ASST Monza, San Gerardo Hospital, Monza, Italy.
Department of Medicine and Surgery, University of Milan-Bicocca, Via Cadore 48, Monza, MB, Italy.
Crit Care. 2021 Sep 8;25(1):327. doi: 10.1186/s13054-021-03746-8.
A helmet, comprising a transparent hood and a soft collar, surrounding the patient's head can be used to deliver noninvasive ventilatory support, both as continuous positive airway pressure and noninvasive positive pressure ventilation (NPPV), the latter providing active support for inspiration. In this review, we summarize the technical aspects relevant to this device, particularly how to prevent CO rebreathing and improve patient-ventilator synchrony during NPPV. Clinical studies describe the application of helmets in cardiogenic pulmonary oedema, pneumonia, COVID-19, postextubation and immune suppression. A section is dedicated to paediatric use. In summary, helmet therapy can be used safely and effectively to provide NIV during hypoxemic respiratory failure, improving oxygenation and possibly leading to better patient-centred outcomes than other interfaces.
一种头盔,包括透明罩和软领,环绕患者头部,可以用于提供无创通气支持,包括持续气道正压通气和无创正压通气(NPPV),后者为吸气提供主动支持。在这篇综述中,我们总结了与该设备相关的技术方面,特别是如何防止 CO 再吸入并提高 NPPV 期间的患者-呼吸机同步性。临床研究描述了头盔在心源性肺水肿、肺炎、COVID-19、拔管后和免疫抑制中的应用。有一节专门介绍儿科应用。总之,头盔治疗可以安全有效地用于低氧性呼吸衰竭时的 NIV,改善氧合,并可能比其他接口带来更好的以患者为中心的结果。