Кыргызстандын Саламаттык Сактоо
Zdravoohraneniye Kyrgyzstana
ISSN 1694-8068 (Print)
ISSN 1694-805X (Online)

Өпкөнү жасалма желдетүүдөн ажыратуу

Өпкөнү жасалма желдетүүдөн ажыратуу
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Корутунду

Макала бейтаптарды өпкөнү жасалма дем алдыруудан (ЖДА) ажыратууга арналган. ЖДА токтотуудагы коркунучу каралды. Оорулуунун жекече дем алуусу менен тестирлөөдөн өткөрүүгө даярдык критерийлери келтирилген. Жасалма дем алдыруунун техникасы, жеке дем алуу менен тест өткөрүү жолдору жана дем алуу булчуңдарынын күч кубат жана туруктуулугун көбөйтүү үчүн көнүгүүлөр келтирилген. Аргасыз-көмөкчү режимдер менен аргасыз жана көмөкчү желдетүүнүн айкалышы. Бул режимдерде аппараттык дем алуу бейтап адамдын дем алуу аракети менен шайкештештирилет. Күнүмдүк клиникалык практикада көбүнчө колдонула турган режим: синхрондоштурулган мезгил-мезгили менен мажбурлап желдетүү, же болбосо синхрондоштурулган, мезгил мезгили менен мажбурланган, басым менен желдетүү режимдери болуп саналат. Жасалма дем алдыруудан кетүү процесси бейтаптын жалпы абалынан жана механикалык желдетүү зарылдыгын талаптаган илдетинен сакайышынан башталат. Ырааттуу клиникалык баалоону жүргүзүү бул бейтаптын жасалма дем алдыруусун азайтуу анан токтотуусунун даярдыгы болот.

Авторлор жөнүндө

Молдоташова Айке Кенжеевна, к.м.н., доцент, заведующая кафедрой анестезиологии и реаниматологии факультета усовершенствования врачей, Кыргызского государственного медицинского института переподготовки и повышения квалификации им. С.Б. Даниярова, Бишкек, Кыргызская Республика;
Жузумалиева Кулжан Сардаровна, к.м.н., заведующая отделением анестезиологии и реанимации №2, Национального госпиталя Министерства здравоохранения, Бишкек, Кыргызская Республика;
Кочконбаев Жениш Асаналиевич, к.м.н., заведующий кафедрой пропедевтической хирургии и заведующая отделом научно-инновационной и клинической работы Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика;
Иманкулова Асель Сансызбаевна, к.м.н., доцент, заведующая отделом научно-инновационной и клинической работы Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика.

Moldotashova Aike Kenzheevna, Ph.D., Associate Professor, Head of the Department of Anesthesiology and Resuscitation of the Faculty of Advanced Medical Studies, Kyrgyz State Medical Institute of Retraining
and Advanced Training named after S.B. Daniyarova, Bishkek, Kyrgyz Republic;
Zhuzumalieva Kulzhan Sardarovna, Ph.D., Head of the Department of Anesthesiology and Resuscitation No. 2, National Hospital of the Ministry of Health, Bishkek, Kyrgyz Republic;
Kochkonbayev Zhenish Asanalievich, Ph.D., Head of the Department of Propedeutic Surgery and Head of the Department of Scientific, Innovative and Clinical Work of the Kyrgyz State Copper Qing Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic;
Imankulova Asel Sansyzbaevna, Ph.D., associate professor, head of the department of scientific, innovative and clinical work of the Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic.

Молдоташова Айке Кенжеевна, м.и.к., С. Б. Данияров атындагы Кыргыз мамлекеттик кайра даярдоо жана квалификацияны жогорулатуу медициналык институтунун дарыгерлерди өркүндөтүү факультетинин анестезиология жана реаниматология кафедрасынын башчысы, Бишкек, Кыргыз Республикасы;

Жүзүмалиева Кулжан Сардаровна, м.и.к., КР Саламаттык сактоо министрлигинин Улуттук госпиталынын №2 анестезиология жана реанимация бөлүмүнүн башчысы,Бишкек, Кыргыз Республикасы;

Кочконбаев Жениш Асаналиевич, м.и.к., И. К. Ахунбаев атындагы КММАнын пропедевтикалык хирургия кафедрасынын башчысы, Бишкек, Кыргыз Республикасы;

Иманкулова Асель Сансызбаевна, м.и.к., И.К. Ахунбаев атындагы Кыргыз Мамлекеттик Медициналык Академиясынын илимий-инновациялык жана клиникалык иштер бөлүмү башчысы, Бишкек, Кыргыз Республикасы.

