先天性膈疝的呼吸机策略。

IF 1.4 3区 医学 Q3 PEDIATRICS Seminars in Pediatric Surgery Pub Date : 2024-07-02 DOI:10.1016/j.sempedsurg.2024.151439
Shaun M. Kunisaki , Suneetha Desiraju , Michelle J. Yang , Satyan Lakshminrusimha , Bradley A. Yoder
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引用次数: 0

摘要

这篇综述主要介绍了当代用于先天性膈疝(CDH)新生儿初始治疗的机械通气方法。文章回顾了 CDH 的常规和非常规通气模式。特别强调了采用温和通气的理由,以及目前推荐用于支持这些脆弱婴儿的循证临床实践指南。我们还讨论了 CDH 肺发育不全与该疾病其他关键心肺要素(即肺血管床减少、肺血管重塑异常和左心室发育不全)之间的相互作用。最后,我们对 CDH 机械通气研究的未来途径提出了见解。
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Ventilator strategies in congenital diaphragmatic hernia

This review focuses on contemporary mechanical ventilator practices used in the initial management of neonates born with congenital diaphragmatic hernia (CDH). Both conventional and non-conventional ventilation modes in CDH are reviewed. Special emphasis is placed on the rationale for gentle ventilation and the current evidence-based clinical practice guidelines that are recommended for supporting these fragile infants. The interplay between CDH lung hypoplasia and other key cardiopulmonary elements of the disease, namely a reduced pulmonary vascular bed, abnormal pulmonary vascular remodeling, and left ventricular hypoplasia, are discussed. Finally, we provide insights into future avenues for mechanical ventilator research in CDH.

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来源期刊
Seminars in Pediatric Surgery
Seminars in Pediatric Surgery PEDIATRICS-SURGERY
CiteScore
2.80
自引率
5.90%
发文量
57
审稿时长
>12 weeks
期刊介绍: Seminars in Pediatric Surgery provides current state-of-the-art reviews of subjects of interest to those charged with the surgical care of young patients. Each bimontly issue addresses a single topic with articles written by the experts in the field. Guest editors, all noted authorities, prepare each issue.
期刊最新文献
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