(精选)【体外膜肺ECMO精品课件】 Adult Respiratory Distress Syndrome教学课件.pptVIP

下载本文档

4
0
约9.28千字
约 51页
2018-03-21 发布于天津
举报
版权申诉

(精选)【体外膜肺ECMO精品课件】 Adult Respiratory Distress Syndrome教学课件.ppt

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

演示文稿演讲PPT学习教学课件医学文件教学培训课件

Nutrition High-Fat, Low-Carbohydrate Diet Reduces the duration of ventilation in patients receiving mechanical ventilation Reduces the respiratory quotient and the level of carbon dioxide Al-Saady NM, et al. Intensive Care Med. 1989;15:290-295 Nutrition Immunomodulatory Nutrients Amino acids such as arginine and glutamine, ribonucleotides, and omega-3 fatty acids. Meta Analysis: decrease in infectious complications and duration of hospital stay Hays SD. Ann Surg 1999;229:467-477 Nitric Oxide Vasodilatory effects are restricted to the blood vessels at the site of generation or administration since it is rapidly inactivated NO inhalation dilates pulmonary vessels perfusing aerated lung units, diverting blood flow from poorly ventilated or shunt regions Potential treatment for pulmonary hypertension and severe hypoxemia in ARDS Nitric Oxide Prospective, multicenter, randomized, double-blind, placebo-controlled trial on inhaled nitric oxide in ARDS 208 patients Payen D et al. Intensive Care Med 1999;25:s166 No effect on mortality or the duration of mechanical ventilation There may be a role for NO in some ALI/ARDS patients with severe refractory hypoxemia and pulmonary arterial hypertension Surfactant Replacement Therapy Multicenter, randomized, placebo-controlled trial in 725 patients with sepsis-induced ARDS Artificial protein-free surfactant given by aerosol did not affect arterial oxygenation, duration of mechanical ventilation, or survival Anzueto A et al: N Eng J Med 334:1417-1421, 1996 Adult Respiratory Distress Syndrome Mazen Kherallah, MD, FCCP The Inexact Definition for ARDS Contributes to difficulty in management ARDS and ALI consensus statement definitions Acute onset (not specified) Po2/FiO2 ratio 200 (300 for ALI) Bilateral infiltrates on chest radiograph (highly variable) PAWP18 mm Hg or absence of clinical evidence of volume overload Bernard GR et al, Am J Resp Crit Care Med. 1994;149:818-824 The Nature of Acute Lung Injury Pulmonary events Infec