首页|经鼻加湿快速通气技术在围术期呼吸道管理中的研究进展

经鼻加湿快速通气技术在围术期呼吸道管理中的研究进展

扫码查看
在围术期呼吸道管理中维持适当的氧合水平十分重要,近年来随着经鼻高流量氧疗(HFN C)在呼吸内科、重症医学、急诊医学等临床科室的使用,其已逐渐进入围术期管理的视野.经鼻加湿快速通气(THRIVE)是基于HFNC提出的一种新兴的无创呼吸道支持技术,该技术集合传统窒息氧合(Apneic oxygenation)技术与HNFC的优点,可向患者输送温暖、加湿的高流量氧气,通过延长呼吸暂停、窒息氧合时间及减少CO2蓄积,增加麻醉诱导和插管的安全性,在困难气道、共享气道手术麻醉以及非插管全麻等临床麻醉、呼吸系统相关疾病及重症监护中的呼吸支持中具有广泛的应用前景,成为临床麻醉呼吸道管理的新选择.因此本文重点介绍和回顾该技术在麻醉围手术期气道管理中的应用,以期对THRIVE技术在围术期呼吸管理中的应用提供参考.
Research progress of transnasal humidified rapid insufflation ventilatory exchange in perioperative respiratory management
Maintaining appropriate oxygenation levels is very important in perioperative respiratory management.In recent years,with the use of High-flow Nasal Cannula(HFNC)in respiratory medicine,critical care medicine,emer-gency medicine,and other clinical departments,HFNC has gradually entered into the field of perioperative management.Transnasal humidified rapid insufflation ventilatory exchange(THRIVE)is an emerging non-invasive airway support technique based on HFNC,which combines the advantages of traditional apneic oxygenation and HNFC.It can deliver warm,humidified high-flow oxygen to the patient and increase the safety of intubation by prolonging the duration of ap-nea and asphyxia,reducing the accumulation of CO2,and it has a wide range of prospects for application in the respirato-ry support of clinical anesthesia,such as difficult airway,shared airway surgery anesthesia and non-intubated general an-esthesia,respiratory diseases,and intensive care.Therefore,this article focuses on the application of this technique in perioperative airway management in anesthesia,to provide reference and guidance on the application of the THRIVE technique in perioperative respiratory management.

Transnasal humidified rapid insufflation ventilatory exchangePerioperative managementAirway managementDifficult airwayShared airway

郑宇琪、李鹏

展开 >

电子科技大学医学院,四川成都 610000

四川省人民医院麻醉手术中心,四川成都 610000

经鼻加湿快速通气装置 围术期管理 气道管理 困难气道 共用气道

2025

西部医学
四川

西部医学

影响因子:1.352
ISSN:1672-3511
年,卷(期):2025.37(1)