Hypercapnia presents a formidable treatment challenge in patients with acute respiratory distress syndrome (ARDS). Here, we present the case of a patient with moderate-to-severe ARDS with hypercapnia who was successfully managed with repeated recruitment maneuvers and prone ventilation. This patient had a good response to the late recruitment maneuver and prone ventilation.
臨床上照護嚴重急性呼吸窘迫症候群的患者,因採取肺容積保護策略,使高二氧化碳血症成為一個棘手的問題。本篇文章,探討一位診斷重度呼吸窘迫症候群的個案,因肺容積保護策略導致高碳酸血症,在介入肺泡擴張及俯臥措施之後,高碳酸血症明顯改善,於住院第十五天成功拔管。