Патофізіологічне обгрунтування слабкості відлучення від респіратора у пацієнтів, яким проводять тривалу штучну вентиляцію легень (огляд літератури, власні спостереження)

С. О. Дубров

Анотація


Висвітлено основні патофізіологічні причини слабкості відлучення від респіратора пацієнтів, яким проводили тривалу штучну вентиляцію легень. На основі даних літератури та результатів власних досліджень запропоновано систематизований підхід до вирішення проблеми відлучення від респіратора залежно від причини слабкості відлучення. Наведено результати власних досліджень, які свідчать про перевагу трахеостомії порівняно з тривалою транслярингеальною інтубацією трахеї при відлученні від респіратора пацієнтів, яким проводили тривалу штучну вентиляцію легень.

Ключові слова


відлучення від респіратора; тривала штучна вентиляція легень; проба спонтанного дихання

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DOI: https://doi.org/10.25284/2519-2078.4(57).2011.108619

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