References

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Медицинский алфавит

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Research Article

Статьи

Высокопоточная оксигенотерапия при лечении острой дыхательной недостаточности различного генеза: возможности и перспективы

High-flow oxygen therapy in treatment of acute respiratory failure of various genesis: opportunities and prospects

Власенко

А. В.

Vlasenko

A. V.

noemail@neicon.ru

Корякин

А. Г.

Koryakin

A. G.

noemail@neicon.ru

Евдокимов

Е. А.

Evdokimov

E. A.

noemail@neicon.ru

ФГБОУ ДПО «Российская медицинская академия непрерывного последипломного образования» Минздрава России; ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина» Департамента здравоохранения г. МосквыРоссияRussian Medical Academy for Postgraduate Continuous Education; City Clinical Hospital n.a. S. P. BotkinRussian Federation

2017

19092017

329

Неотложная медицина

1626

2017

Власенко А.В., Корякин А.Г., Евдокимов Е.А.

Vlasenko A.V., Koryakin A.G., Evdokimov E.A.

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/328

Профилактика, диагностика и лечение тяжелой дыхательной недостаточности были и остаются одними из наиболее актуальных проблем медицины и реаниматологии. Несмотря на бурный прогресс методов жизнеобеспечения и респираторных технологий, искусственная вентиляция легких не в состоянии адекватно и безопасно протезировать функцию внешнего дыхания. Поэтому сохранение спонтанного дыхания больного и применение вспомогательных неинвазивных способов респираторной поддержки при отсутствии противопоказаний представляется перспективным направлением лечения острой дыхательной недостаточности, особенно на ранних стадиях. В последние годы в клиническую практику активно внедряется инновационная респираторная технология, позволяющая неинвазивно доставлять больному воздушно-кислородную смесь с большой скоростью потока (до 60 л в минуту). Высокопоточная оксигенотерапия (high flow oxygen therapy, HFOT) обеспечивает не только высокую скорость потока, но и эффективное увлажнение и согревание воздушно-газовой смеси с точным контролем фракции кислорода. Различные исследования показали, что высокопоточная оксигенотерапия представляется эффективным и хорошо переносимым методом неинвазивной респираторной поддержки при дыхательной недостаточности различного генеза. Целью настоящей публикации является обзор литературных данных и предварительных результатов собственных исследований применения высокопоточной оксигенотерапии в разных клинических ситуациях.

Prevention, diagnosis and treatment of severe acute respiratory failure have been and remain one of the urgent problems of medicine and resuscitation. Despite the rapid progress of life support methods and respiratory technologies, artificial lung ventilation is not able to adequately and safely replacement of respiratory function. Therefore, the preservation of the patient spontaneous breathing and the use of non-invasive respiratory support methods, in the absence of contraindications, seems to be a promising direction for the treatment of acute respiratory failure, especially in the early stages. In recent years, innovative respiratory technology is actively being introduced into clinical practice, which allows to deliver the air-oxygen mixture with a high flow rate (up to 60 liters per minute) in an no invasive manner. High flow oxygen therapy (HFOty provides not only a high flow rate, but also an effective humidity and warming of the air-gas mixture with precise control of the oxygen fraction. Various studies have shown that high-flow oxygen therapy (HPV) seems to be an effective and well tolerated method for non-invasive respiratory support in respiratory failure of various genesis. The aim of this publication is to review the literature data and preliminary results of our own studies on the use of HFOT in different clinical situations.

дыхательная недостаточностьреспираторная поддержканеинвазивная вентиляция легкихвысокопоточная оксигенотерапия

respiratory failurerespiratory supportnon-invasive ventilationhigh-flow oxygen therapy

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