Шилтемелер

1. Бабаев М.А., Быков Д.Б., Бирг Т.М., Выжигина М.А., Еременко А.А. ИВЛ-индуцированная дисфункция диафрагмы (обзор)//Общая реаниматология. 2018;14:82-103. [Babaev M.A., Bykov D.B., Birg T.M., Vyzhigina M.A., Eremenko A.A. IVLinducirovannaya disfunkciya diafragmy (obzor)//Obshchaya reanimatologiya. 2018;14:82-103.] https://www. researchgate. net/publication /326168616_Ventilator-Induced_Diaphragm_Dysfunction_Review
2. Сатишур О.Е. Механическая вентиляция легких. Москва, 2006. - 287 с. Satishur O.E. Mekhanicheskaya ventilyaciya legkih.Moskva, 2006. - 287 s. https://topuch.ru/id277.pdf
3. Молдоташова А.К., Анищук Е.А. Респираторная поддержка неврологических больных// Научно-практический журнал«Медицина Кыргызстана» .2018;4:26-30. [Moldotashova A.K., Anishchuk E.A. Respiratornaya podderzhka nevrologicheskih bol'nyh// Nauchno-prakticheskij zhurnal «Medicina Kyrgyzstana» .2018;4:26-30.]
4. Bosma KJ, Read BA, Bahrgard Nikoo MJ, Jones PM, Priestap FA, Lewis JF. A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation. Crit Care Med. 2016;44(6):1098-1108.doi:10.1097/CCM.0000000000001600
5. Botha J., Green J., Carney I., et al. // Crit. Care Resusc. 2018;20:33-40. https://www.researchgate.net/ publication/ 344248316_Proportional_ assist_ventilati on_versus_ pressure_sup port_ventilation_ for_weaning_from_ mechanical_ventilation_ in_ adults_a_meta-analysis_and_trial_sequential_analysis
6. Burns, K.E.A., Soliman, I., Adhikari, N.K.J. et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 21, 127 (2017). https://doi.org/10.1186/s13054-017-1698-x
7. Burns KEA, Raptis S, Nisenbaum R, et al. International Practice Variation in Weaning Critically Ill Adults from Invasive Mechanical Ventilation [published correction appears in Ann Am Thorac Soc. 2018 Jul;15(7):894]. Ann Am Thorac Soc. 2018; 15(4):494-502. doi:10.1513/AnnalsATS.201705-410OC https://pubmed.ncbi.nlm.nih.gov/29509509/
8. Ceriana, P., Nava, S., Vitacca, M., Carlucci, A., Paneroni, M., Schreiber, A., Pisani, L., & Ambrosino, N. (2019). Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology, 25(6), 328-333. https://doi.org/10.1016/j.pulmoe.2019.07.006 https://moh-it.pure.elsevier.com/en/publications/noninvasive-ventilation-during-weaning-from-prolonged-mechanical-
9. Dres, M., Demoule, A. Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Crit Care 22, 73 (2018). https://doi.org/10.1186/s13054-018-1992-2
10. Ferreira, J. C., Diniz-Silva, F., Moriya, H. T., Alencar, A. M., Amato, M., & Carvalho, C. (2017). Neurally Adjusted Ventilatory Assist (NAVA) or Pressure Support Ventilation (PSV) during spontaneous breathing trials in critically ill patients: a crossover trial. BMC pulmonary medicine, 17(1), 139. https://doi.org/10.1186/s12890-017-0484-
11. Kataoka, J., Kuriyama, A., Norisue, Y. et al. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann. Intensive Care 8, 123 (2018). https://doi.org/10.1186/s13613-018-0470-y
12. Küçük M.P., Sztürk Ç.E., Ílkaya N.K., et al. // Turk. J. Anaesthesiol. Reanim. - 2018. - Vol.46. - P.62-65.
13. Liu F, Shao Q, Jiang R, Zeng Z, Liu Y, Li Y, et al. High-Flow Oxygen Therapy to Speed ... Am J Crit Care [Internet]. 2019 [cited2021 May 01];28(5):370-376. https://rper.aper.pt/index.php/rper/article/view/172/
14. Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation.Chest. 2017;151(1):166-180. doi:10.1016/j.chest.2016.10.036 https://pubmed.ncbi.nlm.nih.gov/27818331/
15. Perkins GD, Mistry D, Lall R,Gao-Smith F,Snelson C, Hart N et al. ... In: Health technology assessment (Winchester, England ).2019 ; Vol. 23, No. https://kclpure.kcl.ac.uk/portal/en/publications/protocolised-noninvasive-compared-with-invasive-weaningfrom-mechanical-ventilation-for-adults-in-intensive-care(1bd01589-53b3-48eb-bf2d-d1fc0772b1b1)/export.html
16. Rose, L., Presneill, J.J., Johnston, L. et al. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Med 34, 1788–1795 (2008). https://doi.org/10.1007/s00134-008-1179-4
17. Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, Khatib KI, Jagiasi BG, Chanchalani G, Mishra RC,Samavedam S, Govil D, Gupta S, Prayag S, Ramasubban S, Dobariya J, Marwah V, Sehgal I, Jog SA, Kulkarni AP. ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs. Indian J Crit Care Med. 2020 Jan;24(Suppl1):S61-S81. doi: 10.5005/jp-journals-10071-G23186. PMID: 32205957; PMCID: PMC7085817.
18. Villalba D., Rossetti G., Scrigna M., et al. // Respir. Care. - 2019. - P.06807. http://rc.rcjournal. com/content/respcare/ early/2019/10/01 /respcare.06807.full.pdf
19. Iuri Christmann Wawrzeniak, Silvia Regina Rios Vieira, Josué Almeida Victorino, "Weaning from Mechanical Ventilation in AR DS: Aspects to Think about for Better Understanding, Evaluation, and Management", BioMed Research International, vol. 2018, ArticleID 5423639, 12 pages, 2018. https://doi.org/10.1155/2018/5423639

