Сучасні концепції штучної вентиляції легень

Автор(и)

  • Ф. С. Глумчер Національний медичний університет імені О.О. Богомольця, Київ, Україна
  • С. О. Дубров Національний медичний університет імені О.О.Богомольця, Київ, Україна https://orcid.org/0000-0002-2471-3377
  • Є. Ю. Дьомін Національний медичний університет імені О.О.Богомольця, Київ, Україна

DOI:

https://doi.org/10.25284/2519-2078.2(87).2019.171004

Анотація

В статті обговорюються проблеми, котрі виникають при проведенні тривалої ШВЛ та як вони вирішуютьсяю Обговорюються найчастіше використовуємі режими ШВЛ. Робиться висновок, що жодний режим в порівнянні друг с другом достовірно не покращує результати лікування, але знання респіраторним лікарем принципа роботи респіратора при застосуванні кожного режиму допомагає вибрати оптимальні параметри ШВЛ для кожного конкретеного хворого.

Біографії авторів

Ф. С. Глумчер, Національний медичний університет імені О.О. Богомольця, Київ

Glumcher F.

С. О. Дубров, Національний медичний університет імені О.О.Богомольця, Київ

Dubrov S.

Є. Ю. Дьомін, Національний медичний університет імені О.О.Богомольця, Київ

Diomin E..

Посилання

Laghi F., Tobin M.J. Indications for mechanical ventilation. In: Tobin M.J., editor. Principles and practice of mechanical ventilation, 3rd ed. New-York, NY: McGraw-Hill; 2012. pp. 129–162.

Tobin M.J. Mechanical ventilation. N. Engl. J. Med. 1994; 330:1056–1061.
|

Al-Hegelan M., MacIntyre N.R. Novel Modes of Mechanical Ventilation. Semin Respir Crit Care Med 2013; 34(04): 499-507.

Tobin M., Manthous C. Mechanical Ventilation. Am. J. Respir. Crit. Care Med. 2017;196(2):P3-P4.
|

Engoren M., Arslanian-Engoren C., Fenn-Buderer N. Hospital and long-term outcome after tracheostomy for respiratory failure. Chest 2004;125:220–7.
|

Carson S.S. Outcomes of prolonged mechanical ventilation. Curr. Opin. Crit. Care 2006;12:405–11.
|

Cox C., Carson S.S, Holmes G., et al. Increase in tracheostomy for prolonged mechanical ventilationin North Carolina, 1993-2002. CritCareMed 2004;32:2219–26.

Esteban A., Frutos F., Tobin M.J., et al. A comparison offour methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N. Engl. J. Med. 1995;332:345–50.

Carson S.S. Outcomes of prolonged mechanical ventilation. Curr. Opin. Crit. Care 2006;12:405–11.
|

Divo M.J., Murray S., Cortopassi F., et al. Prolonged mechanical ventilationin Massachusetts: the 2006 prevalence survey. Respir Care 2010;55:1693–8.
|

King A.C. Long-term home mechanical ventilationin the United States. Respir Care 2012;57:921–30.
|

Al-Hegelan M., Mac-Intyre N.R. Novel Modes of Mechanical Ventilation. Semin Respir Crit Care Med 2013; 34(04): 499-507.
|

Slutsky A.S. Mechanical ventilation. American College of Chest Physicians’ Consensus Conference. Chest 1993; 104(6): 1833–1859.Erratumin: Chest 1994; 106(2):656.
|

Moraò Carpio A.L., Mora J.I. Ventilation Assist Control. Stat Pearls [Internet]. TreasureIs land (FL): Stat Pearls Publishing; 2018-Oct 27.

Santa Cruz R., Rojas J.I., Nervi R., Heredia R., Ciapponi A. High versus low positive end-expiratory pressure (PEEP) levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev. 2013 Jun6;(6): CD009098.
|

Tobin MJ. Advances in mechanical ventilation. N. Engl. J. Med. 2001;344:1986–1996.
|

Tobin M.J., Jubran A., Laghi F. Fighti ngthe ventilator. In: Tobin M.J, editor. Principles and practice of mechanical ventilation, 3rd ed. New-York, NY: McGraw-Hill; 2012. pp. 1121–1136.

