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首页> 外文期刊>Current opinion in critical care >Noninvasive approach for de novo acute hypoxemic respiratory failure: noninvasive ventilation, high-flow nasal cannula, both or none?
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Noninvasive approach for de novo acute hypoxemic respiratory failure: noninvasive ventilation, high-flow nasal cannula, both or none?

机译:Novo急性缺氧呼吸衰竭的非侵入性方法:非侵入性通风,高流量鼻腔插管,两种或没有?

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Purpose of review To summarize the recent evidence regarding the use of noninvasive strategies for de novo acute hypoxemic respiratory failure (AHRF). Recent findings New guidelines for the use of noninvasive ventilation (NIV) in acute respiratory failure have been published. In parallel, high-flow nasal cannula (HFNC) is an emerging noninvasive strategy for AHRF patients. Although some have cautioned against the use of NIV in AHRF, new encouraging data about the use of a helmet interface for NIV in acute respiratory distress syndrome may overcome the limitations of facemask NIV. Summary In the last two decades, the use of NIV and HFNC in patients with AHRF has considerably expanded, changing the paradigm of management of AHRF. Choice of each technique should be based according to centre experience and patient tolerability. However, when using noninvasive strategies for AHRF, it is crucial to predefine specific criteria for intubation and monitor patients closely for early detection of clinical deterioration to avoid delayed intubation.
机译:审查目的总结最近关于使用非急性缺氧呼吸衰竭(AHRF)的非侵入性战略的证据。最近的调查结果已经发布了在急性呼吸衰竭中使用非侵入性通风(NIV)的新准则。平行,高流量鼻插管(HFNC)是AHRF患者的新兴的非侵入性策略。虽然有些人在AHRF中使用NIV的使用,但是关于在急性呼吸窘迫综合征中使用NIV的使用对NIV的新的令人鼓舞的数据可能会克服Facemask NIV的局限性。总结在过去二十年中,使用NIV和HFNC在AHRF患者中大大扩展,改变了AHRF管理范式。每个技术的选择应根据中心经验和患者的可耐受性。然而,当使用AHRF的非侵入性策略时,对于预先义的预防和监测患者的特定标准,对于早期检测临床恶化的临床恶化来说至关重要,以避免插管。

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