medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-35-34-45medalphabet-4770Research ArticleСтатьиРоль неинвазивной респираторной поддержки на разных этапах лечения гипоксемической острой дыхательной недостаточности. Часть IIThe role of non-invasive respiratory support at different stages of acute hypoxemic respiratory failure treatment. Part IIhttps://orcid.org/0000-0002-5477-4242КорякинА. Г.KoryakinA. G.

Корякин Альберт Геннадьевич, зав. отделением анестезиологии-реанимации; ассистент кафедры анестезиологии, реаниматологии и неотложноймедицины

Koryakin Albert G., head of Intensive Care Unit; assistant at Dept of Anesthesiology, Reanimatology and Emergency Medicine

koriakinalbert@gmail.comhttps://orcid.org/0000-0003-4535-2563ВласенкоА. В.VlasenkoA. V.

Власенко Алексей Викторович, д.м.н., зав. отделением анестезиологииреанимации; зав. кафедрой анестезиологии, реаниматологии и неотложноймедицины

Vlasenko Aleksey V., DM Sci (habil.), associate professor, head of Depat of Anesthesiology, Reanimatology and Emergency Medicine

dr.vlasenko67@mail.ruhttps://orcid.org/0000-0003-1050-0415КлюевИ. С.KluevI. S.

Клюев Иван Сергеевич, врач-анестезиолог-реаниматолог отделения анестезиологии-реанимации; ассистент кафедры анестезиологии,реаниматологии и неотложной медицины

Kluev Ivan S., anesthesiologisr-rescusitator in Intensive Care Unit1; assistant at Dept of Anesthesiology, Reanimatology and Emergency Medicine

ivan.kluev11@gmail.comhttps://orcid.org/0000-0002-3852-8877РодионовЕ. П.RodionovE. P.

Родионов Евгений Петрович, к.м.н., доцент, зам. главного врача по анестезиологии-реаниматологии; доцент кафедры анестезиологии, реаниматологии и неотложной медицины

Rodionov Evgenyi P., PhD Med, associate professor, deputy chief physician for Anesthesiology and Intensive Care, associate pofessor at Dept of Anesthesiology, Reanimatology and Emergency Medicine

dr.rodionov@gmail.comЕвдокимовЕ. А.EvdokimovE. A.

Евдокимов Евгений Александрович, д.м.н., проф., проф. кафедры анестезиологии и неотложной медицины

Evdokimov Evgeniy A., DM Sci (habil.), professor, professor at Dept of Anesthesiology and Emergency Medicine

ea_evdokimov@mail.ruГБУЗ «Московский многопрофильный научно-клинический центр им. С.П. Боткина Департамента здравоохранения г. Москвы»; Кафедра анестезиологии, реаниматологии и неотложной медицины ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияS.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center; Anesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional EducationRussian FederationКафедра анестезиологии, реаниматологии и неотложной медицины ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияAnesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional EducationRussian Federation202525122025035Кардиология. Неотложная медицина (4)3445Copyright © Корякин А.Г., Власенко А.В., Клюев И.С., Родионов Е.П., Евдокимов Е.А., 20252025Корякин А.Г., Власенко А.В., Клюев И.С., Родионов Е.П., Евдокимов Е.А.Koryakin A.G., Vlasenko A.V., Kluev I.S., Rodionov E.P., 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/4770

Неинвазивная респираторная поддержка в последние годы заняла ключевое место в лечении гипоксемической острой дыхательной недостаточности. Современные методы респираторной поддержки – неинвазивная вентиляция легких и высокопоточная оксигенотерапия – широко применяются как при развитии гипоксемии, так и на этапе прекращения искусственной вентиляции легких при тяжелых формах дыхательной недостаточности. Наряду с большим количеством неоспоримых преимуществ одним из основных ограничений применения неинвазивной респираторной поддержки является своевременное выявление признаков ее неэффективности, показаний для интубации и риск задержки начала инвазивной респираторной поддержки. Во второй части настоящего обзора литературы мы систематизировали данные о возможностях и ограничениях неинвазивной вентиляции легких и высокопоточной оксигенотерапии, критериях оценки их клинической эффективности на этапах развития гипоксемической острой дыхательной недостаточности и прекращения искусственной вентиляции легких, в том числе у пациентов-канюленосителей.

In recent years, noninvasive respiratory support has taken a key place in the hypoxemic acute respiratory failure treatment. Modern methods of respiratory support – noninvasive ventilation and high-flow oxygen therapy are widely used both in the hypoxemia development and at the stage of mechanical ventilation discontinuation at severe forms of respiratory failure. Along with many undeniable advantages, one of the main limitations of non-invasive respiratory support is the timely detection of signs of its ineffectiveness, indications for intubation, and the risk of delaying the initiation of invasive respiratory support. In the second part of this review, we systematized data on the possibilities and limitations of non-invasive lung ventilation and high-flow oxygen therapy, as well as the criteria for assessing their clinical effectiveness at the stages of developing hypoxemic acute respiratory failure and discontinuing mechanical ventilation, including in patients with cannulas.

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