機械功率在急性呼吸窘迫綜合征患者和手術室機械通氣患者中的應用_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

劉紅梅 ,  余海

四川大學華西醫院麻醉科（四川成都 610041）;

Corresponding?author：

余海, Email: yuhaishan117@yahoo.com

Keywords：

DOI：

10.7507/1671-6205.202110006

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Citation： 劉紅梅, 余海. 機械功率在急性呼吸窘迫綜合征患者和手術室機械通氣患者中的應用. Chinese Journal of Respiratory and Critical Care Medicine, 2023, 22(1): 61-65. doi: 10.7507/1671-6205.202110006 Copy

1.	Vasques F, Duscio E, Cipulli F, et al. Determinants and prevention of ventilator-induced lung injury. Crit Care Clin, 2018, 34(3): 343-356.
2.	Gattinoni L, Quintel M. How ARDS should be treated. Crit Care, 2016, 20: 86.
3.	Agostini P, Cieslik H, Rathinam S, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors?. Thorax, 2010, 65(9): 815-818.
4.	O'Gara B, Talmor D. Perioperative lung protective ventilation. BMJ, 2018, 362: k3030.
5.	Tonetti T, Cressoni M, Collino F, et al. Volutrauma, atelectrauma, and mechanical power. Crit Care Med, 2017, 45(3): e327-e328.
6.	Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation: any safe threshold?. Am J Respir Crit Care Med, 2011, 183(10): 1354-1362.
7.	Gattinoni L, Tonetti T, Cressoni M, et al. Ventilator-related causes of lung injury: the mechanical power. Intensive Care Med, 2016, 42(10): 1567-1575.
8.	Tonetti T, Vasques F, Rapetti F, et al. Driving pressure and mechanical power: new targets for VILI prevention. Ann Transl Med, 2017, 5(14): 286.
9.	Cressoni M, Gotti M, Chiurazzi C, et al. Mechanical power and development of ventilator-induced lung injury. Anesthesiology, 2016, 124(5): 1100-1108.
10.	孫秀梅, 王玉妹, 楊燕琳, 等. 機械功率在呼吸機相關性肺損傷的研究現狀. 中華危重病急救醫學, 2019, 31(12): 1549-1551.
11.	Maia LA, Samary CS, Oliveira MV, et al. Impact of different ventilation strategies on driving pressure, mechanical power, and biological markers during open abdominal surgery in rats. Anesth Analg, 2017, 125(4): 1364-1374.
12.	Santos RS, Maia LA, Oliveira MV, et al. Biologic impact of mechanical power at high and low tidal volumes in experimental mild acute respiratory distress syndrome. Anesthesiology, 2018, 128(6): 1193-1206.
13.	Marini JJ, Rocco PRM, Gattinoni L. Static and dynamic contributors to ventilator-induced lung injury in clinical practice. Pressure, energy, and power. Am J Respir Crit Care Med, 2020, 201(7): 767-774.
14.	Marini JJ, Rocco PRM. Which component of mechanical power is most important in causing VILI?. Crit Care, 2020, 24(1): 39.
15.	Acute Respiratory Distress Syndrome Network; Brower RG, Matthay MA, Morris A, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342(18): 1301-1308.
16.	Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA, 2012, 308(16): 1651-1659.
17.	Futier E, Constantin JM, Paugam-Burtz C, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N Engl J Med, 2013, 369(5): 428-437.
