Baird John Scott, Ravindranath Thyyar M
Division of Pediatric Critical Care, Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, USA.
Pediatr Rep. 2012 Apr 2;4(2):e17. doi: 10.4081/pr.2012.e17. Epub 2012 Apr 24.
Noninvasive ventilation has been utilized successfully in the pre- and out-of-hospital settings for a variety of disorders, including respiratory distress syndrome in neonates, neurologic and pulmonary diseases in infants and children, and heart failure as well as chronic obstructive pulmonary disease in adults. A variety of interfaces as well as mechanical positive pressure devices have been used: simple continuous positive airway pressure devices are available which do not require sophisticated equipment, while a broad spectrum of ventilators have been used to provide bilevel positive airway pressure. Extensive training of transport teams may be important, particularly when utilizing bilevel positive airway pressure in infants and children.
无创通气已成功应用于院前和院外环境,用于治疗多种疾病,包括新生儿呼吸窘迫综合征、婴幼儿和儿童的神经及肺部疾病、成人的心力衰竭以及慢性阻塞性肺疾病。已使用了多种接口以及机械正压设备:有简单的持续气道正压设备,不需要复杂的仪器,同时也使用了多种呼吸机来提供双水平气道正压。对转运团队进行广泛培训可能很重要,尤其是在对婴幼儿使用双水平气道正压时。