Роль неинвазивной респираторной поддержки на разных этапах лечения гипоксемической острой дыхательной недостаточности. Часть II

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.

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