Puddy A., Younes M. Effect of inspiratory flow rate on respiratory out put in normal subjects. Am. Rev. Respir. Dis. 1992;146:787–789.

Laghi F., Segal J., Choe W.K., Tobin M.J. Effect of imposed inflation timeon respiratory frequency and hyperinflation in patients with chronicobstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 2001;163:1365–1370.

Slutsky A.S. History of mechanical ventilation. From Vesalius to ventilator-induced lung injury. Am. J. Respir. Crit. Care. Med. 2015;191(10): 1106-1115.
|

Goligher E.C., Douflé G., Fan E. Update in mechanical ventilation, sedation and outcomes 2014. Am. J. Respir. Crit. Care Med. 2015;191(12): 1367-1373.
|

Rittayamai N., Katsios C.M., Beloncle F., Friedrich J.O., Mancebo J., Brochard L. Pressure-controlled vs volume controlled ventilation in acute respiratory failure: a physiology-based narrative and systematic review. Chest. 2015;148(2):340-355.
| |

Chatburn R.L. Understanding mechanical ventilators. Expert. Rev. Respir. Med. 2010;4(6):809-819.
|

Branson R.D., Chatburn R.L. Controversies in the critical care setting. Should adaptive pressure control modes be utilized for virtually all patients receiving mechanical ventilation? Respir. Care. 2007;52(4): 478-485.

Lellouche F., Brochard L. Advanced closed loops during mechanical ventilation (PAV, NAVA, ASV, Smart Care). Best Pract. Res. Clin. Anaesthesiol. 2009;23(1):81-93.

Campbell R.S., Davis B.R. Pressure-controlled versus volume-controlled ventilation: does it matter? Respir. Care. 2002 Apr;47(4):416-24.

Chacko B., Peter J.V., Tharyan P., John G., Jeyaseelan L. Pressure-controlled versus volume-controlled ventilation for acute respiratory failure due to acute lung injury (ALI) or acute respiratory distress syndrome (ARDS).Cochrane Database Syst Rev. 2015 Jan 14;1:CD008807.
| |

Sinderby C. Neurally adjusted ventilatory assist (NAVA). Minerva Anestesiol 2002; 68(5):378–380.
|

Sinderby C., Navalesi P., Beck J., et al. Neural control of mechanical ventilation in respiratory failure. Nat. Med. 1999;5(12): 1433–1436.
| |

Coisel Y., Chanques G., Jung B., et al. Neurally adjusted ventilator assist in critically ill postoperative patients: a crossover randomizedstudy. Anesthesiology 2010;113(4): 925–935.
| |

Terzi N., Pelieu I., Guittet L., et al. Neurally adjusted ventilatory assistin patients recovering spontaneous breathing after acute respiratorydistress syndrome: physiological evaluation. Crit. Care Med. 2010; 38(9): 1830–1837.
| |

Bengtsson J.A., Edberg K.E. Neurally adjusted ventilatory assist inchildren: an observational study. Pediatr. Crit. Care Med. 2010;11. (2):253–257.
| |

Chang H.K. Mechanisms of gas transport during ventilation byhigh-frequency oscillation. J. Appl. Physiol. 1984;56(3): 553–563.
| |

Froese A.B. High-frequency oscillatory ventilation for adult respiratory distress syndrome: let’s get it right this time!. Crit. Care Med. 1997;25(6): 906–908.
| |

Fessler H.E., Hager D.N., Brower R.G. Feasibility of very high-frequency ventilation in adults with acute respiratory distress syndrome. Crit. Care. Med. 2008;36(4): 1043–1048.
| |

Derdak S. High-frequency oscillatory ventilation for acute respiratory distress syndrome in adult patients. Crit Care Med 2003;31(4, Suppl):S317–S323.
| |

Sud S., Sud M., Friedrich J.O., et al. High frequency oscillation inpatients with acute lung injury and acute respiratory distresssyndrome (ARDS): systematic review and meta-analysis. BMJ2010;340:c2327.

Young D., Lamb S.E., Shah S., et al; OSCAR Study Group. High frequency oscillation for acute respiratory distress syndrome. N. Engl. J. Med. 2013;368(9):806–813.