18.	Mini G, Ray BR, Anand RK, et al. Effect of driving pressure-guided positive end-expiratory pressure (PEEP) titration on postoperative lung atelectasis in adult patients undergoing elective major abdominal surgery: a randomized controlled trial. Surgery, 2021, 170(1): 277-283.
19.	Sahetya SK, Goligher EC, Slutsky AS. Searching for the optimal PEEP in patients without ARDS: High, low, or in between?. JAMA, 2020, 324(24): 2490-2492.
20.	錢穎, 謝永鵬, 沈葉菊, 等. 以機械功為導向的急性呼吸窘迫綜合征機械通氣新理念. 中國呼吸與危重監護雜志, 2020, 19(4): 418-421.
21.	Chi Y, He HW, Long Y. Progress of mechanical power in the intensive care unit. Chin Med J (Engl), 2020, 133(18): 2197-2204.
22.	Guérin C, Papazian L, Reignier J, et al. Effect of driving pressure on mortality in ARDS patients during lung protective mechanical ventilation in two randomized controlled trials. Crit Care, 2016, 20(1): 384.
23.	Serpa Neto A, Deliberato RO, Johnson AEW, et al. Mechanical power of ventilation is associated with mortality in critically ill patients: an analysis of patients in two observational cohorts. Intensive Care Med, 2018, 44(11): 1914-1922.
24.	Parhar KKS, Zjadewicz K, Soo A, et al. Epidemiology, mechanical power, and 3-year outcomes in acute respiratory distress syndrome patients using standardized screening. An observational cohort study. Ann Am Thorac Soc, 2019, 16(10): 1263-1272.
25.	謝永鵬, 錢穎, 劉克喜, 等. ARDS患者機械功與肺部超聲評分的相關性以及二者對預后的評估價值. 中華危重病急救醫學, 2019, 31(6): 704-708.
26.	Zhang ZH, Zheng B, Liu N, et al. Mechanical power normalized to predicted body weight as a predictor of mortality in patients with acute respiratory distress syndrome. Intensive Care Med, 2019, 45(6): 856-864.
27.	Coppola S, Caccioppola A, Froio S, et al. Effect of mechanical power on intensive care mortality in ARDS patients. Crit Care, 2020, 24(1): 246.
28.	Zhu YH, Peng WY, Zhen S, et al. Mechanical power normalized to predicted body weight is associated with mortality in critically ill patients: a cohort study. BMC Anesthesiol, 2021, 21(1): 278.
29.	Xie YP, Cao LJ, Qian Y, et al. Effect of deep sedation on mechanical power in moderate to severe acute respiratory distress syndrome: a prospective self-control study. Biomed Res Int, 2020, 2020: 2729354.
30.	Gattinoni L, Tonetti T, Quintel M. Regional physiology of ARDS. Crit Care, 2017, 21(Suppl 3): 312.
31.	Chiumello D, Froio S, Mistraletti G, et al. Gas exchange, specific lung elastance and mechanical power in the early and persistent ARDS. J Crit Care, 2020, 55: 42-47.
32.	Maiolo G, Collino F, Vasques F, et al. Reclassifying acute respiratory distress syndrome. Am J Respir Crit Care Med, 2018, 197(12): 1586-1595.
33.	Schmidt M, Pham T, Arcadipane A, et al. Mechanical ventilation management during extracorporeal membrane oxygenation for acute respiratory distress syndrome. An international multicenter prospective cohort. Am J Respir Crit Care Med, 2019, 200(8): 1002-1012.
