剪裁无创呼吸支持在急性低氧性呼吸衰竭：临床医生的实用方法。

IF 5.9 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

European Journal of Internal Medicine Pub Date : 2025-05-02 DOI:10.1016/j.ejim.2025.04.018

Maria Laura Vega Pittao, Stefano Nava, Nicholas S Hill, Lara Pisani

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引用次数: 0

摘要

近年来，特别是在COVID-19大流行期间，使用无创呼吸支持（NIRS）治疗急性呼吸衰竭（ARF），特别是低氧性呼吸衰竭取得了进展。虽然证据不一致，但高流量鼻插管（HFNC）、持续气道正压通气（CPAP）和无创通气（NIV）等NIRS方式已显示出疗效，特别是对于“从头”急性低氧性呼吸衰竭（AHRF）。这篇综述概述了近红外光谱的生理原理，并提供了针对个别患者的定制治疗的实用指导。用近红外光谱成功的AHRF管理需要个性化的方法，由临床专业知识指导。需要进一步的研究来完善患者选择和优化近红外光谱的应用。

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Tailoring non-invasive respiratory supports in acute hypoxemic respiratory failure: A practical approach for clinicians.

The use of non-invasive respiratory support (NIRS) for acute respiratory failure (ARF), particularly hypoxemic respiratory failure, has advanced in recent years, especially during the COVID-19 pandemic. NIRS modalities like high-flow nasal cannula (HFNC), continuous positive airway pressure (CPAP), and non-invasive ventilation (NIV) have shown efficacy, though evidence is inconsistent, especially for "de novo" acute hypoxemic respiratory failure (AHRF). This review outlines the physiological rationale for NIRS and offers practical guidance on tailoring treatment to individual patients. Successful AHRF management with NIRS requires a personalized approach, guided by clinical expertise. Further research is needed to refine patient selection and optimize NIRS application.

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来源期刊

European Journal of Internal Medicine 医学-医学：内科

CiteScore

9.60

自引率

6.20%

发文量

364

审稿时长

20 days

期刊介绍： The European Journal of Internal Medicine serves as the official journal of the European Federation of Internal Medicine and is the primary scientific reference for European academic and non-academic internists. It is dedicated to advancing science and practice in internal medicine across Europe. The journal publishes original articles, editorials, reviews, internal medicine flashcards, and other relevant information in the field. Both translational medicine and clinical studies are emphasized. EJIM aspires to be a leading platform for excellent clinical studies, with a focus on enhancing the quality of healthcare in European hospitals.