《成人危重症患者的雾化吸入治疗:关于各种呼吸支持模式下雾化给药策略的共识》要点解读  

Key points interpretation of the Consensus Statement on Aerosol Therapy in Critically Ⅲ Adult Patients:Strategies for Aerosol Drug Delivery in Various Respiratory Support Modes

作　　者：景国强[1] 吕姗[2] 刘凯 代冰[4] 李洁 JING Guo-qiang;LYU Shan;LIU Kai;DAI Bing;LI Jie(Department of Critical Care Medicine,Binzhou Medical University Hospital,Binzhou 256603,China;不详)

机构地区：[1]滨州医学院附属医院重症医学科,山东滨州256603 [2]北京大学人民医院重症医学科,北京100044 [3]复旦大学附属中山医院重症医学科,上海200032 [4]中国医科大学附属第一医院呼吸与危重症医学科,辽宁沈阳110001 [5]美国芝加哥Rush大学,美国伊利诺伊州60612

出　　处：《中国实用内科杂志》2024年第9期740-744,751,共6页Chinese Journal of Practical Internal Medicine

摘　　要：如何在接受各种呼吸支持的同时优化雾化给药策略是临床关注的难点。《成人危重症患者的雾化吸入治疗:关于各种呼吸支持模式下雾化给药策略的共识》(以下简称共识)涵盖了有创通气、无创通气和经鼻高流量氧疗3种呼吸支持方式下的雾化给药优化策略,包括了雾化装置选择、雾化装置安放位置、温湿化的设置、药物剂量调整及装置正确操作要点等方面。该共识具有科学性、实用性,有助于规范危重症患者的雾化吸入治疗,提高治疗效果,并增加安全性。文章将对共识中的推荐要点分别从共性及个体化角度进行归纳解读。How to optimize nebulization drug delivery strategies while receiving various respiratory support has been a challenging focus in clinical practice.The"Aerosol therapy in adult critically ill patients:a consensus statement regarding aerosol administration strategies during various modes of respiratory support"(hereinafter referred to as the"Consensus")covers optimization strategies for nebulization drug delivery under three respiratory support modes:invasive ventilation,noninvasive ventilation,and high flow nasal cannula.It includes aspects such as selection of nebulization devices,positioning of nebulizers,humidification treatment,drug dose adjustment,and operational key points.This consensus is scientific and practical,helping to standardize nebulization therapy in critically ill patients,optimize treatment effects,and improve safety.This article will summarize and interpret the key recommendations of the consensus from both common and individualized perspectives.

关 键 词：成人 危重症 雾化吸入治疗 有创通气 无创通气 经鼻高流量氧疗 

分 类 号：R452[医药卫生—治疗学]