34.	Belliato M, Epis F, Cremascoli L, et al. Mechanical power during veno-venous extracorporeal membrane oxygenation initiation: a pilot-study. Membranes (Basel), 2021, 11(1): 30.
35.	Chiu LC, Lin SW, Chuang LP, et al. Mechanical power during extracorporeal membrane oxygenation and hospital mortality in patients with acute respiratory distress syndrome. Crit Care, 2021, 25(1): 13.
36.	Ghiani A, Paderewska J, Walcher S, et al. Mechanical power normalized to lung-thorax compliance predicts prolonged ventilation weaning failure: a prospective study. BMC Pulm Med, 2021, 21(1): 202.
37.	Samary CS, Silva PL, Gama de Abreu M, et al. Ventilator-induced lung injury: power to the mechanical power. Anesthesiology, 2016, 125(5): 1070-1071.
38.	Fuller BM, Page D, Stephens RJ, et al. Pulmonary mechanics and mortality in mechanically ventilated patients without acute respiratory distress syndrome: a cohort study. Shock, 2018, 49(3): 311-316.
39.	Chiumello D, Formenti P, Bolgiaghi L, et al. Body position alters mechanical power and respiratory mechanics during thoracic surgery. Anesth Analg, 2020, 130(2): 391-401.
40.	Ball L, Volta CA, Saglietti F, et al. Associations between expiratory flow limitation and postoperative pulmonary complications in patients undergoing cardiac surgery. J Cardiothorac Vasc Anesth, 2022, 36(3): 815-824.
41.	Karalapillai D, Weinberg L, Neto AS, et al. Intra-operative ventilator mechanical power as a predictor of postoperative pulmonary complications in surgical patients: a secondary analysis of a randomised clinical trial. Eur J Anaesthesiol, 2022, 39(1): 67-74.
42.	Zhao ZQ, Frerichs I, He HW, et al. The calculation of mechanical power is not suitable for intra-patient monitoring under pressure-controlled ventilation. Intensive Care Med, 2019, 45(5): 749-750.
43.	Becher T, van der Staay M. Calculation of mechanical power for pressure-controlled ventilation: author's reply. Intensive Care Med, 2019, 45(10): 1498-1499.
44.	van der Meijden S, Somhorst P, Schoe A. Calculation of the mechanical power for pressure-controlled ventilation: a response. Intensive Care Med, 2020, 46(3): 568-569.
45.	Serpa Neto A, Deliberato RO, Johnson AE, et al. Normalization of mechanical power to anthropometric indices: impact on its association with mortality in critically ill patients. Intensive Care Med, 2019, 45(12): 1835-1837.
46.	Silva PL, Pelosi P, Rocco PRM. Understanding the mysteries of mechanical power. Anesthesiology, 2020, 132(5): 949-950.
47.	Vasques F, Duscio E, Pasticci I, et al. Is the mechanical power the final word on ventilator-induced lung injury? - we are not sure. Ann Transl Med, 2018, 6(19): 395.
48.	Tonna JE, Peltan I, Brown SM, et al. Mechanical power and driving pressure as predictors of mortality among patients with ARDS. Intensive Care Med, 2020, 46(10): 1941-1943.