1. Babaev M.A., Bykov D.B., Birg T.M., Vyzhigina M.A., Eremenko A.A. Ventiltion-induced diaphragm dysfunction (review)//General resuscitation. 2018;14:82-103. https://www.researchgate.net/publication/326168616_Ventilator-Induced_Diaphragm_Dysfunction_Review
2.  Satishur O.E. Mechanical ventilation of the lungs. Moscow, 2006. - 287 p.https://topuch.ru/id277.pdf
3.  Moldotashova A.K., Anishchuk E.A. Respiratory support for neurological patients//Scientific and practical journal "Medicine of Kyrgyzstan". 2018;4:26-30.
4. Bosma KJ, Read BA, Bahrgard Nikoo MJ, Jones PM, Priestap FA, Lewis JF. A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation. Crit Care Med. 2016;44(6):1098-1108. doi:10.1097/CCM.0000000000001600
5. Botha J., Green J., Carney I., et al. // Crit. Care Resusc. 2018;20:33-40. https://www.researchgate.net/ publication/ 344248316_Proportional_ assist_ventilati on_versus_ pressure_sup port_ventilation_ for_weaning_from_ mechanical_ventilation_ in_ adults_a_meta-analysis_and_trial_sequential_analysis
6. Burns, K.E.A., Soliman, I., Adhikari, N.K.J. et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 21, 127 (2017). https://doi.org/10.1186/s13054-017-1698-x
7. Burns KEA, Raptis S, Nisenbaum R, et al. International Practice Variation in Weaning Critically Ill Adults from Invasive Mechanical Ventilation [published correction appears in Ann Am Thorac Soc. 2018 Jul;15(7):894]. Ann Am Thorac Soc. 2018; 15(4):494-502. doi:10.1513/AnnalsATS.201705-410OC https://pubmed.ncbi.nlm.nih.gov/29509509/
8. Ceriana, P., Nava, S., Vitacca, M., Carlucci, A., Paneroni, M., Schreiber, A., Pisani, L., & Ambrosino, N. (2019). Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology, 25(6), 328-333. https://doi.org/10.1016/j.pulmoe.2019.07.006 https://moh-it.pure.elsevier.com/en/publications/noninvasive-ventilation-during-weaning-from-prolonged-mechanical-
9. Dres, M., Demoule, A. Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Crit Care 22, 73 (2018). https://doi.org/10.1186/s13054-018-1992-2
10. Ferreira, J. C., Diniz-Silva, F., Moriya, H. T., Alencar, A. M., Amato, M., & Carvalho, C. (2017). Neurally Adjusted Ventilatory Assist (NAVA) or Pressure Support Ventilation (PSV) during spontaneous breathing trials in critically ill patients: a crossover trial. BMC pulmonary medicine, 17(1), 139. https://doi.org/10.1186/s12890-017-0484-
11. Kataoka, J., Kuriyama, A., Norisue, Y. et al. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann. Intensive Care 8, 123 (2018). https://doi.org/10.1186/s13613-018-0470-y
12. Küçük M.P., Sztürk Ç.E., Ílkaya N.K., et al. // Turk. J. Anaesthesiol. Reanim. - 2018. - Vol.46. - P.62-65.
13. Liu F, Shao Q, Jiang R, Zeng Z, Liu Y, Li Y, et al. High-Flow Oxygen Therapy to Speed ... Am J Crit Care [Internet]. 2019 [cited 2021 May 01];28(5):370-376. https://rper.aper.pt/index.php/rper/article/view/172/
14. Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation. Chest. 2017;151(1):166-180. doi:10.1016/j.chest.2016.10.036 https://pubmed.ncbi.nlm.nih.gov/27818331/
15. Perkins GD, Mistry D, Lall R,Gao-Smith F,Snelson C, Hart N et al. ... In: Health technology assessment (Winchester, England ). 2019 ; Vol. 23, No. https://kclpure.kcl.ac.uk/portal/en/publications/protocolised-noninvasive-compared-with-invasive-weaningfrom-mechanical-ventilation-for-adults-in-intensive-care(1bd01589-53b3-48eb-bf2d-d1fc0772b1b1)/export.html
16. Rose, L., Presneill, J.J., Johnston, L. et al. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Med 34, 1788–1795 (2008). https://doi.org/10.1007/s00134-008-1179-4
17. Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, Khatib KI, Jagiasi BG, Chanchalani G, Mishra RC,Samavedam S, Govil D, Gupta S, Prayag S, Ramasubban S, Dobariya J, Marwah V, Sehgal I, Jog SA, Kulkarni AP. ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs. Indian J Crit Care Med. 2020 Jan;24(Suppl1):S61-S81. doi: 10.5005/jp-journals-10071-G23186. PMID: 32205957; PMCID: PMC7085817.
18. Villalba D., Rossetti G., Scrigna M., et al. // Respir. Care. - 2019. - P.06807. http://rc.rcjournal. com/content/respcare/ early/2019/10/01 /respcare.06807.full.pdf
19. Iuri Christmann Wawrzeniak, Silvia Regina Rios Vieira, Josué Almeida Victorino, "Weaning from Mechanical Ventilation in ARDS: Aspects to Think about for Better Understanding, Evaluation, and Management", BioMed Research International, vol. 2018,ArticleID 5423639, 12 pages, 2018. https://doi.org/10.1155/2018/5423639