Derdak S. High-frequency oscillatory ventilation for acute respiratory distress syndrome in adult patients. Crit. Care Med. 2003;31(4, Suppl):S317–S323.

Ferguson ND, Cook DJ, Guyatt GH, et al; OSCILLATE Trial Investigators;Canadian Critical Care Trials Group N Engl J Med 2013;368(9): 795–805.
|

Plataki M, Hubmayr RD. The physical basis of ventilator-inducedlung injury. Expert Rev Respir Med 2010;4(3):373–385.
|

Chung K.K., Wolf S.E., Renz E.M., et al. High-frequency percussive ventilation and low tidal volume ventilation in burns: a randomized controlled trial. Crit. Care Med. 2010;38(10):1970–1977.
| |

Habashi N.M. Other approaches to open-lung ventilation: airway pressure release ventilation. Crit. Care Med. 2005;33(3, Suppl):S228–S240.
|

Putensen C., Zech S., Wrigge H., et al. Long-term effects ofspontaneous breathing during ventilatory support in patientswith acute lung injury. Am. J. Respir. Crit. Care Med. 2001;164(1):43–49.

Varpula T., Valta P., Niemi R., Takkunen O., Hynynen M., Pettilä V.V. Airway pressure release ventilation as a primary ventilatorymodein acute respiratory distress syndrome. Acta Anaesthesiol Scand 2004;48(6):722–731.
|

Singer B.D., Corbridge T.C. Pressure modes of invasive mechanical ventilation. South. Med. J. 2011;104(10): 701-709.
|

Cole A.G.H., Weller S.F., Sykes M.K. Inverse ratio ventilation comparedwith PEEP in adult respiratory failure. Intensive CareMed 1984;10(5):227–232.
|

Tharratt R.S., Allen R.P., Albertson T.E. Pressure controlled inverseratio ventilation in severe adult respiratory failure. Chest 1988;94(4):755–762.
|

Putensen C., Zech S., Wrigge H., et al. Long-term effects ofspontaneous breathing during ventilatory support in patientswith acute lung injury. Am. J. Respir. Crit. Care Med. 2001;164(1):43–49.

Varpula T., Valta P., Niemi R., Takkunen O., Hynynen M., Pettilä V.V. Airway pressure release ventilation as a primary ventilator mode in acute respiratory distress syndrome. Acta Anaesthesiol Scand 2004;48(6):722–731.
|

Maxwell R.A., Green J.M., Waldrop J., et al. A randomized prospectivetrial of airway pressure release ventilation and low tidal volumeventilation in adult trauma patients with acute respiratory failure. J. Trauma 2010;69(3):501–510.
|

Gonzalez M., Arroliga A., Frutos-Vivar F., et al. Airway pressurerelease ventilation versus assist-control ventilation: a comparativepropensity score and international cohort study. Int. Care Med. 2010;36(5): 817–827.
|

Branson R.D. Dual control modes, closed loop ventilation, handguns, and tequila. Respir Care 2001;46(3):232–233.
|

Branson R.D., Davis K. Jr. Dual control modes: combining volumeand pressure breaths. Respir. Care Clin. N. Am. 2001;7(3):397–408.

Tobin M.J., Jubran A., Laghi F. Fighting the ventilator. In: Tobin M.J., editor. Principles and practice of mechanical ventilation, 3rd ed. New-York, NY: McGraw-Hill; 2012. pp. 1121–1136.

Veelo D.P., Dongelmans D.A., Binnekade J.M., Paulus F., Schultz M.J. Adaptive suppor tventilation: a translational study evaluating the size of delivered tidal volumes. Int. J. Artif. Organs 2010;33(5):302–309.

Sulemanji D., Marchese A., Garbarini P., Wysocki M., Kacmarek R.M. Adaptive support ventilation: an appropriate mechanical ventilation strategy for acute respiratory distress syndrome? Anesthesiology. 2009;111(4): 863-870.

