拔管后无创呼吸支持的合理选择与应用  

Reasonable selection and application of non-invasive respiratory support after extubation

作　　者：刘凯 张诗敏 居旻杰 LIU Kai;ZHANG Shimin;JU Min-jie(Department of Critical Care Medicine,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院重症医学科,上海200032

出　　处：《中国实用内科杂志》2024年第12期976-981,共6页Chinese Journal of Practical Internal Medicine

基　　金：上海市科学技术委员会基金项目(20Y11900900)。

摘　　要：无创呼吸支持如经鼻高流量氧疗和无创通气在重症或术后患者拔管后的应用日益普遍。临床医生和呼吸治疗师需要充分理解拔管失败的病理生理学变化,以及针对不同类型的拔管人群在不同应用时机做好无创呼吸支持的选择和管理。未来相关研究应关注特定人群、呼吸支持管理的优化和新型呼吸监测指标等,期待更多多中心、大样本的高质量研究。Non-invasive respiratory support,such as high-flow nasal cannula and non-invasive ventilation,is increasingly used in critically ill or postoperative patients after extubation.Clinicians and respiratory therapists need to understand the pathophysiological changes due to extubation failure and make appropriate choices and management of non-invasive respiratory support for different types of patients at different timings.Future studies should focus on specific patients,optimization of the management of respiratory support and new respiratory monitoring indicators,and it is epected to have more multicenter,large-sample and high-quality studies.

关 键 词：拔管失败 无创呼吸支持 经鼻高流量氧疗 无创通气 

分 类 号：R459.6[医药卫生—治疗学]