医学
呼吸系统
急性呼吸衰竭
呼吸监测
呼吸衰竭
重症监护医学
呼吸
呼吸控制
心脏病学
麻醉
内科学
机械通风
作者
Anna Mocellin,Federico Bernaldo de Quirós Guidotti,Simona Rizzato,Matteo Tacconi,Giulia Bruzzi,John J. Messina,Daniele Puggioni,A. Patsoura,Riccardo Fantini,Luca Tabbì,Ivana Castaniere,Alessandro Marchioni,Enrico Clini,Roberto Tonelli
标识
DOI:10.1007/s11739-024-03715-3
摘要
Non-invasive respiratory support, namely, non-invasive ventilation, continuous positive airway pressure, and high-flow nasal cannula, has been increasingly used worldwide to treat acute hypoxemic respiratory failure, giving the benefits of keeping spontaneous breathing preserved. In this scenario, monitoring and controlling respiratory drive could be helpful to avoid patient self-inflicted lung injury and promptly identify those patients that require an upgrade to invasive mechanical ventilation. In this review, we first describe the physiological components affecting respiratory drive to outline the risks associated with its hyperactivation. Further, we analyze and compare the leading strategies implemented for respiratory drive monitoring and discuss the sedative drugs and the non-pharmacological approaches used to modulate respiratory drive during non-invasive respiratory support. Refining the available techniques and rethinking our therapeutic and monitoring targets can help critical care physicians develop a personalized and minimally invasive approach.
科研通智能强力驱动
Strongly Powered by AbleSci AI