Adam V Nesek, Tonković D, Stojčić E Grizelj, Mršić V, Matolić M, Marin D
Acta Med Croatica. 2015;69(2):107-10.
Acute respiratory failure is relatively common postoperative complication, occurs frequently in patients with preexisting compromised respiratory function and/or undergoing major thoracoabdominal procedures. Although endotracheal intubation and mechanical ventilation is still considered the cornerstone for the treatment of patients with acute respiratory failure, literature data have shown that mortality of these patients is closely associated to complications of intubation and mechanical ventilation. Therefore, the goal is to prevent complications and if possible to avoid endotracheal intubation. Noninvasive ventilation (NIV) is a form of mechanical support that does not require endotracheal intubation and is nowadays often used in prophylactic and therapeutic purposes in surgical patients with acute respiratory failure. In this article we give a brief overview of the indications and limitations of non-invasive ventilation in perioperative period.
急性呼吸衰竭是一种相对常见的术后并发症，在呼吸功能预先受损的患者和/或接受大型胸腹部手术的患者中经常发生。尽管气管插管和机械通气仍被认为是治疗急性呼吸衰竭患者的基石，但文献数据表明，这些患者的死亡率与插管和机械通气的并发症密切相关。因此，目标是预防并发症，并尽可能避免气管插管。无创通气（NIV）是一种不需要气管插管的机械支持形式，如今常用于急性呼吸衰竭手术患者的预防和治疗目的。在本文中，我们简要概述了围手术期无创通气的适应症和局限性。
