在外科手术期间提供个性化非侵入性呼吸辅助:最新进展和未来前景
Giovanni Misseri1, Luciano Frassanito2, Rachele Simonte3
1Fondazione Istituto "G. Giglio" Cefalù, 90015 Palermo, Italy.
Journal of personalized medicine
|January 22, 2024
概括
非侵入性呼吸辅助 (NRS),包括高流量鼻氧疗法 (HFNOT) 和非侵入性通风 (NIV),提供量身定制的术后效益. 基于患者和手术因素的NRS个性化应用优化了结果和成本效益.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统医学 呼吸系统医学
- 关键的护理关键的护理
背景情况:
- 非侵入性呼吸辅助 (NRS) 经常用于外科手术期间的护理.
- 关键的方法包括高流量鼻氧疗法 (HFNOT),非侵入性通风 (NIV) 和持续正气道压力 (CPAP).
研究的目的:
- 审查NRS的外科应用.
- 讨论NRS的手术前,手术内和术后使用情况.
- 确定外科手术期间NRS的未来研究方向.
主要方法:
- 这项研究是一篇叙事性综述.
- 它综合了现有的关于在外科手术前期使用NRS的证据.
主要成果:
- 在高风险患者的麻醉诱导期间,NIV改善了气体交换并减少了并发症.
- HFNOT增强氧化,并可能有助于手术内呼吸暂停氧化.
- 手术后的"治愈性"NIV降低了高风险患者或呼吸衰竭患者的再灌管率,特别是在腹部手术后.
结论:
- 有证据支持NRS的外科使用.
- 根据患者个体特征和手术类型量身定制NRS至关重要.
- 建议对外科手术期间的NRS采取个性化,具有成本效益的方法.
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