Concept and progresses of diaphragm protective ventilation

doi:10.3969/j.issn.1006-7795.2022.05.012

Abstract

Abstract: It has been over 50 years since the proposal of acute respiratory distress syndrome. From the initial mechanical ventilation treatment to the recognition of ventilator-related lung injury, lung protective ventilation strategy has become a consensus clinically. As the strategy limits the mechanical pressure exerted on the lungs by the ventilator or the patient's own breathing efforts, the incidence of weaning difficulties is increasing, and the role of diaphragm dysfunction is becoming more and more obvious. Diaphragm protective ventilation strategy should be applied. Optimizing mechanical ventilation parameters and diaphragmatic load and reducing ventilator asynchronization, can reduce or avoid diaphragmatic injury. However, lung protection should still be the primary consideration of mechanical ventilation. Through the best way to reduce the complications of mechanical ventilation and optimize the patient's respiratory efforts, the protection of lung and diaphragm should be achieved simultaneously. This article reviews the concept and progress of diaphragmatic protective ventilation.

Key words: acute respiratory distress syndrome, mechanical ventilation, lung protective ventilation, diaphragm dysfunction, diaphragm protective ventilation

CLC Number:

Cheng Wei, Long Yun. Concept and progresses of diaphragm protective ventilation[J]. Journal of Capital Medical University, 2022, 43(5): 740-746.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2022.05.012

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2022/V43/I5/740

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