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:
|