985;11(2):68–75.CrossRefPubMed

Dreyfuss D, Saumon G. Ventilator-induced lung injury. Am J Respir Crit Care Med. 1998;157:294–323.CrossRefPubMed

Wolthuis EK, Korevaar JC, Spronk P, et al. Feedback and education improve physician compliance in use of lung-protective mechanical ventilation. Intensive Care Med. 2005;31:540–6.CrossRefPubMed

Spiet PM, Carvalho AR, Pelosi P, et al. Variable tidal volumes improve lung protective ventilation strategies in experimental lung injury. Am J Respir Crit Care Med. 2009;179:684–93.CrossRef

Jaber S, Petrof BJ, Jung B, et al. Rapidly progressive diaphragmatic weakness and injury during mechanical ventilation in humans. Am J Respir Crit Care Med. 2011;183:364–71.CrossRefPubMed

Thille AW, Cabello B, Galia F, et al. Reduction of patient-ventilator asynchrony by reducing tidal volume during pressure-support ventilation. Intensive Care Med. 2008;34:1477–86.CrossRefPubMed

10.

Berger KI, Sorkin B, Norman RG, et al. Mechanism of relief of tachypnea during pressure support ventilation. Chest. 1996;109:1320–7.CrossRefPubMed

11.

Maeda Y, Fuyino Y, Uchiyama A, et al. Does the tube-compensation function of two modern mechanical ventilators provide effective work of breathing relief? Crit Care. 2003;7(5):R92–7.CrossRefPubMedPubMedCentral

12.

Wilson AM, Gray DM, Thomas JG. Increases in endotracheal tube resistance are unpredictable relative to duration of intubation. Chest. 2009;136:1006–13.CrossRefPubMed

13.

Jaber S, Delay JM, Matecki S, et al. Volume-guaranteed pressure support ventilation facing acute changes in ventilator demand. Intensive Care Med. 2005;31:1181–8.CrossRefPubMed

14.

Schmidt M, Kindler F, Cecchini J, et al. Neurally adjusted ventilatory assist and proportional assist ventilation both improve patient-ventilator interaction. Crit Care. 2015;19:56.CrossRefPubMedPubMedCentral

15.

Wrigge H, Golisch W, Zinserling J, et al. Proportional assist versus pressure support ventilation: effects on breathing pattern and respiratory work of patients with chronic obstructive pulmonary disease. Intensive Care Med. 1999;25(8):790–8.CrossRefPubMed

16.

Grasso S, Puntillo F, Mascia L, et al. Compensation for increase in respiratory workload during mechanical ventilation: pressure-support versus proportional-assist ventilation. Am J Respir Crit Care Med. 2000;161:819–26.CrossRefPubMed

17.

Bosma K, Ferreyra G, Ambrogio C, et al. Patient-ventilator interaction and sleep in mechanically ventilated patients: pressure support versus proportional assist ventilation. Crit Care Med. 2007;35(4):1048–54.CrossRefPubMed

18.

Sinderby C, Navalesi P, Beck J, et al. Neural control of mechanical ventilation in respiratory failure. Nat Med. 1999;5(12):1433–6.CrossRefPubMed

19.

Verbrugghe W, Jorens PG. Neurally adjusted ventilator assist: a ventilation tool or a ventilation toy? Respir Care. 2011;56(3):327–35.CrossRefPubMed

20.

Piquilloud L, Vignaux L, Bialais E, et al. Neurally ventilatory assist improves patient-ventilator interaction. Intensive Care Med. 2011;37:263–71.CrossRefPubMed

21.

Otis AB, Fenn WO, Rahn H. Mechanics of breathing in man. J Appl Physiol. 1950;2:592–607.PubMed

22.

Belliato M, Palo A, Pasero D, et al. Evaluation of adaptive support ventilation in paralysed patients and in a physical lung model. Int J Artif Organs. 2004;27:709–16.PubMed

23.

Arnal JM, Wysocki M, Nafati C, et al. Automatic selection of breathing pattern using adaptive support ventilation. Intensive Care Med. 2008;34:75–81.CrossRefPubMed

24.

Lellouche F, Mancebo J, Jolliet P, et al. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med. 2006;174(8):894–900.CrossRefPubMedPubMedCentral

25.

Rose L, Presneill JL, Johnston L, Cade JF. A randomized, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare/PS. Intensive Care Med. 2008;34(10):1788–95.CrossRefPubMed

Titel: Beademingsvormen
Auteur: Hans ter Haar
Uitgeverij: Bohn Stafleu van Loghum
Boek: Mechanische beademing op de intensive care
Print ISBN: 978-90-368-1589-5

Elektronisch ISBN: 978-90-368-1590-1

Copyright: 2017
DOI: https://doi.org/10.1007/978-90-368-1590-1_5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Samenvatting

Log in om toegang te krijgen