1. Vasques F, Duscio E, Cipulli F, et al. Determinants and prevention of ventilator-induced lung injury. Crit Care Clin, 2018, 34(3): 343-356.
2. Gattinoni L, Quintel M. How ARDS should be treated. Crit Care, 2016, 20: 86.
3. Agostini P, Cieslik H, Rathinam S, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors?. Thorax, 2010, 65(9): 815-818.
4. O'Gara B, Talmor D. Perioperative lung protective ventilation. BMJ, 2018, 362: k3030.
5. Tonetti T, Cressoni M, Collino F, et al. Volutrauma, atelectrauma, and mechanical power. Crit Care Med, 2017, 45(3): e327-e328.
6. Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation: any safe threshold?. Am J Respir Crit Care Med, 2011, 183(10): 1354-1362.
7. Gattinoni L, Tonetti T, Cressoni M, et al. Ventilator-related causes of lung injury: the mechanical power. Intensive Care Med, 2016, 42(10): 1567-1575.
8. Tonetti T, Vasques F, Rapetti F, et al. Driving pressure and mechanical power: new targets for VILI prevention. Ann Transl Med, 2017, 5(14): 286.
9. Cressoni M, Gotti M, Chiurazzi C, et al. Mechanical power and development of ventilator-induced lung injury. Anesthesiology, 2016, 124(5): 1100-1108.
10. 孫秀梅, 王玉妹, 楊燕琳, 等. 機械功率在呼吸機相關性肺損傷的研究現狀. 中華危重病急救醫學, 2019, 31(12): 1549-1551.
11. Maia LA, Samary CS, Oliveira MV, et al. Impact of different ventilation strategies on driving pressure, mechanical power, and biological markers during open abdominal surgery in rats. Anesth Analg, 2017, 125(4): 1364-1374.
12. Santos RS, Maia LA, Oliveira MV, et al. Biologic impact of mechanical power at high and low tidal volumes in experimental mild acute respiratory distress syndrome. Anesthesiology, 2018, 128(6): 1193-1206.
13. Marini JJ, Rocco PRM, Gattinoni L. Static and dynamic contributors to ventilator-induced lung injury in clinical practice. Pressure, energy, and power. Am J Respir Crit Care Med, 2020, 201(7): 767-774.
14. Marini JJ, Rocco PRM. Which component of mechanical power is most important in causing VILI?. Crit Care, 2020, 24(1): 39.
15. Acute Respiratory Distress Syndrome Network; Brower RG, Matthay MA, Morris A, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med, 2000, 342(18): 1301-1308.
16. Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA, 2012, 308(16): 1651-1659.
17. Futier E, Constantin JM, Paugam-Burtz C, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N Engl J Med, 2013, 369(5): 428-437.
18. Mini G, Ray BR, Anand RK, et al. Effect of driving pressure-guided positive end-expiratory pressure (PEEP) titration on postoperative lung atelectasis in adult patients undergoing elective major abdominal surgery: a randomized controlled trial. Surgery, 2021, 170(1): 277-283.
19. Sahetya SK, Goligher EC, Slutsky AS. Searching for the optimal PEEP in patients without ARDS: High, low, or in between?. JAMA, 2020, 324(24): 2490-2492.
20. 錢穎, 謝永鵬, 沈葉菊, 等. 以機械功為導向的急性呼吸窘迫綜合征機械通氣新理念. 中國呼吸與危重監護雜志, 2020, 19(4): 418-421.
21. Chi Y, He HW, Long Y. Progress of mechanical power in the intensive care unit. Chin Med J (Engl), 2020, 133(18): 2197-2204.
22. Guérin C, Papazian L, Reignier J, et al. Effect of driving pressure on mortality in ARDS patients during lung protective mechanical ventilation in two randomized controlled trials. Crit Care, 2016, 20(1): 384.
23. Serpa Neto A, Deliberato RO, Johnson AEW, et al. Mechanical power of ventilation is associated with mortality in critically ill patients: an analysis of patients in two observational cohorts. Intensive Care Med, 2018, 44(11): 1914-1922.
24. Parhar KKS, Zjadewicz K, Soo A, et al. Epidemiology, mechanical power, and 3-year outcomes in acute respiratory distress syndrome patients using standardized screening. An observational cohort study. Ann Am Thorac Soc, 2019, 16(10): 1263-1272.
25. 謝永鵬, 錢穎, 劉克喜, 等. ARDS患者機械功與肺部超聲評分的相關性以及二者對預后的評估價值. 中華危重病急救醫學, 2019, 31(6): 704-708.
26. Zhang ZH, Zheng B, Liu N, et al. Mechanical power normalized to predicted body weight as a predictor of mortality in patients with acute respiratory distress syndrome. Intensive Care Med, 2019, 45(6): 856-864.
27. Coppola S, Caccioppola A, Froio S, et al. Effect of mechanical power on intensive care mortality in ARDS patients. Crit Care, 2020, 24(1): 246.
