| Autor: |
Lebedinskiĭ KM, Artiukov DA, Borisov MV, Gromova TA, Slivin OA |
| Jazyk: |
ruština |
| Zdroj: |
Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 2014 Jul-Aug; Vol. 59 (4), pp. 72-4. |
| Abstrakt: |
The article deals with a case of conventional mechanical ventilation in 75 y.o. woman with the background of uncompensated diabetes mellitus, suffering from bilateral pneumonia with predominantly left-sided lesion and severe sepsis. The conventional mechanical ventilation with high pressure levels led to arterial hypoxemia with P/F ratio 52. Independent lung ventilation immediately increased oxygenation up to P/F ratio 225 and evidently improved left lung aeration. The case demonstrates that while applying high pressures to open alveoli, we could not only provoke ventilator-induced lung injury and low cardiac output, but also "squeeze out" pulmonary perfusion from ventilated areas to non-ventilated ones with less intraalveolar pressure levels. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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