在儿科使用 nCPAP 治疗支气管炎,以 "保护 "儿科重症监护病房?

Melodie O. Aricò, Diana Wrona, Giovanni Lavezzo, M. Stella, E. Valletta
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引用次数: 0

摘要

氧气(O2)呼吸支持是公认的治疗急性支气管炎的主要方法。根据病情严重程度和呼吸强度的分层,给氧方法除了低流量氧气外,还包括加热和加湿的高流量氧气(HFNC)和 CPAP。在大多数情况下,从 HFNC 过渡到 CPAP 需要将患儿转入重症监护室(PICU)。支气管炎在大流行后几年的特殊流行趋势以及重症监护病房护理负担过重的具体风险,促使我们考虑在普通儿科病房使用 nCPAP,作为转入重症监护病房的替代方案,目的是减轻重症监护病房的压力以及由此给患儿及其家人带来的不适和心理负担。我们介绍了我们的初步经验--这使我们避免了约 80% 因支气管炎而转入重症监护室的病例--并讨论了一些临床问题和可能的组织发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trattare la bronchiolite con nCPAP nelle Pediatrie per “proteggere” le Terapie Intensive pediatriche?
Respiratory support with oxygen (O2 ) is the recognized mainstay of treatment in acute bronchiolitis. The methods of administration include - in addition to low flow O2 - also heated and humidified high flow O2 (HFNC) and CPAP, according to an increasing stratification of severity and respiratory effort. The transition from HFNC to CPAP requires, in most cases, the transfer of the child to an intensive care unit (PICU). The particular epidemic trend of bronchiolitis in the post-pandemic years and the concrete risk of care overload for PICUs led us to consider the use of nCPAP in the general paediatric ward as an alternative to transfer to intensive care, aiming to reduce the pressure on the PICU and the consequent discomfort and psychological load for children and their families. We describe our preliminary experience - which allowed us to avoid about 80% of transfers to PICU for bronchiolitis - discussing some clinical issues and possible organizational developments.
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