medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2021-25-42-51medalphabet-2252Research ArticleСтатьиНеинвазивная вентиляция легких в отделении реанимации: вчера, сегодня, завтра (обзор литературы)Non-invasive ventilation in intensive care unit: yesterday, today, tomorrow (literature review)https://orcid.org/0000-0003-4535-2563ВласенкоА. В.VlasenkoA. V.

Власенко Алексей Викторович, д.м.н., проф. кафедры анестезиологиии неотложной медицины; зав. отделением реанимации № 322, лауреат премии Правительства РФ в области науки и техники

Vlasenko Alexey V., DM Sci, professor at Dept of Anesthesiology and Emergency Medicine; head of Resuscitation Dept No. 322, laureate of the Russian Government Prize in the field of science and technology

Moscow

dr.vlasenko67@mail.ruКорякинА. Г.KoryakinA. G.

Корякин Альберт Геннадьевич, врач – анестезиолог-реаниматолог отделения реанимации № 32

Koryakin Albert G., anesthesiologist-resuscitator of Intensive Care Unit No. 32

Moscow

koriakinalbert@gmail.comЕвдокимовЕ. А.EvdokimovE. A.

Евдокимов Евгений Александрович, д.м.н., проф., зав. кафедрой анестезиологии и неотложной медицины, заслуженный врач Российской Федерации

Москва

Evdokimov Evgeniy A., DM Sci, professor , head of Dept of Anesthesiology and Emergency Medicine, Honored Doctor of the Russian Federation

Moscow

ea_evdokimov@mail.ruКлюевИ. С.KlyuevI. S.

Клюев Иван Сергеевич, клинический ординатор кафедры анестезиологии и неотложной медицины

Москва

Klyuev Ivan S., clinical resident of Dept of Anesthesiology and Emergency Medicine

Moscow

dockluev@gmail.comФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы»РоссияRussian Medical Academy for Continuing Professional Education; City Clinical Hospital n. a. S. P. BotkinRussian FederationГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы»РоссияCity Clinical Hospital n. a. S. P. BotkinRussian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy for Continuing Professional EducationRussian Federation202115102021025Кардиология и неотложная медицина (3)4251Copyright © Власенко А.В., Корякин А.Г., Евдокимов Е.А., Клюев И.С., 20212021Власенко А.В., Корякин А.Г., Евдокимов Е.А., Клюев И.С.Vlasenko A.V., Koryakin A.G., Evdokimov E.A., Klyuev I.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2252

Развитие медицинских технологий и появление новых методов респираторной поддержки с широкими возможностями управления положительным давлением на вдохе и выдохе сделало возможным реализацию неинвазивной вентиляции легких. Интеграция микропроцессоров в современные респираторные интерфейсы, с одной стороны, и более глубокое понимание механизмов патогенеза дыхательной недостаточности – с другой, позволило усовершенствовать и внедрить в повседневную клиническую практику разные методы неинвазивной респираторной поддержки. Накопленный в последние десятилетия опыт применения неинвазивной вентиляции легких сделал возможным широкое использование этого метода респираторной поддержки в самых разных клинических ситуациях. Однако вопросы отбора пациентов для масочной вентиляции, выбор метода и алгоритма его применения, прогноз эффективности, предупреждение отрицательных эффектов по-прежнему остаются актуальными. Это диктует необходимость продолжения изучения клинической эффективности неинвазивной вентиляции легких у пациентов с дыхательной недостаточностью различного генеза. В обзоре представлены возможности и ограничения применения неинвазивной респираторной поддержки у пациентов дыхательной недостаточностью в отделении реанимации.

The development of medical technologies and the emergence of new methods of respiratory support with extensive capabilities to control positive pressure on the inhale and exhale made it possible to implement non-invasive ventilation. The integration of microprocessors in modern respiratory interfaces, on the one hand, and a deeper understanding of the mechanisms of the pathogenesis of respiratory failure, on the other hand, made it possible to improve and implement various methods of non-invasive respiratory support in everyday clinical practice. The experience gained in recent decades with the use of non-invasive ventilation made it possible to widely use this method of respiratory support in a wide variety of clinical situations. However, the selection of patients for mask ventilation, the choice of method and algorithm for its application, prognosis of effectiveness, prevention of negative effects, as before, remain relevant. This dictates the need to continue studying the clinical efficacy of non-invasive ventilation in patients with respiratory failure of various origins. The review presents the possibilities and limitations of the use of non-invasive respiratory support in patients with respiratory failure in the intensive care unit.

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The authors declare that there are no conflicts of interest present.