[1]孟繁思,刘 松,张 维,等.经鼻湿化快速通气交换技术用于临床麻醉气道管理研究进展[J].陕西医学杂志,2021,50(8):1031-1033,1037.[doi:DOI:10.3969/j.issn.1000-7377.2021.08.032]
 MENG Fansi,LIU Song,ZHANG Wei,et al.Advances in transnasal humidified rapid-insufflation ventilatory exchangenasal for airway management of clinical anesthesia[J].,2021,50(8):1031-1033,1037.[doi:DOI:10.3969/j.issn.1000-7377.2021.08.032]
点击复制

经鼻湿化快速通气交换技术用于临床麻醉气道管理研究进展
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年8期
页码:
1031-1033,1037
栏目:
综 述
出版日期:
2021-08-05

文章信息/Info

Title:
Advances in transnasal humidified rapid-insufflation ventilatory exchangenasal for airway management of clinical anesthesia
作者:
孟繁思1刘 松2张 维1胡 胜1
(1.西安市人民医院,陕西 西安 710004; 2.西北妇女儿童医院,陕西 西安 710061)
Author(s):
MENG FansiLIU SongZHANG WeiHU Sheng
(Xi'an People's Hospital,Xi'an 710004,China)
关键词:
经鼻湿化快速通气交换技术 窒息氧合 麻醉 气道管理 预充氧 氧疗
Keywords:
nsnasal humidified rapid-insufflation ventilatory exchange Asphyxia oxygenation Anesthesia Airway management Preoxygenation Oxygen therapy
分类号:
R 614
DOI:
DOI:10.3969/j.issn.1000-7377.2021.08.032
文献标志码:
A
摘要:
经鼻湿化快速通气交换技术(THRIVE)是一种新型呼吸治疗技术,在临床麻醉方面的应用尚在起步阶段。现综述THRIVE的工作原理和生理学基础及其用于预充氧合、共享气道手术气道维持及苏醒期氧疗等不同临床麻醉场景中的进展,并对其应用前景进行展望。旨在为THRIVE更广泛应于临床麻醉提供理论依据和实践支持。
Abstract:
Transnasal humidification rapid ventilation exchange technique(THRIVE)is a new respiratory therapy technique,and its application in clinical anesthesia is still in its initial stage.This article reviews the working principle and physiological basis of THRIVE and its progress in different clinical anesthesia scenarios,such as preoxygenation,airway maintenance in shared airway surgery,and oxygen therapy during recovery,and prospects for its application.The aim is to provide theoretical basis and practical support for THRIVE in clinical anesthesia.

参考文献/References:

