The role of non-invasive respiratory support at different stages of acute hypoxemic respiratory failure treatment. Part II
https://doi.org/10.33667/2078-5631-2025-35-34-45
Abstract
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.
About the Authors
A. G. Koryakin
S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center; Anesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional Education
Russian Federation
Russian Federation
Koryakin Albert G., head of Intensive Care Unit; assistant at Dept of Anesthesiology, Reanimatology and Emergency Medicine
A. V. Vlasenko
S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center; Anesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional Education
Russian Federation
Russian Federation
Vlasenko Aleksey V., DM Sci (habil.), associate professor, head of Depat of Anesthesiology, Reanimatology and Emergency Medicine
I. S. Kluev
S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center; Anesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional Education
Russian Federation
Russian Federation
Kluev Ivan S., anesthesiologisr-rescusitator in Intensive Care Unit1; assistant at Dept of Anesthesiology, Reanimatology and Emergency Medicine
E. P. Rodionov
S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center; Anesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional Education
Russian Federation
Russian Federation
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
E. A. Evdokimov
Anesthesiology, reanimatology and emergency medicine department of the Russian Medical Academy Continuing Professional Education
Russian Federation
Russian Federation
Evdokimov Evgeniy A., DM Sci (habil.), professor, professor at Dept of Anesthesiology and Emergency Medicine
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For citations:
Koryakin A.G., Vlasenko A.V., Kluev I.S., Rodionov E.P., Evdokimov E.A. The role of non-invasive respiratory support at different stages of acute hypoxemic respiratory failure treatment. Part II. Medical alphabet. 2025;(35):34-45. (In Russ.) https://doi.org/10.33667/2078-5631-2025-35-34-45
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