高流氧疗法与常规氧疗法在经过支气管镜检查和支气管膜洗的狗和猫身上:一个试点研究
Camille Dartencet1,2, Maha Abunemeh3, Stephane Junot2,3
1Intensive Care Unit (SIAMU), Université de Lyon, VetAgro Sup, Marcy l'Etoile, France.
Frontiers in veterinary science
|June 10, 2024
概括
高流氧疗法 (HFOT) 对于接受支气管镜检查的兽医患者来说是安全和可行的. 在这些程序期间,HFOT可以减少狗和猫的严重脱事件.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 呼吸系统护理 呼吸系统护理
- 麻醉学 麻醉学
背景情况:
- 支气管支气管洗 (BAL) 带支气管支气管镜检查是兽医中常见的一种诊断程序.
- 在这些程序期间保持足够的氧化对于患者的安全至关重要.
- 传统的氧气疗法 (COT) 在确保最佳氧气和方面可能存在局限性.
研究的目的:
- 评估高流氧疗法 (HFOT) 对狗和猫的安全性和可行性.
- 为了比较HFOT和COT在支气管镜检查±BAL期间的SpO2水平和脱事件.
- 评估HFOT在预防严重脱事件中的有效性.
主要方法:
- 一项涉及狗和猫进行支气管镜检查的随机研究 ± BAL.
- 患者被分配到HFOT (1L/kg/min,100%FiO2) 或COT (1.5L/min) 中.
- 在整个过程中,监测了周围氧和度 (SpO2).
主要成果:
- 发现HFOT在两种物种中都是可行的和安全的,没有报告的并发症.
- 虽然整体脱的发作 (SpO2 < 94%) 没有显著差异,但HFOT患者没有严重的脱 (SpO2 < 90%).
- 在多个时间点,HFOT组的平均SpO2明显高于COT组.
结论:
- 高流氧疗法是在支气管镜检查 ± BAL.期间,对于狗和猫来说是一个安全和可行的选择.
- 在兽医患者中,HFOT显示出降低严重脱事件风险的潜力.
- 这项研究代表了迄今为止在狗和猫的支气管镜检查期间对HFOT的最大调查.
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