ID 原文 译文
1167 模式选择 Mode Selection
1168 1)单纯呼吸功能损伤患者首选V-V模式,不应该为了可能发生的循环问题首选V-A模式; (1) The first choice for the patients of Respiratory impairment is the V-V mode. The V-A mode should not be the first option just because of the possible circulation problems.
1169 2)对于合并心功能损害的呼吸衰竭患者,PaO2/FiO2<100mmHg,需要采用V-A-V模式,总流量应该>6L/min,采用限流方式维持V/A=0.5/0.5; (2) For the Respiratory failure patients complicated with cardiac impairment, PaO2/FiO2 < 100 mmHg, the V-A-V mode ought to be selected with the total flux > 6 L/min and V/A = 0.5/0.5 is maintained by current limiting.
1170 3)COVID-19患者没有严重呼吸衰竭,但是合并严重心血管事件导致心源性休克,应该采用V-A模式ECMO辅助,但仍然需要IPPV支持,且避免进行清醒ECMO。 (3) For the COVID-19 patients without severe Respiratory failure but complicated with serious cardiovascular outcomes leading to cardiogenic shock, the V-A assisted by ECMO mode ought to be selected. But IPPV support is still needed and the awake ECMO should be avoided. the awake ECMO should be avoided.
1171 流量设定与氧供目标 Flux Set-value and Target Oxygen Supply
1172 1)初始流量应>80%心排量CO,且自循环比例<30%; (1) The initial flux > 80% cardiac output (CO) with a self-cycling ratio < 30%.
1173 2)维持过程应保持SPO2 >90%,且机械通气或其他氧疗支持FiO2<0.5; (2) SPO2 > 90% is to be maintained. FiO2 < 0.5 is supported by mechanical ventilation or the other oxygen therapy.
1174 3)为保证目标流量,体重80kg以下患者首选22Fr静脉accesscanula,80kg以上患者选择24Fr。 (3) To ensure the target flux, 22 Fr (24 Fr) vein access canula is the first choice for the patient with a body weight below (above) 80 kg.
1175 通气目标设定 Ventilation Setting
1176 调节sweep gas水平,维持正常通气目标: Normal ventilation maintenance by adjusting the sweep gas level: