表面活性剂应用的替代途径 - 一个更新
Angela Kribs1, Kari D Roberts2, Daniele Trevisanuto3
1Division of Neonatology, Department of Paediatrics, University of Cologne, Faculty of Medicine, Cologne, Germany.
Seminars in fetal & neonatal medicine
|December 1, 2023
概括
对于患有呼吸困扰综合征 (RDS) 的早产婴儿,非侵入性呼吸支持是首选的. 正在探索少入侵的表面活性剂施用方法,以改善当单独的非侵入性支持不足时的结果.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
背景情况:
- 非侵入性呼吸辅助是患有呼吸困扰综合征 (RDS) 的早产婴儿的主要选择.
- 避免侵入性机械通风可以减少早产婴儿的发病率和死亡率.
- 尽管最初的非侵入性支持,但有些婴儿需要表面活性剂的使用,而非侵入性支持的失败与不良结果有关.
研究的目的:
- 探索在早产婴儿中将非侵入性呼吸辅助与表面活性剂治疗相结合的方法.
- 审查和讨论证据,局限性和未来的研究方向,以减少侵入性表面活性剂的管理技术.
主要方法:
- 对较少或最小侵入性的表面活性剂治疗方法的临床研究的审查.
- 描述各种表面活性剂应用技术.
- 讨论现有的证据和局限性.
主要成果:
- 已经开发了几种较少或最小侵入性的表面活性剂治疗方法.
- 报告了临床研究的证据,并讨论了每个方法的局限性.
结论:
- 将非侵入性呼吸辅助与表面活性剂治疗相结合,对于管理早产婴儿症状性RDS至关重要.
- 需要进行进一步的研究,以优化少入侵的表面活性剂施用技术,并改善临床结果.
相关概念视频
Additional Routes of Drug Administration
2.8K
Choosing the appropriate route of drug administration is significantly influenced by two key factors: the therapeutic objectives and the inherent properties of the drug being used.
Administering drugs via inhalation allows for the direct delivery of gaseous, volatile substances or droplets to different parts of the respiratory tract. One of the advantages of the inhalation route is the rapid absorption of drugs into the circulatory system, which is possible because of the large surface area of...
Administering drugs via inhalation allows for the direct delivery of gaseous, volatile substances or droplets to different parts of the respiratory tract. One of the advantages of the inhalation route is the rapid absorption of drugs into the circulatory system, which is possible because of the large surface area of...
2.8K
Drug Delivery: Miscellaneous Routes
357
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
357
Breathing
59.3K
The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...
59.3K
Drug Delivery: Overview
296
The selection of a drug's delivery route depends upon its physicochemical properties, including lipid or water solubility and ionization, as well as the therapeutic requirement, such as immediate or sustained effect. These routes can be divided into three primary categories: enteral, parenteral, and topical.
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
296
Routes of Drug Administration: Overview
6.2K
Drug administration involves delivering drugs to the body through various routes, such as enteral, parenteral, and topical.
Enteral administration refers to drugs absorbed through the gastrointestinal tract. They can be swallowed (perorally), placed under the tongue (sublingually), or on the inner lining of the cheeks (buccally). Perorally administered drugs take time to be absorbed and have a slower onset of action. The rectal route is another form of enteral administration, which allows for...
Enteral administration refers to drugs absorbed through the gastrointestinal tract. They can be swallowed (perorally), placed under the tongue (sublingually), or on the inner lining of the cheeks (buccally). Perorally administered drugs take time to be absorbed and have a slower onset of action. The rectal route is another form of enteral administration, which allows for...
6.2K
Inhaled Medications
280
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
280


