对不同高流量设备在新生儿护理中的有效性进行比较
Diogo Machado Kaminski1, Graziela Ferreira Biazus1, Rita C Silveira2
1Hospital de Clínicas de Porto Alegre, Department of Physiotherapy, Neonatology Service, Porto Alegre, RS, Brazil.
Jornal de pediatria
|November 30, 2023
概括
高流量鼻腔管 (HFNC) 疗法对新生儿有呼吸问题是有效的,无论设备类型如何. 适应机械呼吸机在资源有限的环境中提供了可行的替代方案.
科学领域:
- 新生儿科学 新生儿科学
- 儿科呼吸系统医学 儿科呼吸系统医学
- 关键的护理关键的护理
背景情况:
- 高流量鼻腔管 (HFNC) 治疗越来越多地用于新生儿护理.
- 评估不同HFNC输送系统的有效性对于优化患者的治疗结果至关重要.
- 适应过时的机械通风机的使用对于HFNC没有得到广泛的研究.
研究的目的:
- 评估HFNC治疗新生儿的成功率,使用OptiflowTM,VapothermTM和适应过时的机械呼吸器 (MV).
- 为了比较这些HFNC设备在新生儿与各种呼吸系统疾病的有效性.
主要方法:
- 在新生儿重症监护室 (NICU) 进行了一项回顾性观察研究.
- 209名NB接受了HFNC治疗,用于呼吸器功能障碍,输出管后,或从非侵入性通风 (NIV) 断奶.
- 新生儿按妊娠年龄和体重分层,并根据设备类型分为成功 (HFNC持续时间>72小时) 和失败组.
主要成果:
- 在209个评价的NB中,HFNC的整体成功率为90.9%.
- 在OptiflowTM,VapothermTM和调整后的MV之间,没有发现成功率的显著差异.
- HFNC用于呼吸器功能障碍 (31.1%),输出管后 (2.4%) 和NIV断奶 (66.5%).
结论:
- 各种HFNC设备,包括OptiflowTM,VapothermTM和适应的MV,在新生儿呼吸护理中表现出同等的有效性.
- 适应过时的MV代表了HFNC治疗的成本效益和可行的替代方案,特别是在资源有限的环境中.
- 在新生儿中,HFNC是一种有效的治疗方式,用于呼吸功能障碍,NIV断奶和输出管后支持.
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