在提供头盔通风的过程中吞:审查和临时多学科指导
José Vergara1, Michael J Brenner2, Stacey A Skoretz3,4,5
1Department of Surgery, University of Campinas, Campinas, SP, Brazil.
Journal of the Intensive Care Society
|September 3, 2024
概括
头盔非侵入性通风 (NIV) 的使用在COVID-19后急剧增加. 本综述探讨了头盔 NIV 期间的吞安全性,这对于重症患者来说至关重要,以防止吸血和改善水分.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 使用头盔接口的非侵入性通风 (NIV) 在全球范围内越来越受欢迎,特别是在COVID-19后.
- 头盔NIV提供了诸如降低气溶和保持通信等好处,但其对吞功能的影响仍未得到充分探索.
- 在需要呼吸支的重症患者中,吸气风险是一个重大问题.
研究的目的:
- 审查关于头盔NIV对上呼吸道生理和吞的影响现有证据.
- 为了评估在头盔上吞的安全性和效率NIV.
- 为多学科团队提供临床指导,关于头盔NIV.患者的口服摄入.
主要方法:
- 对NIV,上呼吸道功能和吞发表的文献进行系统审查.
- 对头盔接口对吞机制生理影响的分析.
- 介绍了一个案例研究,说明了在头盔NIV.期间保存的吞功能.
主要成果:
- 头盔NIV可能有助于改善口腔水分.
- 有证据表明,在特定患者的头盔NIV期间,可以保持吞功能.
- 多学科的投入对于安全地开始口服是必不可少的.
结论:
- 头盔NIV是一种可行的呼吸辅助选择,对补水有潜在的好处.
- 需要进一步的研究,以充分阐明在头盔NIV时吞的安全性和效率.
- 建议提供临时临床指导,以支持安全的患者管理.
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