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用于住院重症 COVID-19 患者的头盔式无创通气:疫苗接种和新变种是否改变了证据?

Helmet-Noninvasive Ventilation for Hospitalized Critically Ill COVID-19 Patients: Has Vaccination and the New Variants Changed Evidence?

作者信息

Neves Hugo, Parola Vítor, Bernardes Rafael A, Sousa Joana, Coelho Adriana, Dixe Maria Dos Anjos, Catela Nuno, Cruz Arménio

机构信息

The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, 3045-043 Coimbra, Portugal.

Portugal Centre for Evidence-Based Practice: A Joanna Briggs Institute Centre of Excellence, 3045-043 Coimbra, Portugal.

出版信息

Nurs Rep. 2022 Jul 17;12(3):528-535. doi: 10.3390/nursrep12030051.

DOI:10.3390/nursrep12030051
PMID:35894041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9326629/
Abstract

Noninvasive ventilation (NIV) is a technique for breathing support that significantly improves gas exchange and vital signs, reducing intubation and mortality rates. Helmets, unlike facemasks, allow for longer-term treatment and better ventilation, also being more cost-effective. As of today, we have found no reviews addressing this topic. This review aims to identify, map, and describe the characteristics of the use of noninvasive ventilation through helmet interface in critically ill COVID-19 adult patients hospitalized in acute care settings throughout the multiple moments that defined the COVID-19 pandemic. This scoping review will follow the methodology for scoping reviews proposed by JBI. A set of relevant electronic databases will be searched using terms such as COVID-19, helmet, and noninvasive ventilation. Two reviewers will independently perform the study selection regarding their eligibility. Data extraction will be accomplished using a researcher's developed tool considering the review questions. Findings will be presented in tables and a narrative description that aligns with the review's objective. This scoping review will consider any quantitative, qualitative, mixed-methods studies and systematic review designs for inclusion, focusing on the use of helmet on critically ill adult patients with COVID-19 hospitalized in acute care settings.

摘要

无创通气(NIV)是一种呼吸支持技术,可显著改善气体交换和生命体征,降低插管率和死亡率。与面罩不同,头盔式通气允许进行更长期的治疗,通气效果更好,且成本效益更高。截至目前,我们尚未发现有针对该主题的综述。本综述旨在识别、梳理并描述在整个新冠疫情期间,于急性护理环境中住院的成年危重症新冠患者使用头盔式无创通气的特征。本范围综述将遵循循证卫生保健国际合作中心(JBI)提出的范围综述方法。将使用“COVID-19”“头盔”和“无创通气”等术语搜索一系列相关电子数据库。两名评审员将独立进行纳入资格的研究筛选。将使用研究者根据综述问题开发的工具完成数据提取。研究结果将以表格形式呈现,并配以与综述目标相符的叙述性描述。本范围综述将纳入任何定量、定性、混合方法研究以及系统综述设计,重点关注在急性护理环境中住院的成年危重症新冠患者使用头盔式通气的情况。

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本文引用的文献

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Covid-19: China installs fences and alarms in Shanghai in effort to curb cases.新冠疫情:中国在上海设置围栏和警报器以努力遏制病例。
BMJ. 2022 Apr 27;377:o1076. doi: 10.1136/bmj.o1076.
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Helmet noninvasive ventilation compared to facemask noninvasive ventilation and high-flow nasal cannula in acute respiratory failure: a systematic review and meta-analysis.急性呼吸衰竭中头盔无创通气与面罩无创通气及高流量鼻导管通气的比较:一项系统评价和荟萃分析。
Eur Respir J. 2022 Mar 10;59(3). doi: 10.1183/13993003.01269-2021. Print 2022 Mar.
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COVID-19 case profile is changing with the vaccine.随着疫苗的出现,新冠病毒疾病(COVID-19)的病例情况正在发生变化。
Anaesth Crit Care Pain Med. 2021 Apr;40(2):100851. doi: 10.1016/j.accpm.2021.100851. Epub 2021 Mar 23.
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Effect of Helmet Noninvasive Ventilation vs High-Flow Nasal Oxygen on Days Free of Respiratory Support in Patients With COVID-19 and Moderate to Severe Hypoxemic Respiratory Failure: The HENIVOT Randomized Clinical Trial.新冠肺炎合并中重度低氧血症呼吸衰竭患者使用头盔无创通气与高流量鼻导管吸氧治疗后脱机时间的影响:HENIVOT 随机临床试验
JAMA. 2021 May 4;325(17):1731-1743. doi: 10.1001/jama.2021.4682.
6
Respiratory Support During the COVID-19 Pandemic: Is It Time to Consider Using a Helmet?新冠疫情期间的呼吸支持:是时候考虑使用头盔了吗?
JAMA. 2021 May 4;325(17):1723-1725. doi: 10.1001/jama.2021.4975.
7
Effectiveness of noninvasive ventilation in COVID-19 related-acute respiratory distress syndrome.COVID-19 相关急性呼吸窘迫综合征的无创通气治疗效果。
Clin Respir J. 2021 Jul;15(7):779-787. doi: 10.1111/crj.13361. Epub 2021 Mar 23.
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Offline: The case for No-COVID.线下:反对新冠疫情的理由。
Lancet. 2021 Jan 30;397(10272):359. doi: 10.1016/S0140-6736(21)00186-0.
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Air Med J. 2021 Jan-Feb;40(1):16-19. doi: 10.1016/j.amj.2020.11.009. Epub 2020 Nov 23.
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