通过呼吸道控制体温
Brian J Ring1, François Lellouche2,3, Robert Chatburn4
1Dr. Ring, Dr. Goodman, and Mr. Branson are affiliated with Division of Trauma Surgery and Critical Care, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Respiratory care
|August 25, 2025
概括
机械呼吸患者面临低温 (低体温) 的风险. 吸入加热,加湿的气体可能有助于调节体温,但需要更多的临床证据.
科学领域:
- 危急护理医学
- 呼吸系统生理学
- 温度调节
背景情况:
- 低温 (核心体温≤35°C) 会增加机械呼吸患者的发病率和死亡率.
- 输内管绕过自然的气道加湿,导致热量和水分的流失.
- 现有的气道加湿装置对于全身升温的有效性存在争议.
研究的目的:
- 评估基于气道的温度调节的可行性和有效性.
- 评估吸入的加热,加湿气体在重症监护中的潜力.
主要方法:
- 这篇叙述综合了有关气道热调节的当前文献.
- 评估吸入气体加热和加湿的现有和新兴技术.
主要成果:
- 自然上呼吸道在吸入空气中的作用被输入管绕过.
- 发生显著的热量和湿度损失,增加了低温的风险.
- 目前的气道变暖策略的有效性仍有争议.
结论:
- 通过加热和加湿气体进行基于呼吸道的温度调节,
- 为了确认疗效和指导临床实践,需要进一步进行强有力的临床验证.
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