严重急性呼吸系统综合征冠状病毒2型患者的重症监护室管理:叙述性综述

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Gomal Journal of Medical Sciences Pub Date : 2022-01-18 DOI:10.46903/gjms/19.04.1024
Taimoor Hassan, S. Saeed, Sidrah Naseem, Fiza Saleem
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引用次数: 0

摘要

2019冠状病毒病是国际关注的突发公共卫生事件。新冠肺炎会导致某些人出现急性呼吸窘迫综合征(ARDS)。在这些人中,无创和有创通气方法被用于治疗急性呼吸窘迫综合征。在引入侵入性机械通气技术之前,必须首先使用无创通气方法。用于治疗COVID-19相关急性呼吸综合征的非侵入性方法包括高流量鼻插管、双层正气压(BiPAP)和头盔通气。在使用任何这些非侵入性方法之前,必须考虑病毒气溶胶传播给医护人员的风险。当使用非侵入性程序时,可以减少医院通气设备的负荷。如果可能的话,避免过早给病人插管。必须经常评估患者的临床表现以及血氧饱和度和呼吸频率等重要指标,以确定患者是否需要通气。在新冠肺炎患者中,明智地应用无创和有创呼吸方法可以最大限度地降低急性呼吸窘迫综合征的死亡风险。
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INTENSIVE CARE UNIT MANAGEMENT OF SARS-COV-2 PATIENTS: A NARRATIVE REVIEW
The 2019 Coronavirus disease is a public health emergency of international concern (PHEIC). COVID-19 causes acute respiratory distress syndrome (ARDS) in certain individuals. In such individuals, non-invasive and invasive ventilation methods are used to treat acute respiratory distress syndrome. Non-invasive ventilation approaches must be used initially before introducing intrusive mechanical ventilation techniques. Non-invasive methods used in the therapy of COVID -19 associated acute respiratory syndrome include high-flow nasal cannula, bi-level positive air pressure (BiPAP), and helmet ventilation. Before employing any of these non-invasive methods, the risk of viral aerosol transmission to healthcare and paramedical personnel must be considered. When non-invasive procedures are used, the load on hospital ventilatory equipment can be reduced. If at all possible, avoid intubating the patient too soon. The clinical appearance of the patient, as well as vital indicators such as oxygen saturation and respiratory rate, must be evaluated on a frequent basis in order to determine whether the patient requires ventilation. In COVID-19 patients, the judicious application of non-invasive and invasive breathing methods can minimize the risk of death from acute respiratory distress syndrome.
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来源期刊
Gomal Journal of Medical Sciences
Gomal Journal of Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
0.60
自引率
80.00%
发文量
37
审稿时长
40 weeks
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