Rational application of respiratory support technique in patients with COVID-19 pneumonia

Rational application of respiratory support technique in patients with COVID-19 pneumonia
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DOI:
10.3969/j.issn.1672-8467.2020.02.004
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发表时间:
2020-03-01
期刊:
Fudan Xuebao (Yixueban)
影响因子:
--
通讯作者:
Hu Li-juan
Hu Li-juan
中科院分区:
其他
文献类型:
--
作者:
Zhu Lei;Hu Li-juan

文献摘要

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目前,没有针对2019冠状病毒病(COVID-19)的特定治疗方法。氧疗和机械通气仍然是COVID-19肺炎最基本和最重要的呼吸支持部分。通过在临床实践中应用国家指南,总结经验,对其他指南或共识进行改进。旨在明确鼻插管或面罩氧疗、高流量鼻插管、无创和有创机械通气的应用要求和评价方法。制定了分步治疗方案和治疗结束方案,提高了可操作性,明确了改进临床应用的目标和方向,避免了治疗副作用和防护设备及人员的不必要浪费。
For now, there is no specific treatments for coronavirus disease 2019 (COVID-19). Oxygen therapy and mechanical ventilation remain to be the most basic and important respiratory support parts for COVID-19 pneumonia. Through the application of national guidelines in our clinical practice, we summarized experience and made an improvement to other guidelines or consensuses. We meant to clarify the application requirements and evaluation methods of nasal cannula or mask oxygen therapy, high-flow nasal cannula, non-invasive and invasive mechanical ventilation. Also, we developed a stepwise treatment protocol and a therapeutic end protocol to improve the operability, clarified the goals and directions of improving the application in practice, avoiding side effects of treatment and unnecessary waste of protective equipment and personnel.