有创和无创通气过程中的加湿:正确设置的初始工具包

Riccardo Re, S. Lassola, Silvia De Rosa, Giacomo Bellani
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引用次数: 0

摘要

医用气体的加湿过程在有创和无创通气中都起着至关重要的作用,其目的是减轻支气管干燥引起的并发症。虽然被动加湿系统(HME)和主动加湿系统在常规临床实践中非常普遍,但仍迫切需要进一步评估其重要性。此外,人们对这些设备的运行机制往往缺乏全面的了解。本综述探讨了临床实践中气体调节的历史演变,从早期的原型到当代的主动和被动加湿系统。它还讨论了湿度调节的生理原理,并为优化有创和无创通气模式中的加湿参数提供了实用指导。本综述旨在阐明温度、湿度和患者舒适度之间错综复杂的相互作用,强调个性化气体调节方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Humidification during Invasive and Non-Invasive Ventilation: A Starting Tool Kit for Correct Setting
The humidification process of medical gases plays a crucial role in both invasive and non-invasive ventilation, aiming to mitigate the complications arising from bronchial dryness. While passive humidification systems (HME) and active humidification systems are prevalent in routine clinical practice, there is a pressing need for further evaluation of their significance. Additionally, there is often an incomplete understanding of the operational mechanisms of these devices. The current review explores the historical evolution of gas conditioning in clinical practice, from early prototypes to contemporary active and passive humidification systems. It also discusses the physiological principles underlying humidity regulation and provides practical guidance for optimizing humidification parameters in both invasive and non-invasive ventilation modalities. The aim of this review is to elucidate the intricate interplay between temperature, humidity, and patient comfort, emphasizing the importance of individualized approaches to gas conditioning.
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