在急性和慢性呼吸衰竭中高流鼻疗法的实践:Hi-Flow调查
Claudia Crimi1,2, Alberto Noto3, Andrea Cortegiani4,5
1Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy claudia.crimi@unict.it.
BMJ open respiratory research
|December 18, 2025
概括
临床医生经常使用高流鼻疗法 (HFNT) 治疗急性呼吸衰竭,但很少用于慢性疾病. 成本和知识差距等障碍阻碍了基于证据的HFNT使用.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 关键的护理关键的护理
- 肺部病理学 肺部病理学
背景情况:
- 高流鼻疗法 (HFNT) 是一种普遍的非侵入性呼吸辅助方法.
- 关于其现实世界的临床应用和相关挑战的数据有限.
研究的目的:
- 评估与HFNT使用相关的当前临床实践,认知和障碍.
- 评估HFNT在急性和慢性呼吸衰竭环境中的应用.
主要方法:
- 在欧洲呼吸学会的会员中进行了一项横截面的,基于网络的调查.
- 数据从2023年9月到11月收集,并使用描述性统计数据进行分析.
主要成果:
- 1176名临床医生参与了这项研究;HFNT在急性呼吸衰竭中很常见,但在慢性疾病 (如COPD与高头症) 中不太常见.
- 许多人在传统氧气衰竭后启动了HFNT,尽管证据有限,但其用于缓解息症状的使用却很频繁.
- 主要障碍包括设备成本,资金问题和临床医生的知识不足;ROX指数的使用率很低.
结论:
- 在HFNT的临床实践中存在显著的变化,与既定指导方针有所不同.
- 解决金融和教育障碍对于改善对基于证据的HFNT建议的遵守至关重要.
相关概念视频
Acute Respiratory Failure-V
421
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
421
Mechanical Ventilation III: Noninvasive Ventilation
480
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
480
Cardiopulmonary Resuscitation II: ACLS Airway Management
487
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
487
Administering Oxygen by Nasal Cannula
2.4K
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
2.4K
Suctioning the Nasopharyngeal Airway
2.8K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
2.8K
Acute Respiratory Failure-IV
490
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
490


