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首页> 外文期刊>Current opinion in anaesthesiology >Noninvasive respiratory support in the perioperative period
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Noninvasive respiratory support in the perioperative period

机译：围手术期无创呼吸支持

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Purpose of Review: Pulmonary complications ranging from atelectasis to acute respiratory failure are common causes of poor perioperative outcomes. As the surgical population becomes increasingly at risk for pulmonary dysfunction due to increasing age and weight, development of an approach toward respiratory compromise in these patients is becoming ever more important. Given the utility of noninvasive respiratory support (NRS) in acute respiratory failure, it is likewise likely to also be important in the perioperative period. Recent Findings: NRS is evaluated from preoperative risk assessment to its use in prevention and treatment of acute respiratory failure. Data supporting intraoperative use of NRS including preinduction continuous positive airway pressure and postextubation NRS for high-risk individuals and surgeries are examined. Timing and duration of NRS is also addressed. Finally, NRS is proposed for treatment for postoperative acute respiratory failure as an alternative to invasive rescue maneuvers. Summary: Noninvasive respiratory support should be considered an important adjunct in perioperative pulmonary care. Usage should be individually tailored in regard to timing and application modality specific to patient and surgical circumstances. More studies are needed, however, to determine the relationship demonstrated between short-term improvements in lung function and long-term outcomes. ? 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.
机译：审查目的：肺不张，从肺不张到急性呼吸衰竭，是围手术期预后不良的常见原因。由于年龄和体重的增加，手术人群面临肺功能障碍的风险越来越大，因此在这些患者中开发一种解决呼吸损害的方法变得越来越重要。考虑到无创呼吸支持（NRS）在急性呼吸衰竭中的效用，在围手术期同样很重要。最新发现：NRS已从术前风险评估到其在预防和治疗急性呼吸衰竭中的应用进行了评估。检查了支持高风险个体和手术中术前使用NRS的数据，包括诱导前持续气道正压和拔管后NRS。还讨论了NRS的时间和持续时间。最后，NRS被建议用于术后急性呼吸衰竭的治疗，作为有创抢救手段的替代方法。摘要：无创呼吸支持应被认为是围手术期肺部护理的重要辅助手段。应根据患者和手术情况的时机和应用方式对使用情况进行量身定制。然而，需要更多的研究来确定肺功能的短期改善与长期预后之间的关系。 ？ 2013威科集团健康|利平科特·威廉姆斯和威尔金斯。

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