Agarwal R., Srinivasan A., Aggarwal A.N., Gupta D. Adaptive support ventilation for complete ventilatory support in acute respiratory distress syndrome: a pilot, randomized controlled trial. Respirology. 2013;18(7): 1108-1115.
|

Arnal J., Wysocki M., Novotni D., et al. Safety and efficacy of a fully closed-loop control ventilation (IntelliVent-ASV®) in sedated ICU patients with acute respiratory failure: a prospective randomized crossover study. Intensive Care Med. 2012;38(5):781-787.
|

Turner D.A., Rehder K.J., Cheifetz I.M. Nontraditional modes of mechanical ventilation: progress or distraction? Expert. Rev. Respir. Med. 2012;6(3):277-284.
|

Dongelmans D.A., Paulus F., Veelo D.P., Binnekade J.M., Vroom M.B., Schultz M.J. Adaptive support ventilation may deliver unwanted respiratory rate-tidal volume combinations in patients with acute lung injury ventilated according to an open lung concept. Anesthesiology. 2011;114(5):1138-1143.

Laubscher T.P., Heinrichs W., Weiler N., Hartmann G., Brunner J.X. Anadaptive lung ventilation controller. IEEE Trans Biomed. Eng. 1994;41(1):51–59.

Weiler N., Eberle B., Latorre F., von Paczynski S., Heinrichs W. Adaptive lung ventilation (AVL). Evaluation of new closed loopregulated respiration algorithm for operation in the hyperextended lateral position [in German]. Anaesthesist 1996;45(10):950–956.
|

Belliato M., Palo A., Pasero D., Iotti G.A.,Mojoli F., Braschi A. Evaluation of the adaptive support ventilation (ASV) mode in paralyze dpatients. Int. J. Artif. Organs. 2004;27(8):709–716.

Tassaux D., Dalmas E., Gratadour P., Jolliet P. Patient-ventilator interactions during partial ventilatory support: a preliminary study comparing the effects of adaptive support ventilation with synchronized intermittent mandatory ventilation plus inspiratory pressure support. Crit Care Med 2002;30(4):801–807.
|

Linton D.M., Potgieter P.D., Davis S., Fourie A.T., Brunner J.X., Laubscher T.P. Automatic weaning from mechanical ventilation using anadaptive lung ventilation controller. Chest 1994;106(6):1843–1850.
|

Esquinas A.M., Cravo J., De-Santo L.S.. Adaptive support ventilation weaning protocolsin cardiac surgical patients: complex speculations with little practicalimpact. J. Crit. Care 2017;37:250.

Dongelmans D.A., Paulus F., Veelo D.P., Binnekade J.M., Vroom M.B., Schultz M.J. Adaptive support ventilation may deliver unwantedrespiratory rate-tidal volume combinations in patients with acutelung injury ventilated according to an open lung concept. Anesthesiology 2011;114(5):1138–1143
|

Bialais E., Wittebole X., Vignaux L., et al. Closed-loop ventilation mode(IntelliVent-ASV) in intensive care unit: a randomized trial. Minerva Anestesiol 2016;82:657–68.
|

Fot E.V., Izotova N.N., Yudina A.S., et al. Automated weaning from mechanical ventilationafter off-pump coronary artery bypass grafting. Front Med. (Lausanne) 2017;4:31.

Arnal J.M., Garnero A., Novotni D., et al. Closed loop ventilation mode in intensivecare unit: a randomized controlled clinical trial comparing the numbers of manualventilator setting changes. Minerva Anestesiol 2018;84(1):58–67.
|

Dojat M., Harf A., Touchard D., et al. Evaluation of a knowledge-based systemproviding ventilatory management and decision for extubation. Am. J. Respir. Crit. Care Med. 1996;153:997–1004.

Younes M. Proportional assist ventilation, a new approach toventilatorysupport. Theory. Am. Rev. Respir. Dis. 1992; 145(1): 114–120.

Grasso S., Ranieri V.M. Proportional assist ventilation. Respir. Care Clin. N. Am. 2001;7(3):465–473.

Sassoon C.Sh. Triggering of the ventilator in patient-ventilator interactions. Respir. Care 2011;56(1):39–51.
|

Dreher M., Kabitz H.J., Burgardt V., Walterspacher S., Windisch W. Proportional assist ventilation improves exercise capacity in patientswith obesity. Respiration 2010;80(2):106–111.
|

Moderno E.V., Yamaguti W.P., Schettino G.P., et al. Effects ofproportional assisted ventilation on exercise performance inidiopathic pulmonary fibrosis patients. Respir Med 2010;104(1): 134–141.
|

Grasso S., Ranieri V.M. Proportional assist ventilation. Respir Care Clin. N. Am. 2001;7(3):465–473.

