高流量鼻治疗作为一个辅助疗法在内镜技术期间的呼吸辅助:一个叙事审查
Marta Corral-Blanco1, Javier Sayas-Catalán1, Ana Hernández-Voth1
1Avenue de Cordoba, s/n, 28041 Madrid, Spain.
Journal of clinical medicine
|January 11, 2024
概括
高流量鼻腔管 (HFNC) 在光纤支气管镜检查期间有望预防低氧症,并为手术中输管提供安全的替代方案. 然而,目前对其在胃肠内镜中使用的证据不足.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
背景情况:
- 高流量鼻腔管 (HFNC) 越来越多地用于呼吸辅助.
- 在内镜手术期间使用HFNC的指导是有限的.
- 通过鼻孔,HFNC在高流速下提供加热,加湿的氧气.
研究的目的:
- 评估HFNC作为纤维光学支气管镜检查 (FOB),上胃肠内镜检查和手术过程中的辅助工具.
- 审查有关HFNC在这些环境中的有效性和安全性的现有文献.
主要方法:
- 通过PubMed和Cochrane数据库识别的研究的叙述性综述.
- 从384.4的初始搜索中选择了99个出版物.
- 包含原创作品和案例报告与文献评论.
主要成果:
- 在预防FOB期间的低氧症方面,HFNC似乎优于传统的氧气疗法 (COT).
- 由于成本效益方面的担忧,证据不足以推HFNC而不是COT用于胃肠内镜.
- 在喉微手术和胸部手术等手术中,HFNC是一种安全有效的替代口腔输管.
结论:
- 在特定的内镜和外科手术过程中,HFNC证明了潜在的益处.
- 需要进一步进行高质量的研究,以澄清HFNC在各种内镜应用中的有效性.
- 异质的结果凸显了在程序过程中对HFNC进行更标准化的研究的需要.
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