ID 原文 译文
1077 我们不推荐常规使用肺复张手法；若要使用，首先进行肺可复张性评估。 However, it may result in severe respiratory and circulatory complications and therefore, the lung recruitment maneuver is not routinely recommended. The assessment of lung expandability should be performed prior to the application.
1078 3）俯卧位通气 (3) Prone Position Ventilation
1079 COVID-19危重症患者大多对俯卧位通气有良好反应，氧合和肺部力学可在短时间内得到明显改善。 Most critically ill patients with COVID-19 respond well to prone ventilation, with a rapid improvement of oxygenation and lung mechanics.
1080 我们建议对PaO2/FiO2<150mmHg或影像表现较重的患者在无禁忌的情况下常规进行俯卧位通气，每次16小时以上。 Prone ventilation is recommended as a routine strategy for patients with PaO2/FiO2 < 150 mmHg or with obvious imaging manifestations without contraindications. Time course recommended for prone ventilation is more than 16 hours each time.
1081 当仰卧位4小时以上患者PaO2/FiO2仍>150mmHg时可暂停俯卧位通气。 The prone ventilation can be ceased once PaO2/FiO2 is greater than 150 mmHg for more than 4 hours in the supine position.
1082 对于尚未插管、无明显呼吸窘迫但氧合较差、影像学表现为明显的肺重力依赖区实变的患者，可尝试清醒俯卧位通气。 Prone ventilation while awake may be attempted for patients who have not been intubated or have no obvious respiratory distress but with impaired oxygenation or have consolidation in gravity-dependent lung zones on lung images.
1083 每次持续4小时以上，根据效果和耐受性调整，每天可以反复多次俯卧位。 Procedures for at least 4 hours each time is recommended. Prone position can be considered several times per day depending on the effects and tolerance.
1084 4）预防返流误吸 (4) Prevention of Regurgitation and Aspiration
1085 常规进行胃残余量和胃肠功能评估， Gastric residual volume and gastrointestinal function should be routinely evaluated.
1086 尽早给予适量的肠内营养。 Appropriate enteral nutrition is recommended to be given as earlier as possible.