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在产科患者中使用高流量鼻氧的术后使用:系统性审查
Robert Craig1, Lucy Curran2, Sohail Bampoe1,3
1Department of Anaesthesia and Perioperative Medicine, University College London Hospital, London, UK.
Anaesthesia
|June 18, 2025
概括
高流量鼻氧 (HFNO) 在产科患者中不优于面罩前氧化,对氧化或呼吸暂停时间没有明显的益处. 需要进一步的研究来确定其作用,特别是在高风险怀孕中.
科学领域:
- 产科麻醉学 产科麻醉学
- 呼吸系统护理 呼吸系统护理
背景情况:
- 高流量鼻氧 (HFNO) 越来越多地被认为是预氧化和外科手术期间的氧化.
- 它在产科麻醉中的应用需要进一步定义.
研究的目的:
- 在术前期对产科患者使用HFNO进行系统审查.
- 评估其对母体氧化和临床结果的影响.
主要方法:
- 一个系统的审查研究在任何语言和国家.
- 包括的研究评估了HFNO作为产科患者的先氧化策略.
- 搜索集中在产科麻醉和HFNO,有偏差评估的风险.
主要成果:
- 从649份选的摘要中,包括了11篇文章.
- 在达到目标的终潮氧度方面,HFNO并不优于面罩前氧化.
- 虽然HFNO可能会增加动脉氧的部分压力,但关于呼吸暂停时间增加的证据是不一致的;没有报告对母亲或新生儿的不良影响.
结论:
- 在产科患者中,术前HFNO对传统方法的优势仍然不确定.
- 目前的证据并没有显示出低风险患者在氧化前或脱的时间方面有明显的益处.
- 对高风险患者的好处需要进一步调查.
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