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ompare与谁做比较?

发布于 2020-09-21 · 浏览 1027 · IP 江苏江苏
这个帖子发布于 4 年零 231 天前,其中的信息可能已发生改变或有所发展。

Two‑phased response of Paw and tidal volumes 

Starting from a condition of ventilator under-assist (i.e., minimal ventilator assist of ~ 3 cmH2O), Brander et al. [67] assessed changes in Paw and tidal volumes during a stepwise increase in NAVA level. A two-phased response was observed: the initial increase in NAVA level resulted in a steep increase in both Paw and tidal volumes (first response) and, at some point, further increasing the NAVA level resulted in less Paw increase and no change in tidal volume (second response). The optimal NAVA level was identified at the transition point, describing a change from an initial insufficient assist level to an assist level that meets the patient’s respiratory demand as indicated by a stable tidal volume. In the initial phase, the patient allows Paw and tidal volumes to increase, while in this second phase tidal volume reaches a plateau (EAdi downregulation) since ventilation meets the patient’s demands. The same group confirmed this response in resistively loaded rabbits [54]. Another study compared this method to an initial NAVA level set using the preview tool with matching NAVA Pawpeak to the Pawpeak measured during PSV; although not significant, a trend toward overestimation of the NAVA level when using the NAVA preview tool was reported [68]. It is not clear how often this procedure is feasible, since many patients do not demonstrate clearly these two phases [38].


Paw和潮气量的两阶段反应

Brander等人从呼吸机辅助不足(即最小呼吸机辅助为~ 3 cmH2O)的情况出发,评估了在NAVA水平逐步升高时Paw和潮气量的变化。我们观察到两阶段的反应:初始NAVA水平的提高导致Paw和潮气量的急剧增加(第一阶段反应),到某一点,进一步提高NAVA水平导致Paw增加减少,潮气量没有变化(第二阶段反应)。在过渡点的NAVA水平则为最佳NAVA水平,这就描述了从最初的不足的辅助水平到满足患者呼吸需求的辅助水平的变化(即稳定的潮气量)。在初始阶段,患者的Paw和潮气量增加,而在第二阶段因通气满足了患者的需求,潮气量达到一个平台(EAdi下调)。在抵抗负载兔中同一组研究人员也证实了这种反应。                                                                                                                    尽管不显著,但报道称,在使用NAVA预览工具时,存在高估NAVA水平的趋势。目前尚不清楚这种操作的可行性,因为许多患者并没有清楚地表现出这两个阶段。

各位老师,这个compare与谁做比较,与with搭配还是与哪个to搭配?谢谢。resistively loaded rabbits 如何理解?how often需要翻译出来吗?

Jonkman2020_Article_ProportionalModesOfVentilation(1).pdf (1.2 MB)

最后编辑于 2020-09-21 · 浏览 1027

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