在COVID-19肺炎患者中出现平板鼻-正氧症综合征:一项观察性研究
Masatoshi Hanada1, Yuji Ishimatsu2, Noriho Sakamoto3
1Department of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan; Department of Physical Therapy Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Respiratory investigation
|January 28, 2024
概括
在需要呼吸支的COVID-19患者中,35.7%的患者出现了平板呼吸-正极氧症综合征. 这种综合征与较低的氧气吸收率有关,这突显了患者重新定位时需要提高意识的必要性.
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:
- 盘-正氧症综合征 (POS) 是一种罕见的疾病,其特征是坐着或站着时出现的呼吸短促,躺下就能缓解.
- COVID-19可能导致严重的呼吸损害,需要机械通风或高流量鼻腔管 (HFNC).
- 在COVID-19患者中POS的发生和影响尚未得到充分记录.
研究的目的:
- 在COVID-19患者中评估平 - ортодеокси亚综合征的临床特征.
- 为了确定机械通风或HFNC治疗的COVID-19患者中POS的发生率.
- 检查POS和COVID-19严重程度,氧气治疗持续时间和短期预后之间的关系.
主要方法:
- 从2020年1月到2022年3月,对42名连续接受机械呼吸或HFNC治疗的COVID-19患者进行了回顾性观察性研究.
- 分析主要结果,包括POS发生率,长期氧气治疗的时间和短期预后.
- 检查POS和COVID-19严重程度,氧气治疗持续时间和预后之间的相关性.
主要成果:
- 在42名患者中,有15名 (35.7%) 患者确诊了盘性正正氧症综合征.
- 在POS和没有POS的患者之间没有观察到死亡率的显著差异.
- 与没有POS的患者相比,POS患者的氧气吸收率明显较低.
结论:
- 盘-正氧症综合征是COVID-19患者需要呼吸支持的显著并发症.
- 对POS的认识对于管理COVID-19患者的临床工作人员至关重要,特别是在位置变化期间.
- 早期识别和管理POS可以提高患者的安全性,并可能改善物理治疗和整体康复期间的结果.
相关概念视频
Hyperpnea and Hyperventilation
1.1K
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
1.1K
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
216
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
216
Acute Respiratory Failure-IV
158
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
158
Sleep Apnea
156
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
156
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K


