Applying tidal volumes of less than 6 mL/kg might improve lung protection in patients with acute respiratory distress syndrome. In a recent article, Retamal and colleagues showed that such a reduction is feasible with conventional mechanical ventilation and leads to less tidal recruitment and overdistension without causing carbon dioxide retention or auto-positive end-expiratory pressure. However, whether the compensatory increase in the respiratory rate blunts the lung protection remains unestablished.
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机译:潮气量小于6 mL / kg可能会改善急性呼吸窘迫综合征患者的肺保护。 Retamal及其同事在最近的一篇文章中表明,采用传统的机械通气进行这种减少是可行的,并且可以减少潮气募集和过度扩张,而不会引起二氧化碳滞留或自发性呼气末正压。但是,呼吸频率的补偿性增加是否会削弱肺部保护作用仍未确定。
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