Mitrouska J., Xirouchaki N., Patakas D., Siafakas N., Georgopoulos D. Effects of chemical feedback on respiratory motor and ventilatoroutput during different modes of assisted mechanical ventilation.Eur Respir J 1999;13(4): 873–882.
|

Goebel U., Haberstroh J., Foerster K., Dassow C., Priebe H.-J., Guttmann J., Schumann S.. Flow-controlled expiration: a novel ventilation mode to attenuate experimental porcine lung injury. British Journal of Anaesthesia 113 (3): 474–83 (2014).
| |

Hamaekers A.E, Gotz T., Borg P.A., et al. Achieving an adequate minutevolume through a 2 mm transtracheal catheter in simulated upper airwayobstruction using a modified industrial ejector. Br. J. Anaesth. 2010;104: 382–386.
| |

Hamaekers A.E., Borg P.A., Gotz T., et al. Ventilation through a small-borecatheter: optimizing expiratory ventilation assistance. Br. J. Anaesth. 2011;106:403–409.
| |

Schmidt J., Wenzel C., Mahn M., Spassov S., Schmitz H.C., Borgmann S., Lin Z., Haberstroh J., Meckel S., Eiden S., Wirth S., Buerkle H., Schumann S. Improved lung recruitment and oxygenation duringmandatory ventilation with a new expiratory ventilationassistance device A controlled interventional trial in healthy pigs. Eur. J. Anaesthesiol. 2018; 35:736–744.

Miller G. The magical numbers even plus or minus two: some limits on our capacity for processing information. Psychol. Rev. 1956;63:81–97.
| |

Branson R.D. Modes to facilitate ventilator weaning. Respir Care 2012;57:1635–48.
| |

Hodgson C., Goligher E.C., Young M.E., Keating J.L., Holland A.E., Romero L., Bradley S.J., Tuxen D. Recruitment manoeuvres for adults with acute respiratory distress syndrome receiving mechanical ventilation. Cochrane Database Syst Rev. 2016 Nov 17;11:CD006667.
|

Bloomfield R., Noble D.W., Sudlow A. Prone position for acute respiratory failure in adults. Cochrane Database Syst. Rev. 2015 Nov13;(11):CD008095.
| |

Tobin M., Manthous C. Mechanical Ventilation. Am. J. Respir. Crit. Care Med. 2017 Jul. 15;196(2):P3-P4.
|

Kolobow T., Moretti M.P., Fumagalli R., et al. Severe impairment inlung function induced by high peak airway pressure duringmechanical ventilation. An experimental study. Am. Rev. Respir. Dis. 1987;135(2):312–315.

Dreyfuss D., Saumon G. Ventilator-induced lung injury: lessonsfrom experimental studies. Am. J. Respir. Crit. Care Med. 1998;157(1):294–323.

Tremblay L., Valenza F., Ribeiro S.P., Li J., Slutsky A.S. Injurious ventilatory strategies increase cytokines and c-fos m-RNA expressionin an isolated rat lung model. J Clin Invest 1997;99(5):944–952.
| |

International consensus conferences in intensive care medicine: ventilator-associated lung injury in ARDS. Am. J. Respir. Crit. Care Med. 1999;160(6):2118–2124.
|

Nahum A., Hoy J., Schmitz L., Moody J., Shapiro R., Marini J.J. Effect of mechanical ventilation strategy on dissemination of intratracheally instilled Escherichia coliin dogs. Crit. Care Med. 1997;25(10):1733–1743.
| |

Rouby J.J., Brochard L. Tidal recruitment and overin-flation in acute respiratory distress syndrome: yinandyang. Am. J. Respir. Crit. Care Med. 2007;175(2): 104–106.
| |