28. Zhu YH, Peng WY, Zhen S, et al. Mechanical power normalized to predicted body weight is associated with mortality in critically ill patients: a cohort study. BMC Anesthesiol, 2021, 21(1): 278.
29. Xie YP, Cao LJ, Qian Y, et al. Effect of deep sedation on mechanical power in moderate to severe acute respiratory distress syndrome: a prospective self-control study. Biomed Res Int, 2020, 2020: 2729354.
30. Gattinoni L, Tonetti T, Quintel M. Regional physiology of ARDS. Crit Care, 2017, 21(Suppl 3): 312.
31. Chiumello D, Froio S, Mistraletti G, et al. Gas exchange, specific lung elastance and mechanical power in the early and persistent ARDS. J Crit Care, 2020, 55: 42-47.
32. Maiolo G, Collino F, Vasques F, et al. Reclassifying acute respiratory distress syndrome. Am J Respir Crit Care Med, 2018, 197(12): 1586-1595.
33. Schmidt M, Pham T, Arcadipane A, et al. Mechanical ventilation management during extracorporeal membrane oxygenation for acute respiratory distress syndrome. An international multicenter prospective cohort. Am J Respir Crit Care Med, 2019, 200(8): 1002-1012.
34. Belliato M, Epis F, Cremascoli L, et al. Mechanical power during veno-venous extracorporeal membrane oxygenation initiation: a pilot-study. Membranes (Basel), 2021, 11(1): 30.
35. Chiu LC, Lin SW, Chuang LP, et al. Mechanical power during extracorporeal membrane oxygenation and hospital mortality in patients with acute respiratory distress syndrome. Crit Care, 2021, 25(1): 13.
36. Ghiani A, Paderewska J, Walcher S, et al. Mechanical power normalized to lung-thorax compliance predicts prolonged ventilation weaning failure: a prospective study. BMC Pulm Med, 2021, 21(1): 202.
37. Samary CS, Silva PL, Gama de Abreu M, et al. Ventilator-induced lung injury: power to the mechanical power. Anesthesiology, 2016, 125(5): 1070-1071.
38. Fuller BM, Page D, Stephens RJ, et al. Pulmonary mechanics and mortality in mechanically ventilated patients without acute respiratory distress syndrome: a cohort study. Shock, 2018, 49(3): 311-316.
39. Chiumello D, Formenti P, Bolgiaghi L, et al. Body position alters mechanical power and respiratory mechanics during thoracic surgery. Anesth Analg, 2020, 130(2): 391-401.
40. Ball L, Volta CA, Saglietti F, et al. Associations between expiratory flow limitation and postoperative pulmonary complications in patients undergoing cardiac surgery. J Cardiothorac Vasc Anesth, 2022, 36(3): 815-824.
41. Karalapillai D, Weinberg L, Neto AS, et al. Intra-operative ventilator mechanical power as a predictor of postoperative pulmonary complications in surgical patients: a secondary analysis of a randomised clinical trial. Eur J Anaesthesiol, 2022, 39(1): 67-74.
42. Zhao ZQ, Frerichs I, He HW, et al. The calculation of mechanical power is not suitable for intra-patient monitoring under pressure-controlled ventilation. Intensive Care Med, 2019, 45(5): 749-750.
43. Becher T, van der Staay M. Calculation of mechanical power for pressure-controlled ventilation: author's reply. Intensive Care Med, 2019, 45(10): 1498-1499.
44. van der Meijden S, Somhorst P, Schoe A. Calculation of the mechanical power for pressure-controlled ventilation: a response. Intensive Care Med, 2020, 46(3): 568-569.
45. Serpa Neto A, Deliberato RO, Johnson AE, et al. Normalization of mechanical power to anthropometric indices: impact on its association with mortality in critically ill patients. Intensive Care Med, 2019, 45(12): 1835-1837.
46. Silva PL, Pelosi P, Rocco PRM. Understanding the mysteries of mechanical power. Anesthesiology, 2020, 132(5): 949-950.
47. Vasques F, Duscio E, Pasticci I, et al. Is the mechanical power the final word on ventilator-induced lung injury? - we are not sure. Ann Transl Med, 2018, 6(19): 395.
48. Tonna JE, Peltan I, Brown SM, et al. Mechanical power and driving pressure as predictors of mortality among patients with ARDS. Intensive Care Med, 2020, 46(10): 1941-1943.

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機械功率在急性呼吸窘迫綜合征患者和手術室機械通氣患者中的應用

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