美国重症医学FCCM的基础教程 急性呼吸衰竭的诊断和管理.pptVIP

Diagnosis and Management of Acute Respiratory Failure ARF * ? Objectives Define and classify acute respiratory failure Describe pathophysiology of acute respiratory failure Discuss clinical manifestations Review oxygen supplementation strategies Discuss noninvasive positive-pressure ventilation ARF * ? Acute Respiratory Failure Hypoxemic Room air PaO2 ? 50 torr (6.7 kPa) Hypercapnic PaCO2 ? 50 torr (6.7 kPa) Acute vs chronic – Pathophysiology of Hypoxemia Ventilation/perfusion mismatch Shunt effect Decreased diffusion of O2 Alveolar hypoventilation High altitude P