1. Бабаев М.А., Быков Д.Б., Бирг Т.М., Выжигина М.А., Еременко А.А. ИВЛ-индуцированная дисфункция диафрагмы (обзор)//Общая реаниматология. 2018;14:82-103. [Babaev M.A., Bykov D.B., Birg T.M., Vyzhigina M.A., Eremenko A.A. IVLinducirovannaya disfunkciya diafragmy (obzor)//Obshchaya reanimatologiya. 2018;14:82-103.] https://www. researchgate. net/publication /326168616_Ventilator-Induced_Diaphragm_Dysfunction_Review
2. Сатишур О.Е. Механическая вентиляция легких. Москва, 2006. - 287 с. Satishur O.E. Mekhanicheskaya ventilyaciya legkih.Moskva, 2006. - 287 s. https://topuch.ru/id277.pdf
3. Молдоташова А.К., Анищук Е.А. Респираторная поддержка неврологических больных// Научно-практический журнал«Медицина Кыргызстана» .2018;4:26-30. [Moldotashova A.K., Anishchuk E.A. Respiratornaya podderzhka nevrologicheskih bol'nyh// Nauchno-prakticheskij zhurnal «Medicina Kyrgyzstana» .2018;4:26-30.]
4. Bosma KJ, Read BA, Bahrgard Nikoo MJ, Jones PM, Priestap FA, Lewis JF. A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation. Crit Care Med. 2016;44(6):1098-1108.doi:10.1097/CCM.0000000000001600
5. Botha J., Green J., Carney I., et al. // Crit. Care Resusc. 2018;20:33-40. https://www.researchgate.net/ publication/ 344248316_Proportional_ assist_ventilati on_versus_ pressure_sup port_ventilation_ for_weaning_from_ mechanical_ventilation_ in_ adults_a_meta-analysis_and_trial_sequential_analysis
6. Burns, K.E.A., Soliman, I., Adhikari, N.K.J. et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 21, 127 (2017). https://doi.org/10.1186/s13054-017-1698-x
7. Burns KEA, Raptis S, Nisenbaum R, et al. International Practice Variation in Weaning Critically Ill Adults from Invasive Mechanical Ventilation [published correction appears in Ann Am Thorac Soc. 2018 Jul;15(7):894]. Ann Am Thorac Soc. 2018; 15(4):494-502. doi:10.1513/AnnalsATS.201705-410OC https://pubmed.ncbi.nlm.nih.gov/29509509/
8. Ceriana, P., Nava, S., Vitacca, M., Carlucci, A., Paneroni, M., Schreiber, A., Pisani, L., & Ambrosino, N. (2019). Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology, 25(6), 328-333. https://doi.org/10.1016/j.pulmoe.2019.07.006 https://moh-it.pure.elsevier.com/en/publications/noninvasive-ventilation-during-weaning-from-prolonged-mechanical-
9. Dres, M., Demoule, A. Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Crit Care 22, 73 (2018). https://doi.org/10.1186/s13054-018-1992-2
10. Ferreira, J. C., Diniz-Silva, F., Moriya, H. T., Alencar, A. M., Amato, M., & Carvalho, C. (2017). Neurally Adjusted Ventilatory Assist (NAVA) or Pressure Support Ventilation (PSV) during spontaneous breathing trials in critically ill patients: a crossover trial. BMC pulmonary medicine, 17(1), 139. https://doi.org/10.1186/s12890-017-0484-
11. Kataoka, J., Kuriyama, A., Norisue, Y. et al. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann. Intensive Care 8, 123 (2018). https://doi.org/10.1186/s13613-018-0470-y
12. Küçük M.P., Sztürk Ç.E., Ílkaya N.K., et al. // Turk. J. Anaesthesiol. Reanim. - 2018. - Vol.46. - P.62-65.
13. Liu F, Shao Q, Jiang R, Zeng Z, Liu Y, Li Y, et al. High-Flow Oxygen Therapy to Speed ... Am J Crit Care [Internet]. 2019 [cited2021 May 01];28(5):370-376. https://rper.aper.pt/index.php/rper/article/view/172/
14. Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation.Chest. 2017;151(1):166-180. doi:10.1016/j.chest.2016.10.036 https://pubmed.ncbi.nlm.nih.gov/27818331/
15. Perkins GD, Mistry D, Lall R,Gao-Smith F,Snelson C, Hart N et al. ... In: Health technology assessment (Winchester, England ).2019 ; Vol. 23, No. https://kclpure.kcl.ac.uk/portal/en/publications/protocolised-noninvasive-compared-with-invasive-weaningfrom-mechanical-ventilation-for-adults-in-intensive-care(1bd01589-53b3-48eb-bf2d-d1fc0772b1b1)/export.html
16. Rose, L., Presneill, J.J., Johnston, L. et al. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Med 34, 1788–1795 (2008). https://doi.org/10.1007/s00134-008-1179-4
17. Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, Khatib KI, Jagiasi BG, Chanchalani G, Mishra RC,Samavedam S, Govil D, Gupta S, Prayag S, Ramasubban S, Dobariya J, Marwah V, Sehgal I, Jog SA, Kulkarni AP. ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs. Indian J Crit Care Med. 2020 Jan;24(Suppl1):S61-S81. doi: 10.5005/jp-journals-10071-G23186. PMID: 32205957; PMCID: PMC7085817.
18. Villalba D., Rossetti G., Scrigna M., et al. // Respir. Care. - 2019. - P.06807. http://rc.rcjournal. com/content/respcare/ early/2019/10/01 /respcare.06807.full.pdf
19. Iuri Christmann Wawrzeniak, Silvia Regina Rios Vieira, Josué Almeida Victorino, "Weaning from Mechanical Ventilation in AR DS: Aspects to Think about for Better Understanding, Evaluation, and Management", BioMed Research International, vol. 2018, ArticleID 5423639, 12 pages, 2018. https://doi.org/10.1155/2018/5423639

Для цитирования

Молдоташова А.К., Жузумалиева К.С., Кочконбаев Ж.А., Иманкулова А.С. Отлучения от искусственной вентиляции легких. Здравоохранение Кыргызстана 2022,№1, с. 77-82.
https://doi.org/10.51350 /zdrav kg2022311177

