[重症监护中的氧气治疗]
1Klinik für Pneumologie, Medizinische Hochschule Hannover; Deutsches Zentrum für Lungenforschung (DZL), Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover.
Deutsche medizinische Wochenschrift (1946)
|May 31, 2023
概括
脉冲氧计对于检测低氧气是有用的,但不是确定性的. 目标氧和度 (SpO2) 根据患者而异,对于通风,非通风和高风险个体有特定范围,以优化治疗并避免并发症.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 生物医学工程 生物医学工程
背景情况:
- 脉冲氧计提供高灵敏度但低特异性的低氧检测,需要清楚地了解目标氧和 (SpO2) 值.
- 动脉血液气体分析仍然是监测氧疗法的黄金标准,而静脉血液气体分析不适合此目的.
结论:
- 最佳的氧气疗法需要根据患者的病情量身定制的SpO2目标,以最大限度地提高效益并最大限度地降低诸如高氧化症或高头症等风险.
- 动脉血液气体监测对于特定的重症监护情况至关重要,包括体外支持.
- 高流氧疗法是急性超性呼吸衰竭的可行选择.
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