BaHammam Ahmed S, Singh Tripat Deep, Gupta Ravi, Pandi-Perumal Seithikurippu R
University Sleep Disorders Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia, and with the Strategic Technologies Program of the National Plan for Sciences and Technology and Innovation in the Kingdom of Saudi Arabia, Riyadh, Saudi Arabia.
Philips Respironics India.
Respir Care. 2018 Feb;63(2):227-237. doi: 10.4187/respcare.05787. Epub 2017 Oct 31.
Noninvasive ventilation is an effective treatment for a significant proportion of patients with acute respiratory failure. The success of noninvasive ventilation, however, depends on several factors, a major one being the selection of the proper interface. The choice and application of the interface in patients with acute respiratory failure is a considerable challenge for any treatment team. This review discusses the different types of interfaces that can be used in patients with acute respiratory failure, the differences between nasal, oro-nasal, and total face masks and the helmet, as well as the effect of interface type on treatment success and upper airway patency, mask fitting, problems related to the interface, and the relationship between ventilator type and interface choice.
无创通气对相当一部分急性呼吸衰竭患者来说是一种有效的治疗方法。然而，无创通气的成功取决于几个因素，其中一个主要因素是选择合适的接口。对于任何治疗团队而言，在急性呼吸衰竭患者中选择和应用接口都是一项相当大的挑战。本综述讨论了可用于急性呼吸衰竭患者的不同类型接口、鼻罩、口鼻面罩和全面罩与头盔之间的差异，以及接口类型对治疗成功率和上气道通畅性、面罩贴合度、与接口相关的问题，以及呼吸机类型与接口选择之间关系的影响。