For citation

Moldotashova A.K., Zhuzumalieva K.S.,Kochkonbaev J.A., Imankulova A.S. Weaning from mechanical  ventilation. Health care of Kyrgyzstan 2022, No. 1, pp.77-82. https://doi.org/10.51350/zdravkg2022311177

Цитата үчүн

Молдоташова А.К., Жузумалиева К.С., Кочконбаев Ж.А., Иманкулова А.С. Өпкөнү жасалма желдетүүдөн ажыратуу. Кыргызстандын саламаттык сактоо 2022,№1, с. 77-82.
https://doi.org/10.51350 /zdrav kg2022311177

Авторлор Молдоташова А.К., Жузумалиева К.С., Кочконбаев Ж.А., Иманкулова А.С.
Ссылка doi.org https://doi.org/10.51350/zdravkg2022311177
Беттер 77-82
Негизги сөздөр өпкөнү жасалма желдетүү, өпкөнү жасалма дем алдыруудан ажыратуу, жеке дем алуу менен тест өткөрүү жолдору
Орусча
Об авторах

Молдоташова Айке Кенжеевна, к.м.н., доцент, заведующая кафедрой анестезиологии и реаниматологии факультета усовершенствования врачей, Кыргызского государственного медицинского института переподготовки и повышения квалификации им. С.Б. Даниярова, Бишкек, Кыргызская Республика;
Жузумалиева Кулжан Сардаровна, к.м.н., заведующая отделением анестезиологии и реанимации №2, Национального госпиталя Министерства здравоохранения, Бишкек, Кыргызская Республика;
Кочконбаев Жениш Асаналиевич, к.м.н., заведующий кафедрой пропедевтической хирургии и заведующая отделом научно-инновационной и клинической работы Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика;
Иманкулова Асель Сансызбаевна, к.м.н., доцент, заведующая отделом научно-инновационной и клинической работы Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика.

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Список литературы

1. Бабаев М.А., Быков Д.Б., Бирг Т.М., Выжигина М.А., Еременко А.А. ИВЛ-индуцированная дисфункция диафрагмы (обзор)//Общая реаниматология. 2018;14:82-103. [Babaev M.A., Bykov D.B., Birg T.M., Vyzhigina M.A., Eremenko A.A. IVLinducirovannaya disfunkciya diafragmy (obzor)//Obshchaya reanimatologiya. 2018;14:82-103.] https://www. researchgate. net/publication /326168616_Ventilator-Induced_Diaphragm_Dysfunction_Review
2. Сатишур О.Е. Механическая вентиляция легких. Москва, 2006. - 287 с. Satishur O.E. Mekhanicheskaya ventilyaciya legkih.Moskva, 2006. - 287 s. https://topuch.ru/id277.pdf
3. Молдоташова А.К., Анищук Е.А. Респираторная поддержка неврологических больных// Научно-практический журнал«Медицина Кыргызстана» .2018;4:26-30. [Moldotashova A.K., Anishchuk E.A. Respiratornaya podderzhka nevrologicheskih bol'nyh// Nauchno-prakticheskij zhurnal «Medicina Kyrgyzstana» .2018;4:26-30.]
4. Bosma KJ, Read BA, Bahrgard Nikoo MJ, Jones PM, Priestap FA, Lewis JF. A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation. Crit Care Med. 2016;44(6):1098-1108.doi:10.1097/CCM.0000000000001600
5. Botha J., Green J., Carney I., et al. // Crit. Care Resusc. 2018;20:33-40. https://www.researchgate.net/ publication/ 344248316_Proportional_ assist_ventilati on_versus_ pressure_sup port_ventilation_ for_weaning_from_ mechanical_ventilation_ in_ adults_a_meta-analysis_and_trial_sequential_analysis
6. Burns, K.E.A., Soliman, I., Adhikari, N.K.J. et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 21, 127 (2017). https://doi.org/10.1186/s13054-017-1698-x
7. Burns KEA, Raptis S, Nisenbaum R, et al. International Practice Variation in Weaning Critically Ill Adults from Invasive Mechanical Ventilation [published correction appears in Ann Am Thorac Soc. 2018 Jul;15(7):894]. Ann Am Thorac Soc. 2018; 15(4):494-502. doi:10.1513/AnnalsATS.201705-410OC https://pubmed.ncbi.nlm.nih.gov/29509509/
8. Ceriana, P., Nava, S., Vitacca, M., Carlucci, A., Paneroni, M., Schreiber, A., Pisani, L., & Ambrosino, N. (2019). Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology, 25(6), 328-333. https://doi.org/10.1016/j.pulmoe.2019.07.006 https://moh-it.pure.elsevier.com/en/publications/noninvasive-ventilation-during-weaning-from-prolonged-mechanical-
9. Dres, M., Demoule, A. Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Crit Care 22, 73 (2018). https://doi.org/10.1186/s13054-018-1992-2
10. Ferreira, J. C., Diniz-Silva, F., Moriya, H. T., Alencar, A. M., Amato, M., & Carvalho, C. (2017). Neurally Adjusted Ventilatory Assist (NAVA) or Pressure Support Ventilation (PSV) during spontaneous breathing trials in critically ill patients: a crossover trial. BMC pulmonary medicine, 17(1), 139. https://doi.org/10.1186/s12890-017-0484-
11. Kataoka, J., Kuriyama, A., Norisue, Y. et al. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann. Intensive Care 8, 123 (2018). https://doi.org/10.1186/s13613-018-0470-y
12. Küçük M.P., Sztürk Ç.E., Ílkaya N.K., et al. // Turk. J. Anaesthesiol. Reanim. - 2018. - Vol.46. - P.62-65.
13. Liu F, Shao Q, Jiang R, Zeng Z, Liu Y, Li Y, et al. High-Flow Oxygen Therapy to Speed ... Am J Crit Care [Internet]. 2019 [cited2021 May 01];28(5):370-376. https://rper.aper.pt/index.php/rper/article/view/172/
14. Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation.Chest. 2017;151(1):166-180. doi:10.1016/j.chest.2016.10.036 https://pubmed.ncbi.nlm.nih.gov/27818331/
15. Perkins GD, Mistry D, Lall R,Gao-Smith F,Snelson C, Hart N et al. ... In: Health technology assessment (Winchester, England ).2019 ; Vol. 23, No. https://kclpure.kcl.ac.uk/portal/en/publications/protocolised-noninvasive-compared-with-invasive-weaningfrom-mechanical-ventilation-for-adults-in-intensive-care(1bd01589-53b3-48eb-bf2d-d1fc0772b1b1)/export.html
16. Rose, L., Presneill, J.J., Johnston, L. et al. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Med 34, 1788–1795 (2008). https://doi.org/10.1007/s00134-008-1179-4
17. Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, Khatib KI, Jagiasi BG, Chanchalani G, Mishra RC,Samavedam S, Govil D, Gupta S, Prayag S, Ramasubban S, Dobariya J, Marwah V, Sehgal I, Jog SA, Kulkarni AP. ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs. Indian J Crit Care Med. 2020 Jan;24(Suppl1):S61-S81. doi: 10.5005/jp-journals-10071-G23186. PMID: 32205957; PMCID: PMC7085817.
18. Villalba D., Rossetti G., Scrigna M., et al. // Respir. Care. - 2019. - P.06807. http://rc.rcjournal. com/content/respcare/ early/2019/10/01 /respcare.06807.full.pdf
19. Iuri Christmann Wawrzeniak, Silvia Regina Rios Vieira, Josué Almeida Victorino, "Weaning from Mechanical Ventilation in AR DS: Aspects to Think about for Better Understanding, Evaluation, and Management", BioMed Research International, vol. 2018, ArticleID 5423639, 12 pages, 2018. https://doi.org/10.1155/2018/5423639

