赣南医学院学报2024,Vol.44Issue(7) :730-735.DOI:10.3969/j.issn.1001-5779.2024.07.014

经鼻高流量氧疗在内镜手术麻醉中的应用进展

Advances in the use of high-flow nasal cannula oxygen therapy in endoscopic surgical anesthesia

胡志敏 莫娇 吴志勇 李忆 谢海玉
赣南医学院学报2024,Vol.44Issue(7) :730-735.DOI:10.3969/j.issn.1001-5779.2024.07.014

经鼻高流量氧疗在内镜手术麻醉中的应用进展

Advances in the use of high-flow nasal cannula oxygen therapy in endoscopic surgical anesthesia

胡志敏 1莫娇 1吴志勇 1李忆 1谢海玉2
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作者信息

  • 1. 赣南医科大学第一临床医学院
  • 2. 赣南医科大学第一附属医院麻醉手术中心 赣南医科大学第一临床医学院麻醉学教研室 赣州市麻醉学重点实验室,江西 赣州 341000
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摘要

经鼻高流量氧疗(High-flow nasal cannula oxygen therapy,HFNC)是一种新型的无创吸氧方法,可精确控制氧气浓度和流速,同时还具有加热和加湿功能.这种疗法可提高氧合指数(Oxygenation index,OI),减少气道阻力,进行生理无效腔冲洗,并提供呼气末正压(Positive end-expiratory pressure,PEEP)通气.利用其独特的功能特性,HFNC可迅速改善缺氧状况,提高麻醉诱导和插管的安全性.尽管HFNC应用于各种临床麻醉中,如困难气道管理和非插管麻醉,但其在内镜手术麻醉中的应用仍处于起步阶段.本文综述了HFNC在内镜手术麻醉中的应用研究进展,以期为改进临床麻醉的实施提供参考.

Abstract

High-flow nasal cannula oxygen therapy(HFNC)represents a novel non-invasive method of oxygen delivery that enables precise control over oxygen concentration and flow rate,while also featuring heating and humidification capabilities.This therapeutic approach enhances the oxygenation index(OI),reduces airway resistance,facilitates physiological dead space clearance,and offers positive end-expiratory pressure(PEEP)ventilation.Leveraging its distinctive functional attributes,HFNC rapidly ameliorates hypoxic conditions,thereby enhancing the safety of anesthesia induction and intubation.Despite its successful application in diverse clinical anesthesia settings,such as difficult airway management and non-invasive anesthesia,its utilization in anesthesia for endoscopic surgery is still in its nascent stage.This article summarizes the progress in applying HFNC during anesthesia for endoscopic procedures,providing valuable insights for refining the implementation of clinical anesthesia practices.

关键词

经鼻高流量氧疗/内镜手术/麻醉

Key words

High-flow nasal cannula oxygen therapy/Endoscopic surgery/Anesthesia

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出版年

2024
赣南医学院学报
赣南医学院

赣南医学院学报

影响因子:0.622
ISSN:1001-5779
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