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在家庭环境中使用儿科高流量鼻的指示和结果
David D'Arienzo1,2,3, Liam Sanvido4, Reshma Amin5,6
1Complex Care Program, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
家庭高流量鼻腔管 (HFNC) 的使用在儿科患者中因各种呼吸系统问题而增加. 这种疗法很少出现并发症,但可能需要升级到其他支持方法.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 医疗技术采用 医疗技术采用
背景情况:
- 家庭高流量鼻腔管 (HFNC) 是一种新兴的儿童呼吸支疗法.
- 了解它的使用,说明和结果对于临床实践至关重要.
研究的目的:
- 在儿科中描述家庭HFNC的患者特征和临床结果.
- 评估2013年至2022年家庭HFNC启动的趋势.
主要方法:
- 在加拿大第三级医院对在家治疗的儿科患者的回顾性审查HFNC (2013-2023年).
- 使用了描述性统计和曼-肯德尔趋势测试.
主要成果:
- 在2013-2023年期间,35名儿科患者开始在家中HFNC治疗.
- 从2013-2016年到2021-2022年,启动量显著增加 (p < .001).从2013-2016年到2021-2022年,启动量显著增加 (p < .001).
- 常见的征兆包括气道阻塞,二氧化碳保留和分泌物清除,通常在患有遗传性疾病和先前使用管的儿童中.
结论:
- 家庭HFNC的使用正在增加,用于各种指示的儿科护理.
- 这种治疗似乎是安全的,罕见的并发症,尽管可能需要升级到CPAP/BiPAP.
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