Для цитирования

Молдоташова А.К., Жузумалиева К.С., Кочконбаев Ж.А., Иманкулова А.С. Отлучения от искусственной вентиляции легких. Здравоохранение Кыргызстана 2022,№1, с. 77-82.
https://doi.org/10.51350 /zdrav kg2022311177

Англисче
About authors

Moldotashova Aike Kenzheevna, Ph.D., Associate Professor, Head of the Department of Anesthesiology and Resuscitation of the Faculty of Advanced Medical Studies, Kyrgyz State Medical Institute of Retraining
and Advanced Training named after S.B. Daniyarova, Bishkek, Kyrgyz Republic;
Zhuzumalieva Kulzhan Sardarovna, Ph.D., Head of the Department of Anesthesiology and Resuscitation No. 2, National Hospital of the Ministry of Health, Bishkek, Kyrgyz Republic;
Kochkonbayev Zhenish Asanalievich, Ph.D., Head of the Department of Propedeutic Surgery and Head of the Department of Scientific, Innovative and Clinical Work of the Kyrgyz State Copper Qing Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic;
Imankulova Asel Sansyzbaevna, Ph.D., associate professor, head of the department of scientific, innovative and clinical work of the Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic.

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References

1. Babaev M.A., Bykov D.B., Birg T.M., Vyzhigina M.A., Eremenko A.A. Ventiltion-induced diaphragm dysfunction (review)//General resuscitation. 2018;14:82-103. https://www.researchgate.net/publication/326168616_Ventilator-Induced_Diaphragm_Dysfunction_Review
2.  Satishur O.E. Mechanical ventilation of the lungs. Moscow, 2006. - 287 p.https://topuch.ru/id277.pdf
3.  Moldotashova A.K., Anishchuk E.A. Respiratory support for neurological patients//Scientific and practical journal "Medicine of Kyrgyzstan". 2018;4:26-30.
4. Bosma KJ, Read BA, Bahrgard Nikoo MJ, Jones PM, Priestap FA, Lewis JF. A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation. Crit Care Med. 2016;44(6):1098-1108. doi:10.1097/CCM.0000000000001600
5. Botha J., Green J., Carney I., et al. // Crit. Care Resusc. 2018;20:33-40. https://www.researchgate.net/ publication/ 344248316_Proportional_ assist_ventilati on_versus_ pressure_sup port_ventilation_ for_weaning_from_ mechanical_ventilation_ in_ adults_a_meta-analysis_and_trial_sequential_analysis
6. Burns, K.E.A., Soliman, I., Adhikari, N.K.J. et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 21, 127 (2017). https://doi.org/10.1186/s13054-017-1698-x
7. Burns KEA, Raptis S, Nisenbaum R, et al. International Practice Variation in Weaning Critically Ill Adults from Invasive Mechanical Ventilation [published correction appears in Ann Am Thorac Soc. 2018 Jul;15(7):894]. Ann Am Thorac Soc. 2018; 15(4):494-502. doi:10.1513/AnnalsATS.201705-410OC https://pubmed.ncbi.nlm.nih.gov/29509509/
8. Ceriana, P., Nava, S., Vitacca, M., Carlucci, A., Paneroni, M., Schreiber, A., Pisani, L., & Ambrosino, N. (2019). Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology, 25(6), 328-333. https://doi.org/10.1016/j.pulmoe.2019.07.006 https://moh-it.pure.elsevier.com/en/publications/noninvasive-ventilation-during-weaning-from-prolonged-mechanical-
9. Dres, M., Demoule, A. Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Crit Care 22, 73 (2018). https://doi.org/10.1186/s13054-018-1992-2
