国际麻醉学与复苏杂志   2020, Issue (6): 13-13
    
经鼻高流量加温加湿快速给氧装置的临床应用
历洋, 刘真, 华震1()
1.北京医院
The clinical use of transnasal humidified rapid‑insufflation ventilatory exchange
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摘要:

经鼻高流量加温加湿快速给氧装置(transnasal humidified rapid‑insufflation ventilatory exchange, THRIVE)是一种无创且耐受性良好的呼吸支持装置,可以为患者提供最高达70 L/min加温且湿化的氧流量。现有研究表明,THRIVE在不同人群呼吸系统疾病治疗中可以改善患者通气效率,减少再插管率;在麻醉领域中,可以提高预充氧合水平,延长患者的安全窒息时间;对患者术后康复也有一定的应用价值。THRIVE是一项应用广泛的新技术,还需要进一步的验证。

关键词: 吸氧; 高流量氧疗; 湿化疗法; 高流量加温加湿快速给氧装置
Abstract:

Transnasal humidified rapid‑insufflation ventilatory exchange (THRIVE) is an non‑invasive and well tolerated device of respiratory support, which can provide patients with a heated and humidified flow of oxygen up to 70 L/min. Current evidence suggest that, during treatment of respiratory diseases in different populations, THRIVE can improve ventilation efficiency, decrease re‑intubation rate. In the field of anesthesia, THRIVE can improve preoxygenation, and extend the apneic period in patients. THRIVE is also valuable in postoperative rehabilitation. THRIVE is a widely used new technique and its application required further research.

Key words: Oxygen inhalation; High‑flow oxygen therapy; Humidification therapy; Transnasal humidified rapid‑insufflation ventilatory exchange