Inappropriate ventilator triggering caused by an in-line suction catheter

被引：10

作者：

Al-Khafaji, A

Manning, HL

机构：

[1] Dartmouth Hitchcock Med Ctr, Dept Med & Physiol, Lebanon, NH 03756 USA

[2] Dartmouth Hitchcock Med Ctr, Dept Med, Lebanon, NH 03756 USA

来源：

INTENSIVE CARE MEDICINE | 2002年 / 28卷 / 04期

关键词：

mechanical ventilators; positive end-expiratory pressure; suction; triggering; air leak;

D O I：

10.1007/s00134-002-1239-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To examine the phenomenon of inappropriate triggering caused by an in-line suction catheter. Design: We used a test lung to assess inappropriate triggering in four ventilators with both pressure and flow triggering. Results: With pressure triggering, inappropriate triggering occurred only in the presence of PEEP. However, with flow triggering, inappropriate triggering occurred both with and without PEEP. Inappropriate triggering did not occur in a model of severe airflow obstruction. Conclusion: In-line suction catheters may lead to inappropriate triggering and potentially dangerous increases in delivered ventilation.

引用

页码：515 / 519

页数：5

共 5 条

[1] Autotriggering caused by cardiogenic oscillation during flow-triggered mechanical ventilation
Imanaka, H
Nishimura, M
Takeuchi, M
Kimball, WR
Yahagi, N
Kumon, K
[J]. CRITICAL CARE MEDICINE, 2000, 28 (02) : 402 - 407
[2] KACMAREK RM, 1994, PRINCIPLES PRACTICE, P88
[3] SANSOME AJ, 1988, ANAESTHESIA, V43, P1065
[4] Brainstem death and ventilator trigger settings
Willatts, SM
Drummond, G
[J]. ANAESTHESIA, 2000, 55 (07) : 676 - 677
[5] RISK-FACTORS FOR MORBIDITY IN MECHANICALLY VENTILATED PATIENTS WITH ACUTE SEVERE ASTHMA
WILLIAMS, TJ
TUXEN, DV
SCHEINKESTEL, CD
CZARNY, D
BOWES, G
[J]. AMERICAN REVIEW OF RESPIRATORY DISEASE, 1992, 146 (03): : 607 - 615

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