筋無力症患者에서의 間歇的 强制換氣의 利用
Intermitteat Mandatory Ventilation in Myasthenia Gravis
文炅樹, 吳興根,
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文炅樹 ( )
延世大學校 醫科大學 麻醉科學敎室
吳興根 ( )
延世大學校 醫科大學 麻醉科學敎室
KMID : 0356919770100030117
Abstract
Mechanical ventilatory support has become one of the most popular modes of therapy for patients with respiratory failure. Its course is divided into two stages; normalizing the pathophysiologic condition of the lung and the weaning. The better management of weaning is closely related to the reduction of mortality in patients with respiratory failure.
Weaning may be easier to manage if IMV is used. This technique, first applied in neonates, has recently been used during weaning in adult patients. Patients are allowed to breath spontaneously through a nonrebreathing circuit with humidified oxygen-riched air, but which also delivers a mechanical hyperinflation at regular preset intervals intermittently. The mechanical hyperinflation can gradually be reduced in frequency until weaning is complete.
We have used IMV to facilitate weaning from mechanical ventilation in a 14 year old male patient with myasthenia gravis. Our experience suggests that IMV is easier, safer, more convinent and preferable to conventional weaning methods.
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