目前的进展和知识上的差距 个性化口罩的非侵入性呼吸系统支持.
Rosemijne R W P Pigmans1,2, Jonathan M Smith3, Dick G Markhorst4
1Pediatric Intensive Care Unit, Emma Children's Hospital, Amsterdam UMC, location AMC, University of Amsterdam, Amsterdam, Noord-Holland, the Netherlands r.r.pigmans@amsterdamumc.nl.
个性化呼吸辅助口罩提高了舒适度,并减少了需要非侵入性通风的患者的空气泄漏. 需要对材料,设计和成本效益进行进一步的研究,以便在临床上广泛使用.
科学领域:
- 生物医学工程 生物医学工程
- 呼吸系统医学 呼吸系统医学
- 医疗器械设计 医疗器械设计
背景情况:
- 通过面罩进行非侵入性呼吸支持对于呼吸衰竭至关重要.
- 商用口罩通常不适合,导致不适和治疗失败.
- 个性化,定制的口罩提供了一个潜在的解决方案,以改善患者的结果.
研究的目的:
- 提供关于持续正气道压力 (CPAP) 和非侵入性通风 (NIV) 个性化口罩的进展和知识差距的全面概述.
- 系统地审查关于定制适配呼吸辅助面具的文献.
主要方法:
- 系统的文献搜索识别和总结了23项相关研究.
- 对专注于针对成人和儿科呼吸系统护理的个性化鼻罩的研究进行分析.
- 审查涉及基准测试和临床评估的研究.
主要成果:
- 大多数个性化口罩研究专注于鼻腔接口,成人研究强调慢性通风,儿科研究专注于急性护理.
- 个性化口罩在测试和人体测试中在舒适性,空气泄漏和皮肤压力方面普遍表现良好.
- 3D扫描和打印技术的进步促进了个性化口罩的开发.
结论:
- 个性化口罩有望改善非侵入性呼吸支持.
- 关于枕头材料,头盔设计,临床可行性和成本效益,仍然存在重大知识差距.
- 在推个性化呼吸支口罩的大规模临床实施之前,进一步的研究是至关重要的.
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