level chosen arbitrarily和non-fatiguing?
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Percentage of the maximum EAdi during a failed SBT
In difficult-to-wean patients, Rozé et al. [69] set the NAVA level to obtain EAdi amplitudes corresponding to ~ 60% of the EAdi peak (level chosen arbitrarily) that was measured during a failed spontaneous breathing trial under PSV (PS 7 cmH2O, no PEEP); this level was referred to as EAdimaxSBT. This procedure was repeated daily, allowing a progressive reduction of the NAVA level until extubation. Setting the NAVA level using EAdimaxSBT, was reasoned to be a non-fatiguing and objective target more relevant than volumetric goals, but additional monitoring may be required in patients with excessive respiratory drive [70].
SBT失败时最大EAdi的百分比
对于脱机困难的患者,Rozé 等人设置以获得对应于PSV(PS 7cmH2o,无PEEP)时自主呼吸试验失败期间测量的EAdi峰值约60%的EAdi振幅(任意选择的水平)的NAVA水平;这个水平被称为EAdimaxSBT。这个过程每天重复,允许NAVA水平逐步下降,直到拔管。使用EAdimaxSBT设置NAVA水平被认为是非疲劳的客观目标,比容量目标更为相关,但是对于呼吸驱动过度的患者可能需要额外的监测。
level chosen arbitrarily和non-fatiguing,总觉得怪怪的
最后编辑于 2022-10-09 · 浏览 675