在低血量COVID-19患者中,高流量鼻管和Venturi口罩之间的PaO2/FiO2的差异
Ilenia Gatto1, Emanuela Biagioni2, Irene Coloretti2
1Anaesthesiology and Intensive Care Department, University Hospital of Modena, University of Modena and Reggio Emilia, 41125, Modena, Italy. ilenia.gatto@gmail.com.
Journal of anesthesia, analgesia and critical care
|June 29, 2023
概括
在COVID-19患者使用高流量鼻腔管 (HFNC) 或Venturi口罩时,动脉氧与启发氧 (PaO2 / FiO2) 的比率类似. 这一发现支持在康复患者中持续进行呼吸衰竭管理.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 在非机械通风COVID-19患者的呼吸衰竭管理中,PaO2 / FiO2比率至关重要.
- 准确的FiO2评估可能具有挑战性,可能导致PaO2/FiO2不准确.
研究的目的:
- 为了在严重的COVID-19患者中比较高流量鼻腔管 (HFNC) 和Venturi口罩氧气治疗之间的PaO2/FiO2值.
- 为了确定这些输送氧气的方法是否产生可比的呼吸衰竭评估.
主要方法:
- 研究了30名从HFNC过渡到Venturi口罩治疗的严重COVID-19患者.
- 测量PaO2/FiO2比率在氧气输送装置的开关前后立即进行.
主要成果:
- 在HFNC和Venturi面罩之间,PaO2/FiO2值显示最小偏差 (平均0 mmHg) 和可接受的变化 (SD 23 mmHg).
- 在康复COVID-19患者中,两种设备之间没有观察到PaO2/FiO2的显著差异.
结论:
- 商用Venturi口罩和HFNC在COVID-19患者中提供了可比的PaO2 / FiO2测量,这些患者从呼吸衰竭中恢复过来.
- 这表明这些设备可用于监测呼吸状态的可互换性,而不会对PaO2/FiO2评估产生重大影响.
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