对于拔管失败风险较高的患者，除了无创通气外，我们还应该使用高流量鼻氧吗？

Q4 Medicine Clinical Pulmonary Medicine Pub Date : 2020-05-01 DOI:10.1097/CPM.0000000000000359

T. Izakovich, L. Sanso, D. Zappetti

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引用次数: 0

摘要

简介：在拔管失败风险较高的机械通气患者中，高流量鼻氧（HFNO）拔管后治疗与HFNO无创通气的比较显示，同时接受无创通气和HFNO的患者的再插管率绝对降低了6.4%。资料来源：Thille AW、Muller G、Gacouin A等。拔管后高流量鼻氧与无创通气对拔管失败高危患者再次插管的影响：一项随机临床试验。睡衣。2019年；322:1465-1475。

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Should We Be Using High-flow Nasal Oxygen in Addition to Noninvasive Ventilation for Patients at High Risk for Extubation Failure?

Synopsis: A comparison of postextubation therapy with highflow nasal oxygen (HFNO) with noninvasive ventilation with HFNO in mechanically ventilated patients at high risk for extubation failure showed an absolute risk reduction of 6.4% in reintubation rates for patients who received both noninvasive ventilation and HFNO. Source: Thille AW, Muller G, Gacouin A, et al. Effect of postextubation high-flow nasal oxygen with noninvasive ventilation versus high-flow nasal oxygen alone on reintubation among patients at high risk of extubation failure: a randomized clinical trial. JAMA. 2019;322: 1465–1475.

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来源期刊

Clinical Pulmonary Medicine Medicine-Critical Care and Intensive Care Medicine

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期刊介绍： Clinical Pulmonary Medicine provides a forum for the discussion of important new knowledge in the field of pulmonary medicine that is of interest and relevance to the practitioner. This goal is achieved through mini-reviews on focused sub-specialty topics in areas covered within the journal. These areas include: Obstructive Airways Disease; Respiratory Infections; Interstitial, Inflammatory, and Occupational Diseases; Clinical Practice Management; Critical Care/Respiratory Care; Colleagues in Respiratory Medicine; and Topics in Respiratory Medicine.