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急性呼吸衰竭中的经鼻高流量氧疗。

Nasal high flow oxygen in acute respiratory failure.

机构信息

Department of Clinical, Integrated and Experimental Medicine (DIMES), Respiratory and Critical Care Unit, S. Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Emilia-Romagna, Italy.

Department of Clinical, Integrated and Experimental Medicine (DIMES), Respiratory and Critical Care Unit, S. Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Emilia-Romagna, Italy.

出版信息

Pulmonology. 2021 May-Jun;27(3):240-247. doi: 10.1016/j.pulmoe.2021.01.005. Epub 2021 Feb 13.

DOI:10.1016/j.pulmoe.2021.01.005
PMID:33589403
Abstract

Thermo-humidified nasal high flow (NHF) oxygen therapy is increasingly used in the management of respiratory failure. This therapy has recently gained attention as an alternative non-invasive respiratory support in several clinical scenarios, including acute and chronic settings. NHF enhances the patient's comfort and tolerance when compared with standard oxygen by supplying a heated and humidified mixture of air and oxygen at flows up to 60L/min. It can be delivered through different devices. Although few studies have compared the clinical effects of different NHF systems, the purpose of this paper is to describe the major benefits of NHF and to provide a quick guide on how to implement this therapy in daily practice. We have also included a brief description of the most frequently used NHF systems.

摘要

温热湿化高流量鼻导管氧疗(NHF)在呼吸衰竭的治疗中越来越受到重视。在急性和慢性多种临床情况下,与标准氧疗相比,该疗法因其能提供加热和湿化的空气和氧气混合气体,流速高达 60L/min,可提高患者舒适度和耐受性,而受到关注。它可通过不同设备提供。尽管少数研究比较了不同 NHF 系统的临床效果,但本文的目的是描述 NHF 的主要益处,并提供在日常实践中实施该治疗的快速指南。我们还简要描述了最常使用的 NHF 系统。

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