PSV and BIPAP on the PICU respiratory function in children with acute lung injury.doc

PSV and BIPAP on the PICU respiratory function in children with acute lung injury [Keywords:] PSV BIPAP PICU respiratory function in children with acute lung injury Acute lung injury (ALI) is due to various reasons, the structure of lung tissue caused by the characteristic pathological changes in the emergence of the clinical syndrome, the clinical manifestations of hypoxemia, respiratory frequency velocity and appeared diffuse X-ray infiltration, multiple needs of ventilator-assisted ventilation. In this paper, pressure support ventilation (PSV) and biphasic positive airway pressure (BIPAP) respiratory support model to explore the impact of lung function. 1 Data and methods 1.1 General Information A total of 60 cases involved patients, all from Children’s Hospital of Quanzhou PICU 2007 ~ 2008 revenues hospitalized children with acute lung injury. 37 males and 23 females, aged 1.7 ~ 8.5 (median 4.2) years. Case selection criteria are in line with ALI diagnostic criteria: ① first, ARDS caused by the original disease, also has non-cardiac oxygen breathing difficulties, shortness of breath. ② oxygen masks with the general law, hypoxia can not improve. ③ X-ray changes in early stage lung is not obvious, or lung markings thickening, or see the shadow mesh, middle and late lung shows varying degrees of diffuse infiltrative shadow. ④ blood gas analysis: more than 0.6 the concentration of oxygen inhalation (FiO2amp;gt; 0.6) when, PaO2 amp;lt;7.98kPa, PaCO2 lower early and late rise, and the exclusion of primary thoracic and lung injury patients. 1.2 Treatment Diagnosed as a clear admission of patients were randomly divided into two groups, PSV and BIPAP groups, each with 30 cases. Two groups of gender, age composition was no significant difference comparable. Patients were given two sets of PSV and BIPAP ventilation assisted breathing (model: DRAGER EVI  TA4), computer time 1