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高流量鼻导管氧疗在 7 例呼吸衰竭猫中的应用。

High-flow nasal cannula oxygen therapy in seven cats with respiratory failure.

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.

Université Paris Est Créteil, INSERM, IMRB, Créteil, France.

出版信息

J Feline Med Surg. 2024 Jul;26(7):1098612X241249837. doi: 10.1177/1098612X241249837.

DOI:10.1177/1098612X241249837
PMID:39073918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11292939/
Abstract

CASE SERIES SUMMARY

This case series describes seven cats that were treated with high-flow nasal cannula oxygen therapy (HFNOT). Seven cats were prospectively (n = 5) or retrospectively (n = 2) included from three veterinary university referral centers between March 2020 and September 2023. Data on signalment, medical history, clinical and diagnostic findings, treatment administered, response to HFNOT and outcomes were recorded. All cats included in this case series failed to respond to oxygen cage or flow-by oxygen therapy and were subsequently transitioned to HFNOT. After this transition, these cats demonstrated a marked improvement in respiratory parameters, including respiratory rate, effort and oxygen saturation measured by pulse oximetry, within 1 h of initiating HFNOT. All cats tolerated HFNOT well without any complications.

RELEVANCE AND NOVEL INFORMATION

There is limited literature reporting the use of HFNOT in feline patients. This is the first case series in the literature of HFNOT utilized as an advanced oxygen delivery method for feline respiratory failure. This case series indicates that HFNOT improves oxygenation in feline patients that fail to respond to conventional oxygen therapy.

摘要

病例系列总结

本病例系列描述了 7 只接受高流量鼻导管氧疗(HFNOT)治疗的猫。2020 年 3 月至 2023 年 9 月,3 家兽医大学转诊中心前瞻性(n=5)或回顾性(n=2)纳入了 7 只猫。记录了一般信息、病史、临床和诊断发现、治疗方法、对 HFNOT 的反应和结果。本病例系列中纳入的所有猫均对氧笼或氧气吹入治疗无反应,随后转用 HFNOT。转用 HFNOT 后,这些猫的呼吸参数,包括呼吸频率、呼吸努力和脉搏血氧饱和度,在开始 HFNOT 后 1 小时内显著改善。所有猫均耐受 HFNOT,无任何并发症。

相关性和新颖性

关于 HFNOT 在猫患者中的应用,文献报道有限。这是文献中首例 HFNOT 作为猫呼吸衰竭的高级氧输送方法的病例系列。本病例系列表明,HFNOT 可改善对常规氧疗无反应的猫患者的氧合。

相似文献

1
High-flow nasal cannula oxygen therapy in seven cats with respiratory failure.高流量鼻导管氧疗在 7 例呼吸衰竭猫中的应用。
J Feline Med Surg. 2024 Jul;26(7):1098612X241249837. doi: 10.1177/1098612X241249837.
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The utility of the respiratory rate-oxygenation index as a predictor of treatment response in dogs receiving high-flow nasal cannula oxygen therapy.呼吸频率-氧合指数作为接受高流量鼻导管吸氧治疗的犬只治疗反应预测指标的效用。
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Retrospective evaluation of the respiratory rate-oxygenation index to predict the outcome of high-flow nasal cannula oxygen therapy in dogs (2018-2021): 81 cases.回顾性评估呼吸频率-氧合指数预测犬高流量鼻导管氧疗结局(2018-2021 年):81 例。
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Postural drainage and high flow nasal oxygen therapy in four cats with decompensated cardiogenic pulmonary oedema.对四只失代偿性心源性肺水肿猫进行体位引流和高流量鼻导管给氧治疗。
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引用本文的文献

1
Postural drainage and high flow nasal oxygen therapy in four cats with decompensated cardiogenic pulmonary oedema.对四只失代偿性心源性肺水肿猫进行体位引流和高流量鼻导管给氧治疗。
J Feline Med Surg. 2025 Feb;27(2):1098612X241303329. doi: 10.1177/1098612X241303329.

本文引用的文献

1
Retrospective evaluation of the respiratory rate-oxygenation index to predict the outcome of high-flow nasal cannula oxygen therapy in dogs (2018-2021): 81 cases.回顾性评估呼吸频率-氧合指数预测犬高流量鼻导管氧疗结局(2018-2021 年):81 例。
J Vet Emerg Crit Care (San Antonio). 2024 May-Jun;34(3):252-261. doi: 10.1111/vec.13373. Epub 2024 May 6.
2
Use of high-flow oxygen therapy in a cat with cardiogenic pulmonary edema.高流量氧疗在一只患有心源性肺水肿的猫中的应用。
JFMS Open Rep. 2023 Oct 5;9(2):20551169231195767. doi: 10.1177/20551169231195767. eCollection 2023 Jul-Dec.
3
Clinical review of high-flow nasal oxygen therapy in human and veterinary patients.
人医和兽医患者高流量鼻导管给氧疗法的临床综述
Front Vet Sci. 2023 Mar 6;10:1070881. doi: 10.3389/fvets.2023.1070881. eCollection 2023.
4
High-flow nasal cannula improves hypoxemia in dogs failing conventional oxygen therapy.高流量鼻导管可改善接受传统氧疗无效的犬的低氧血症。
J Am Vet Med Assoc. 2022 Nov 2;261(2):210-216. doi: 10.2460/javma.22.09.0400.
5
Pulse oximetry for the diagnosis and management of acute respiratory distress syndrome.脉搏血氧饱和度测定在急性呼吸窘迫综合征诊断和治疗中的应用。
Lancet Respir Med. 2022 Nov;10(11):1086-1098. doi: 10.1016/S2213-2600(22)00058-3. Epub 2022 Aug 29.
6
Optimizing high-flow nasal cannula flow settings in adult hypoxemic patients based on peak inspiratory flow during tidal breathing.基于潮式呼吸期间的吸气峰流量优化成人低氧血症患者的高流量鼻导管流量设置。
Ann Intensive Care. 2021 Nov 27;11(1):164. doi: 10.1186/s13613-021-00949-8.
7
High flow nasal cannula: an alternative to continuous positive airway pressure in cats.高流量鼻导管:猫持续气道正压通气的替代方法
J Feline Med Surg. 2021 Apr;23(4):405-406. doi: 10.1177/1098612X20977779. Epub 2020 Dec 2.
8
High-flow nasal cannula oxygen therapy in acute hypoxemic respiratory failure in 22 dogs requiring oxygen support escalation.22只需要增加氧气支持的急性低氧性呼吸衰竭犬的高流量鼻导管给氧治疗
J Vet Emerg Crit Care (San Antonio). 2020 Jul;30(4):364-375. doi: 10.1111/vec.12970. Epub 2020 Jun 24.
9
Prospective pilot study for evaluation of high-flow oxygen therapy in dyspnoeic dogs: the HOT-DOG study.评估高流量氧疗对呼吸困难犬效果的前瞻性试点研究:HOT-DOG研究
J Small Anim Pract. 2019 Nov;60(11):656-662. doi: 10.1111/jsap.13058. Epub 2019 Jul 16.
10
An Index Combining Respiratory Rate and Oxygenation to Predict Outcome of Nasal High-Flow Therapy.呼吸频率与氧合指数联合预测经鼻高流量治疗结局。
Am J Respir Crit Care Med. 2019 Jun 1;199(11):1368-1376. doi: 10.1164/rccm.201803-0589OC.