10. Ferreira, J. C., Diniz-Silva, F., Moriya, H. T., Alencar, A. M., Amato, M., & Carvalho, C. (2017). Neurally Adjusted Ventilatory Assist (NAVA) or Pressure Support Ventilation (PSV) during spontaneous breathing trials in critically ill patients: a crossover trial. BMC pulmonary medicine, 17(1), 139. https://doi.org/10.1186/s12890-017-0484-
11. Kataoka, J., Kuriyama, A., Norisue, Y. et al. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann. Intensive Care 8, 123 (2018). https://doi.org/10.1186/s13613-018-0470-y
12. Küçük M.P., Sztürk Ç.E., Ílkaya N.K., et al. // Turk. J. Anaesthesiol. Reanim. - 2018. - Vol.46. - P.62-65.
13. Liu F, Shao Q, Jiang R, Zeng Z, Liu Y, Li Y, et al. High-Flow Oxygen Therapy to Speed ... Am J Crit Care [Internet]. 2019 [cited 2021 May 01];28(5):370-376. https://rper.aper.pt/index.php/rper/article/view/172/
14. Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation. Chest. 2017;151(1):166-180. doi:10.1016/j.chest.2016.10.036 https://pubmed.ncbi.nlm.nih.gov/27818331/
15. Perkins GD, Mistry D, Lall R,Gao-Smith F,Snelson C, Hart N et al. ... In: Health technology assessment (Winchester, England ). 2019 ; Vol. 23, No. https://kclpure.kcl.ac.uk/portal/en/publications/protocolised-noninvasive-compared-with-invasive-weaningfrom-mechanical-ventilation-for-adults-in-intensive-care(1bd01589-53b3-48eb-bf2d-d1fc0772b1b1)/export.html
16. Rose, L., Presneill, J.J., Johnston, L. et al. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Med 34, 1788–1795 (2008). https://doi.org/10.1007/s00134-008-1179-4
17. Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, Khatib KI, Jagiasi BG, Chanchalani G, Mishra RC,Samavedam S, Govil D, Gupta S, Prayag S, Ramasubban S, Dobariya J, Marwah V, Sehgal I, Jog SA, Kulkarni AP. ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs. Indian J Crit Care Med. 2020 Jan;24(Suppl1):S61-S81. doi: 10.5005/jp-journals-10071-G23186. PMID: 32205957; PMCID: PMC7085817.
18. Villalba D., Rossetti G., Scrigna M., et al. // Respir. Care. - 2019. - P.06807. http://rc.rcjournal. com/content/respcare/ early/2019/10/01 /respcare.06807.full.pdf
19. Iuri Christmann Wawrzeniak, Silvia Regina Rios Vieira, Josué Almeida Victorino, "Weaning from Mechanical Ventilation in ARDS: Aspects to Think about for Better Understanding, Evaluation, and Management", BioMed Research International, vol. 2018,ArticleID 5423639, 12 pages, 2018. https://doi.org/10.1155/2018/5423639

For citation

Moldotashova A.K., Zhuzumalieva K.S.,Kochkonbaev J.A., Imankulova A.S. Weaning from mechanical  ventilation. Health care of Kyrgyzstan 2022, No. 1, pp.77-82. https://doi.org/10.51350/zdravkg2022311177

Кыргызча
Авторлор жөнүндө

Молдоташова Айке Кенжеевна, м.и.к., С. Б. Данияров атындагы Кыргыз мамлекеттик кайра даярдоо жана квалификацияны жогорулатуу медициналык институтунун дарыгерлерди өркүндөтүү факультетинин анестезиология жана реаниматология кафедрасынын башчысы, Бишкек, Кыргыз Республикасы;

Жүзүмалиева Кулжан Сардаровна, м.и.к., КР Саламаттык сактоо министрлигинин Улуттук госпиталынын №2 анестезиология жана реанимация бөлүмүнүн башчысы,Бишкек, Кыргыз Республикасы;

Кочконбаев Жениш Асаналиевич, м.и.к., И. К. Ахунбаев атындагы КММАнын пропедевтикалык хирургия кафедрасынын башчысы, Бишкек, Кыргыз Республикасы;

Иманкулова Асель Сансызбаевна, м.и.к., И.К. Ахунбаев атындагы Кыргыз Мамлекеттик Медициналык Академиясынын илимий-инновациялык жана клиникалык иштер бөлүмү башчысы, Бишкек, Кыргыз Республикасы.

