肺保护机械通气2009seminar.ppt

Recruitment Maneuver Massachusetts General Hospital Performance of RM @ MGH 30 cmH2O CPAP for 30 to 40 sec If unresponsive but tolerated well 35 cmH2O CPAP for 30 to 40 sec If unresponsive but tolerated well 40 cmH2O CPAP for 30 to 40 sec Allow 15 to 20 minutes between RM Performance of RM @ MGH Set FIO2 at 1.0 Wait 10 minutes Insure appropriate sedation May need to do multiple RMs Monitoring during RM MGH The RM should be aborted if: MAP 20 mmHg SpO2 88% Heart rate 130 or 60/ minute New arrhythmias Amato NEJM 1998;338:347 35 – 40 cmH2O CPAP for 30 to 40 sec At enrollment After venti