与间歇性肺部疾病相关的呼吸衰竭中的高流量鼻系统:系统性审查和叙述综合
Raffaella Pagliaro1,2, Luigi Aronne1,2, Ramona Fomez1,2
1Department of Translational Medical Sciences, University of Campania "L. Vanvitelli", 80131 Naples, Italy.
Journal of clinical medicine
|May 25, 2024
概括
高流量鼻腔管 (HFNC) 治疗对间歇性肺病 (ILD) 呼吸衰竭有前途,改善了氧化和症状. 为了在各种ILD环境中实现最佳使用,需要进一步的研究.
科学领域:
- 肺部病理学 肺部病理学
- 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:
- 间歇性肺病 (ILD) 通常导致呼吸衰竭.
- 高流量鼻腔管 (HFNC) 治疗是ILD相关的呼吸困扰的潜在治疗方法.
研究的目的:
- 系统地审查HFNC治疗在ILD患者中的疗效和安全性.
- 评估HFNC对氧化,呼吸不良,呼吸率和患者结果的影响.
主要方法:
- 在电子数据库中进行全面的文献搜索.
- 对12项涉及715名ILD患者的研究进行了系统审查和分析.
- 结果措施包括氧化,呼吸不良,呼吸率,停留时间和死亡率.
主要成果:
- 对于急性呼吸衰竭的HFNC似乎与非侵入性通风相比,患者的舒适性更好.
- HFNC可能会提高终身/息护理机构对ILD的生活质量.
- 关于慢性/长期或康复性ILD使用的数据有限.
结论:
- HFNC是管理ILD呼吸衰竭,改善氧化和症状的宝贵选择.
- 需要进一步的研究来定义最佳的HFNC协议并确定患者子组.
- 在急性,息性和潜在的慢性ILD护理中,HFNC显示出潜在的好处.
相关概念视频
Oxygen Delivering System I: Nasal Cannula and Face Mask
292
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
292
Administering Oxygen by Nasal Cannula
517
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
517
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
529
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
529
Acute Respiratory Failure-V
132
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
132
Acute Respiratory Failure-II
210
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
210
Acute Respiratory Failure-III
178
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
178