Villar J., Kacmarek R.M., Perez-Mendez L., Aguirre-Jaime A. A highpositive end-expiratory pressure, low tidal volume ventilatorystrategy improves outcome in persistent acute respiratory distresssyndrome: a randomized, controlled trial. Crit. Care Med. 2006;34(5):1311–1318.
| |

Slutsky A.S., Ranieri V.M. Ventilator-induced lung injury. N. Engl. J. Med. 2013;369:2126-2136.
| |

Bello G., De Pascale G., Antonelli M. Noninvasive Ventilation, Clinics in Chest Medicine, 2016, V 37, Issue 4, P. 711-721.
| |

Pingleton S.K. Complications of acute respiratory failure. Am. Rev. Respir. Dis. 1988;137:1463–93.
| |

Nava S., Hill N. Non-invasive ventilation in acute respiratory failure. Lancet 2009;374:250–9.
| |

Keenan S.P., Sinuff T., Burns K.E., et al, Canadian Critical Care Trials Group/Canadian Critical Care Society Noninvasive Ventilation Guidelines Group. Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. CMAJ 2011;183:E195–214.
|

Schnell D., Timsit J.F., Darmon M., et al. Noninvasive mechanical ventilation in acute respiratory failure: trends in use and outcomes. Intensive. Care Med. 2014;40:582–91.
|

Chadda K., Annane D., Hart N., Gajdos P., Raphael J.C., Lofaso F. Cardiac and respiratory effects of continuous positive airway pressure and noninvasive ventilation in acute cardiac pulmonary edema. Crit Care Med. 2002;30(11):2457-2461.
|

Cross A.M. Review of the role of non-invasive ventilation in the emergency department. J. Accid. Emerg. Med. 2000;17:79-85.
|

Masip J., Betbese A.J., Paez J., Vecilla F., Canizares R., Padro J. Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomized trial. Lancet. 2000; 356:2126-2132.
|

Nava S., Carbone G., Dibattista N., Bellone A., Baiardi P., Cosentini R. Noninvasive ventilation in cardiogenic pulmonary edema. Am. J. Respir. Crit. Care Med. 2003; 168:1432-1437.
|

Kaminski J., Kaplan P.D. The role of noninvasive positive pressure ventilation in the emergency department. Top. Emerg. Med. 1999;21(4):68-73.

Chadda K., Annane D., Hart N., Gajdos P., Raphael J.C., Lofaso F. Cardiac and respiratory effects of continuous positive airway pressure and noninvasive ventilation in acute cardiac pulmonary edema. Crit. Care Med. 2002;30(11):2457-2461.
|

Masip J., Betbese A.J., Paez J., Vecilla F., Canizares R., Padro J. Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomized trial. Lancet. 2000; 356:2126-2132.
|

Cross A.M. Review of the role of non-invasive ventilation in the emergency department. J. Accid. Emerg. Med. 2000;17:79-85.
|

Mehta S., Jay G.D., Woolard R.H., Hipona R.E., Connolly E.M., Cimini D.M. Randomized, prospective trial of bilevel versus continuous positive airway pressure in acute pulmonary edema. Crit. Care Med. 1997;25(4):620-627.
|

Kaminski J., Kaplan P.D. The role of noninvasive positive pressure ventilation in the emergency department. Top. Emerg. Med. 1999;21(4):68-73.

Brochard L. Noninvasive ventilation for acute respiratory failure. JAMA. 2002;288(8):932-934.
|

Chawla R., Mansuriya J., Modi N., Pandey A., Juneja D., Chawla A., Kansal S. Acute respiratory distress syndrome: Predictors of noninvasive ventilation failure and intensivecare unit mortality in clinical practice. J. Crit. Care. 2016 Feb;31(1):26-30.
|

Sassoon C.Sh. Triggering of the ventilator in patient-ventilatorinteractions. Respir Care 2011;56(1):39–51.
|

##submission.downloads##

Опубліковано

2019-01-19

Як цитувати

Глумчер, Ф. С., Дубров, С. О., & Дьомін, Є. Ю. (2019). Сучасні концепції штучної вентиляції легень. PAIN, ANAESTHESIA & INTENSIVE CARE, (2(87), 7–30. https://doi.org/10.25284/2519-2078.2(87).2019.171004

Номер

Розділ

Огляд літератури