呼吸道経由による体温管理
Brian J Ring1, François Lellouche2,3, Robert Chatburn4
1Dr. Ring, Dr. Goodman, and Mr. Branson are affiliated with Division of Trauma Surgery and Critical Care, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Respiratory care
|August 25, 2025
まとめ
低体温 (低体温) のリスクが高くなります. 加熱された加湿されたガスを吸い込むことは体温を調節するのに役立ちますが,より多くの臨床的証拠が必要です.
科学分野:
- クリティカル ケア 医療
- 呼吸器の生理学
- 温度調節
背景:
- 低体温 (体温≤35°C) は,機械呼吸器を用いる患者の罹病率と死亡率を増加させる.
- 熱と水分が失われる. 熱と水分が失われる.
- 既存の呼吸道加湿器具は 全身の加熱に対して 議論の余地があります
研究 の 目的:
- 呼吸道による温度調節の実現可能性と効果を評価する.
- 集中治療における低体温管理における 吸入された加熱された加湿ガスの可能性を評価する.
主な方法:
- この記述的レビューは,呼吸道ベースの温度調節に関する現在の文献をまとめています.
- 吸入ガスの加熱と加湿に関する既存の技術と新興技術を評価する.
主要な成果:
- 吸入した空気を調節する上部呼吸器の役割は 挿管によって回避されます
- 熱と水分を大幅に失い 低体温のリスクが増加します
- 再加熱のための現在の呼吸道加熱戦略の有効性は議論されています.
結論:
- 熱した加湿ガスを使った 呼吸道による温度調節は 特にトラウマケアのような 特定のシナリオでは 望ましい結果を示しています
- 効果を確認し,臨床実践を導くためには,さらに強力な臨床検証が必要である.
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