[1] 梁汉生,于 玲.气道管理辅助技术[M].北京:北京大学医学出版社,2019:109-110.
[2] Renda T,Corrado A,Iskandar G,et al.High-flow nasal oxygen therapy in intensive care and anaesthesia[J].Br J Anaesth,2018,120(1):18-27.
[3] Roca O,Riera J,Torres F,et al.High-flow oxygen therapy in acute respiratory failure[J].Respir Care,2010,55(4):408-413.
[4] Parke RL,Guinness SP,Eccleston ML.A preliminary randomized controlled trial to assess effectiveness of nasal high-flow oxygen in intensive care patients[J].Respir Care,2011,56(3):265-270.
[5] Manley BJ,Owen LS,Doyle LW,et al.High-flow nasal cannulae in very preterm infants after extubation[J].N Engl J Med,2013,369(15):1425-1433.
[6] Holyoak RS,Melhuish TM,Vlok R,et al.Intubation using apnoeic oxygenation to prevent desaturation:A systematic review and meta-analysis[J].J Crit Care,2017,41:42-48.
[7] Millette BH,Athanassoglou V,Patel A.High flow nasal oxygen therapy in adult anaesthesia[J].Trends in Anaesthesia and Critical Care,2018,18:29.
[8] Nishimura M.High-flow nasal cannula oxygen therapy in adults[J].J Intensive Care,2015,3(1):15.
[9] Muller W,Celik G,Feng S,et al.Nasal high flow clears anatomical dead space in upper airway models[J].J Appl Physiol,2015,118(12):1525-1532.
[10] Groves N,Tobin A.High flow nasal oxygen generates positive airway pressure in adult volunteers[J].Aust Crit Care,2007,20(4):126-131.
[11] Parke R,Guinness S,Eccleston M.Nasal high-flow therapy delivers low level positive airway pressure[J].Br J Anaesth,2009,103(6):886-890.
[12] Corley A,Caruana LR,Barnett AG,et al.Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients[J].Br J Anaesth,2011,107(6):998-1004.
[13] Kory RC,Bergmann JC,Sweet RD,et al.Comparative evaluation of oxygen therapy techniques[J].JAMA,1962,179(10):767.
[14] 魏文举,张 强,那海顺.经鼻高流量氧疗在成人患者中的应用进展[J].中华护理杂志,2016,51(7):853-857
[15] Cuquemelle E,Pham T,Papon JF,et al.Heated and humidified high-flow oxygen therapy reduces discomfort during hypoxemic respiratory failure[J].Respir Care,2012,57(10):1571-1577.
[16] 李国艳,欧 珊.全麻诱导不同通气方式对胃胀气的影响[J].陕西医学杂志,2019,48(2):230-232.
[17] Lellan E,Lam K,Behringer E,et al.High-flow nasal oxygen does not increase the volume of gastric secretions during spontaneous ventilation[J].Br J Anaesth,2020,125(1):75-80.
[18] 蒋卫清,石 莉,赵 倩,等.快充式经鼻湿化高流量通气对肥胖患者全麻诱导期胃进气的影响:基于超声评估的90例前瞻性临床试验[J].南方医科大学学报,2020,40(11):1543-1549.
[19] Michiels C.Physiological and pathological responses to hypoxia[J].Am J Pathol,2004,164(6):1875-1882.
[20] Mir F,Patel A,Iqbal R,et al.A randomised controlled trial comparing transnasal humidified rapid insufflation ventilatory exchange(THRIVE)pre-oxygenation with facemask pre-oxygenation in patients undergoing rapid sequence induction of anaesthesia[J].Anaesthesia,2017,72(4):439-443.
[21] Lodenius A,Piehl J,Ostlund A,et al.Transnasal humidified rapid-insufflation ventilatory exchange(THRIVE)vs.facemask breathing pre-oxygenation for rapid sequence induction in adults:A prospective randomised non-blinded clinical trial[J].Anaesthesia,2018,73(5):564-571.
[22] Miguel-Montanes R,Hajage D,Messika J,et al.Use of high-flow nasal cannula oxygen therapy to prevent desaturation during tracheal intubation of intensive care patients with mild-to-moderate hypoxemia[J].Crit Care Med,2015,43(3):574-583.
[23] Vourch M,Asfar P,Volteau C,et al.High-flow nasal cannula oxygen during endotracheal intubation in hypoxemic patients:A randomized controlled clinical trial[J].Intensive Care Med,2015,41(9):1538-1548.
[24] Millan MH,Davidson M.Anaesthesia for endoscopic surgery[J].Anaesthesia & Intensive Care Medicine,2017,18(4):195..
[25] Awg B,Vidhani K,Lee PK,et al.Spon taneous respiration using intravenous anaesthesia and Hi-flow nasal oxygen(STRIVE Hi)maintains oxygenation and airway patency during management of the obstructed airway:An observational study[J].Br J Anaesth,2017,118(3):444-451.
[26] Yang SH,Wu CY,Tseng WH,et al.Nonintubated laryngomicrosurgery with transnasal humidified rapid-insufflation ventilatory exchange:A case series[J].J Formos Med Assoc,2019,118(7):1138-1143.
[27] Patel A,Nouraei SA.Transnasal humidified rapid-insufflation ventilatory exchange(THRIVE):A physiological method of increasing apnoea time in patients with difficult airways[J].Anaesthesia,2015,70(3):323-329.
[28] Gustafsson IM,Lodenius A,Tunelli J,et al.Apnoeic oxygenation in adults under general anaesthesia using transnasal humidified rapid-insufflation ventilatory exchange(THRIVE)-a physiological study[J].Br J Anaesth,2017,118(4):610-617.
[29] Bourn S,Milligan P,Narry AF.Use of transnasal humidified rapid-insufflation ventilatory exchange(THRIVE)to facilitate the management of subglottic stenosis in pregnancy[J].Int J Obstet Anesth,2020,41:108-113.
[30] 汤 健,黄杰峰,徐伟松,等.预给氧联合窒息氧合技术在肥胖患者无痛胃镜检查中的应用[J].交通医学,2019,33(5):495-497,500.
[31] 郑少华,李 欣,每晓鹏,等.经鼻高流量氧疗应用于肥胖患者无痛结肠镜的安全性研究[J].国际麻醉学与复苏杂志,2020,34(11):1052-1056.
[32] 张 鹏,魏 鹏.呼吸湿化治疗仪在ICU机械通气患者撤机后的应用效果[J].中国当代医药,2017,24(9):33-36.
[33] Zarbock A,Mueller E,Netzer S,et al.Prophylactic nasal continuous positive airway pressure following cardiac surgery protects from postoperative pulmonary complications:A prospective,randomized,controlled trial in 500 patients[J].Chest,2009,135(5):1252-1259.
[34] Parke R,Guinness S,Dixon R,et al.Open-label,phase II study of routine high-flow nasal oxygen therapy in cardiac surgical patients[J].Br J Anaesth,2013,111(6):925-931.
[35] Stéphan F,Barrucand B,Petit P,et al.High-flow nasal oxygen vs noninvasive positive airway pressure in hypoxemic patients after cardiothoracic surgery:A randomized clinical trial[J].JAMA,2015,313(23):2331-2339.
[36] Corley A,Bull T,Spooner AJ,et al.Direct extubation onto high-flow nasal cannulae post-cardiac surgery versus standard treatment in patients with a BMI ≥30:A randomised controlled trial[J].Intensive Care Med,2015,41(5):887-894.
[37] Futier E,Paugam-Burtz C,Godet T,et al.Effect of early postextubation high-flow nasal cannula vs conventional oxygen therapy on hypoxaemia in patients after major abdominal surgery:A French multicentre randomised controlled trial(OPERA)[J].Intensive Care Med,2016,42(12):1888-1898.

备注/Memo

备注/Memo:
基金项目:西安市卫生健康委员会科研项目(2021yb19); 西安市人民医院科研孵化基金资助项目(FZ-56)
更新日期/Last Update: 2021-08-05