• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Turkish Journal of Emergency Medicine >High-flow nasal cannula oxygen therapy in the management of acute respiratory distress syndrome secondary to opioid overdose
【24h】

High-flow nasal cannula oxygen therapy in the management of acute respiratory distress syndrome secondary to opioid overdose

机译：高流量的鼻腔套管氧疗法在急性呼吸窘迫综合征中的次级呼吸窘迫综合征中的氧气疗法过量

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In this article, we discuss the successful treatment of acute respiratory distress syndrome (ARDS), a rare complication of opioid overdose, through high-flow nasal cannula oxygen therapy (HFNCOT). A 32-year-old male patient was referred to the emergency department with an ambulance due to a state of confusion following intravenous opioid intake. On arrival, the patient had an arterial blood pressure of 100/60 mmHg, pulse of 112 beats/min, respiratory rate of 8 breaths/min, and oxygen saturation (SpO2) of 75%. On neurologic examination, he had miotic and isochoric pupils, and Glasgow Coma Score was 12 (E: 3 M: 5 V: 4). Cardiac examination showed that the heart was rhythmic and tachycardic. Chest examination revealed bibasilar crackles and wheezing. Naloxone was administered to the patient, and oxygen treatment was applied through a mask. Then, HFNCOT was commenced to the patient in whom the PaO2/FiO2?ratio in the blood gas was calculated as 141 following antidote treatment and whose chest radiograph showed bilateral infiltrations. The patient was discharged from the emergency critical care unit on the 3rd?day of his hospitalization because infiltrations in his chest radiograph regressed. HFNCOT can recover the patient's hypoxemia and help reduce the necessity of mechanical ventilation in patients with mild or moderate ARDS.
机译：在本文中，我们讨论了通过高流量鼻腔套管氧疗（HFNCOT）的急性呼吸窘迫综合征（ARDS）的成功治疗急性呼吸窘迫综合征（ARDS），罕见并发症。由于静脉内阿片类药物摄入量后，一名32岁的男性患者提到了救援人士。抵达时，患者的动脉血压为100/60mmHg，脉冲112次/分钟，呼吸速率为8呼吸/分钟，氧饱和度（SPO2）为75％。在神经系统检查中，他患有杀螨剂和等级学生，格拉斯哥昏迷的得分为12（E：3 M：5 V：4）。心脏检查表明，心脏是节律和心动卡的。胸部检查显示了双裂裂纹和喘息。将纳洛酮施用于患者，并通过掩模施加氧气处理。然后，将HFNCOT开始于PAO2 / FIO2？血气中的患者计算为141作为解毒治疗后141，其胸部射线照片显示双侧渗透。患者在第3个？他住院时间的第3次急诊关键护理单元中排出，因为他的胸部射线照片中的渗透了。 HFNCOT可以恢复患者的低氧血症，并有助于降低温和或中等ARDS患者的机械通风的必要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号