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Шилтемелер

1. Бабаев М.А., Быков Д.Б., Бирг Т.М., Выжигина М.А., Еременко А.А. ИВЛ-индуцированная дисфункция диафрагмы (обзор)//Общая реаниматология. 2018;14:82-103. [Babaev M.A., Bykov D.B., Birg T.M., Vyzhigina M.A., Eremenko A.A. IVLinducirovannaya disfunkciya diafragmy (obzor)//Obshchaya reanimatologiya. 2018;14:82-103.] https://www. researchgate. net/publication /326168616_Ventilator-Induced_Diaphragm_Dysfunction_Review
2. Сатишур О.Е. Механическая вентиляция легких. Москва, 2006. - 287 с. Satishur O.E. Mekhanicheskaya ventilyaciya legkih.Moskva, 2006. - 287 s. https://topuch.ru/id277.pdf
3. Молдоташова А.К., Анищук Е.А. Респираторная поддержка неврологических больных// Научно-практический журнал«Медицина Кыргызстана» .2018;4:26-30. [Moldotashova A.K., Anishchuk E.A. Respiratornaya podderzhka nevrologicheskih bol'nyh// Nauchno-prakticheskij zhurnal «Medicina Kyrgyzstana» .2018;4:26-30.]
4. Bosma KJ, Read BA, Bahrgard Nikoo MJ, Jones PM, Priestap FA, Lewis JF. A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation. Crit Care Med. 2016;44(6):1098-1108.doi:10.1097/CCM.0000000000001600
5. Botha J., Green J., Carney I., et al. // Crit. Care Resusc. 2018;20:33-40. https://www.researchgate.net/ publication/ 344248316_Proportional_ assist_ventilati on_versus_ pressure_sup port_ventilation_ for_weaning_from_ mechanical_ventilation_ in_ adults_a_meta-analysis_and_trial_sequential_analysis
6. Burns, K.E.A., Soliman, I., Adhikari, N.K.J. et al. Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis. Crit Care 21, 127 (2017). https://doi.org/10.1186/s13054-017-1698-x
7. Burns KEA, Raptis S, Nisenbaum R, et al. International Practice Variation in Weaning Critically Ill Adults from Invasive Mechanical Ventilation [published correction appears in Ann Am Thorac Soc. 2018 Jul;15(7):894]. Ann Am Thorac Soc. 2018; 15(4):494-502. doi:10.1513/AnnalsATS.201705-410OC https://pubmed.ncbi.nlm.nih.gov/29509509/
8. Ceriana, P., Nava, S., Vitacca, M., Carlucci, A., Paneroni, M., Schreiber, A., Pisani, L., & Ambrosino, N. (2019). Noninvasive ventilation during weaning from prolonged mechanical ventilation. Pulmonology, 25(6), 328-333. https://doi.org/10.1016/j.pulmoe.2019.07.006 https://moh-it.pure.elsevier.com/en/publications/noninvasive-ventilation-during-weaning-from-prolonged-mechanical-
9. Dres, M., Demoule, A. Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Crit Care 22, 73 (2018). https://doi.org/10.1186/s13054-018-1992-2
10. Ferreira, J. C., Diniz-Silva, F., Moriya, H. T., Alencar, A. M., Amato, M., & Carvalho, C. (2017). Neurally Adjusted Ventilatory Assist (NAVA) or Pressure Support Ventilation (PSV) during spontaneous breathing trials in critically ill patients: a crossover trial. BMC pulmonary medicine, 17(1), 139. https://doi.org/10.1186/s12890-017-0484-
11. Kataoka, J., Kuriyama, A., Norisue, Y. et al. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann. Intensive Care 8, 123 (2018). https://doi.org/10.1186/s13613-018-0470-y
12. Küçük M.P., Sztürk Ç.E., Ílkaya N.K., et al. // Turk. J. Anaesthesiol. Reanim. - 2018. - Vol.46. - P.62-65.
13. Liu F, Shao Q, Jiang R, Zeng Z, Liu Y, Li Y, et al. High-Flow Oxygen Therapy to Speed ... Am J Crit Care [Internet]. 2019 [cited2021 May 01];28(5):370-376. https://rper.aper.pt/index.php/rper/article/view/172/
14. Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation.Chest. 2017;151(1):166-180. doi:10.1016/j.chest.2016.10.036 https://pubmed.ncbi.nlm.nih.gov/27818331/
15. Perkins GD, Mistry D, Lall R,Gao-Smith F,Snelson C, Hart N et al. ... In: Health technology assessment (Winchester, England ).2019 ; Vol. 23, No. https://kclpure.kcl.ac.uk/portal/en/publications/protocolised-noninvasive-compared-with-invasive-weaningfrom-mechanical-ventilation-for-adults-in-intensive-care(1bd01589-53b3-48eb-bf2d-d1fc0772b1b1)/export.html
16. Rose, L., Presneill, J.J., Johnston, L. et al. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare™/PS. Intensive Care Med 34, 1788–1795 (2008). https://doi.org/10.1007/s00134-008-1179-4
17. Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, Khatib KI, Jagiasi BG, Chanchalani G, Mishra RC,Samavedam S, Govil D, Gupta S, Prayag S, Ramasubban S, Dobariya J, Marwah V, Sehgal I, Jog SA, Kulkarni AP. ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs. Indian J Crit Care Med. 2020 Jan;24(Suppl1):S61-S81. doi: 10.5005/jp-journals-10071-G23186. PMID: 32205957; PMCID: PMC7085817.
18. Villalba D., Rossetti G., Scrigna M., et al. // Respir. Care. - 2019. - P.06807. http://rc.rcjournal. com/content/respcare/ early/2019/10/01 /respcare.06807.full.pdf
19. Iuri Christmann Wawrzeniak, Silvia Regina Rios Vieira, Josué Almeida Victorino, "Weaning from Mechanical Ventilation in AR DS: Aspects to Think about for Better Understanding, Evaluation, and Management", BioMed Research International, vol. 2018, ArticleID 5423639, 12 pages, 2018. https://doi.org/10.1155/2018/5423639

Цитата үчүн

Молдоташова А.К., Жузумалиева К.С., Кочконбаев Ж.А., Иманкулова А.С. Өпкөнү жасалма желдетүүдөн ажыратуу. Кыргызстандын саламаттык сактоо 2022,№1, с. 77-82.
https://doi.org/10.51350 /zdrav kg2022311177

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