Неинвазивная вентиляция легких в отделении реанимации: вчера, сегодня, завтра (обзор литературы)

А. В. Власенко; А. Г. Корякин; Е. А. Евдокимов; И. С. Клюев

doi:10.33667/2078-5631-2021-25-42-51

Неинвазивная вентиляция легких в отделении реанимации: вчера, сегодня, завтра (обзор литературы)

А. В. Власенко, А. Г. Корякин, Е. А. Евдокимов, И. С. Клюев

https://doi.org/10.33667/2078-5631-2021-25-42-51

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Аннотация

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.

Ключевые слова

острая дыхательная недостаточность, искусственная вентиляция легких, неинвазивная респираторная поддержка, высокопоточная оксигенотерапия

Об авторах

А. В. Власенко

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы»
Россия

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

А. Г. Корякин

ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы»
Россия

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

Е. А. Евдокимов

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России
Россия

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

Москва

И. С. Клюев

Клюев Иван Сергеевич, клинический ординатор кафедры анестезиологии и неотложной медицины

Москва

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Для цитирования:

Власенко А.В., Корякин А.Г., Евдокимов Е.А., Клюев И.С. Неинвазивная вентиляция легких в отделении реанимации: вчера, сегодня, завтра (обзор литературы). Медицинский алфавит. 2021;(25):42-51. https://doi.org/10.33667/2078-5631-2021-25-42-51

For citation:

Vlasenko A.V., Koryakin A.G., Evdokimov E.A., Klyuev I.S. Non-invasive ventilation in intensive care unit: yesterday, today, tomorrow (literature review). Medical alphabet. 2021;(25):42-51. (In Russ.) https://doi.org/10.33667/2078-5631-2021-25-42-51

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Неинвазивная вентиляция легких в отделении реанимации: вчера, сегодня, завтра (обзор литературы)

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