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頁籤選單縮合
題 名 | 非侵入性正壓通氣在急性呼吸衰竭的使用=Noninvasive Positive-Pressure Ventilation in Patients with Acute Respiratory Failure: Review |
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作 者 | 吳沼漧; 賴永發; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 4:2 2002.04[民91.04] |
頁 次 | 頁141-146 |
分類號 | 415.415 |
關鍵詞 | 急性呼吸衰竭; 非侵入性正壓通氣; 機械式通氣; 非侵入性通氣; Acute respiratory failure; Noninvasive positive-pressure ventilation; Mechanical ventilation; Noninvasive ventilation; |
語 文 | 中文(Chinese) |
中文摘要 | 非侵入性正壓通氣在急性呼吸衰竭的應用,日漸引起醫療界的重視,使用也漸漸普遍。其主要理由除了有耐受性較佳的面罩可用外,最重要的是非侵入性正壓通氣有很多優點,如方便使用、費用較低、可避免插管所帶來的合併症及不適。非侵入性正壓通氣因改善氣體交換的能力可較緩慢,因此適合用予急性呼吸衰竭較輕度、生命徵象相對穩定、以及急性呼吸衰竭的因可迅速矯正的病患,這類病人均應給予一次嚐試的機會。成功使用非侵入性正壓通氣,可以造福病患。 |
英文摘要 | Acute respiratory failure (ARF) is a syndrome with sever deterioration in gas exchange that may require mechanical ventilation (MV) for life support. The MV aims to correct the pathophysiology of ARF, reduce the work of breathing, and ameliorate the dyspnea while concomitant intervention is directed at correcting the condition that resulted in ARF. Traditionally, an endotracheal tube is inserted into the trachea to deliver MV to the patient’s lungs. Placing this artificial airway is an invasive procedure associated with potential compilations and discomfort and has confined the use of invasive MV to the most severe forms of ARF. Noninvasive ventilation (NIV) includes various techniques for augmenting alveolar ventilation without an endotracheal airway. The theoretical advantages of this approach include avoiding the complications associated with endotracheal intubation, improving patient comfort, preserving airway defense mechanisms, and preserving speech and swallowing. Furthermore, NIV provides greater flexibility in instituting and removing MV. Noninvasive methods include external negative pressure, chest wall oscillation, and noninvasive positive-pressure ventilation (NPPV). NPPV is administered through a mask, which is the subject of this review. NPPV is a common clinical practice, such as Ambu bagging with mask in CPR (cardiopulmonary resuscitation). Interest in the use of NPPV for cases of ARF has increased in the recent past due to the availability of better-tolerated nasal or facial masks, but the main advantages are the convenience and lower cost of NPPV and the avoidance of the morbidity and complications associated with intubation. Patient selection: Mild-form, relatively stable ARF with rapidly reversible course (hypersonic patients with pH□7.2 or hypoxemic patients, high aspiration risk, inability to protect the airways, and fixed anatomic abnormalities of the nasopharynx are considered contraindication. Extreme anxiety, massive obesity, and copious secretions also make a patient unsuitable for the use of NPPV. Conclusion of NPPV in ARF: Any patient (mild form, relatively stable, rapidly reversible course) with ARF who is capable of cooperating with the respiratory therapist should be offered a trial of NPPV. The failure to improve after 30 min (up to 120 min) on NPPV should be an indication for the discontinuation of NPPV and the initiation of conventional mechanical ventilation. |
本系統中英文摘要資訊取自各篇刊載內容。