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Diaphragm-protective mechanical ventilation in acute respiratory failure
https://tokushima-u.repo.nii.ac.jp/records/2010422
https://tokushima-u.repo.nii.ac.jp/records/2010422a2ec0948-f754-4898-9fcf-156d4a37cfa4
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
jmi_69_3-4_165.pdf (855 KB)
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| Item type | 文献 / Documents(1) | |||||
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| 公開日 | 2022-11-01 | |||||
| アクセス権 | ||||||
| アクセス権 | open access | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 出版社版DOI | ||||||
| 関連識別子 | https://doi.org/10.2152/jmi.69.165 | |||||
| 関連名称 | 10.2152/jmi.69.165 | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| タイトル | ||||||
| タイトル | Diaphragm-protective mechanical ventilation in acute respiratory failure | |||||
| タイトル別表記 | ||||||
| その他のタイトル | Diaphragm-protective mechanical ventilation | |||||
| 著者 |
板垣, 大雅
× 板垣, 大雅 |
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| 抄録 | ||||||
| 内容記述 | Mechanical ventilation injures not only the lungs but also the diaphragm, resulting in dysfunction associated with poor outcomes. The chief mechanisms of ventilator-induced diaphragm dysfunction are : disuse atrophy due to insufficient contraction and excessive ventilatory support ; concentric load-induced injury due to excessive contraction and insufficient ventilatory support ; eccentric load-induced injury due to contraction during the expiratory phase ; and longitudinal atrophy caused by high positive end-expiratory pressure. To protect the diaphragm during mechanical ventilation, maintaining proper levels of diaphragm contraction is paramount ; thus, monitoring of respiratory effort and finely tuned ventilator settings are necessary. Furthermore, maintaining of synchronization between the patient and the ventilator is also important. As diaphragm dysfunction is more likely to occur in critically ill patients, diaphragm-protective mechanical ventilation strategies are essential to reduce the mortality rate of intensive care unit patients. This review outlines clinical evidence of ventilator-induced diaphragm dysfunction and its underlying mechanisms, and strategies to facilitate diaphragm-protective mechanical ventilation. | |||||
| キーワード | ||||||
| 主題 | diaphragm injury | |||||
| キーワード | ||||||
| 主題 | mechanical ventilation | |||||
| キーワード | ||||||
| 主題 | inspiratory effort | |||||
| キーワード | ||||||
| 主題 | atrophy | |||||
| 書誌情報 |
en : The Journal of Medical Investigation 巻 69, 号 3-4, p. 165-172, 発行日 2022-08 |
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| 収録物ID | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 13496867 | |||||
| 収録物ID | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 13431420 | |||||
| 収録物ID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA11166929 | |||||
| 出版者 | ||||||
| 出版者 | Tokushima University Faculty of Medicine | |||||
| 言語 | ||||||
| 言語 | eng | |||||
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Cite as
板垣, 大雅, 2022, Diaphragm-protective mechanical ventilation in acute respiratory failure: Tokushima University Faculty of Medicine, 165–172 p.
