ARDS患者的肺复张 -.pptVIP

肺复张对护士的要求 了解肺复张的目的 密切监测生命体征的变化 肺复张后不要轻易脱开呼吸机 吸痰 吸痰对氧合及肺容积的影响 Dyhr T, Bonde J, Larsson A: Lung recruitment maneuvers are effective to regain lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome. Crit Care 2003, 7:55-62 吸痰管大小与压力改变 Morrow BM, Futter MJ, Argent AC. Endotracheal suctioning: from principles to practice. Intensive Care Med 2004; 30: 1167-1174 吸痰导致氧合下降 Lasocki S, Lu Q, Sartorius A, Fouillat D, Remerand F, Rouby J-J. Open and Closed-circuit Endotracheal Suctioning in Acute Lung Injury: Efficiency and Effects on Gas Exchange. Anesthesiolo