natszdravНациональное здравоохранениеNational Health Care (Russia)2713-069X2713-0703Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)10.47093/2713-069X.2020.1.1.33-38natszdrav-9Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАВажность использования неинвазивной вентиляции легких при новой коронавирусной инфекции (COVID-19)АвдеевС. Н.

 д-р мед. наук, профессор, чл.-корр. Российской академии наук, заведующий кафедрой пульмонологии 

ул. Трубецкая, д. 8, стр. 2, г. Москва, 119991, Россия 

serg_avdeev@list.ruФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)Russian Federation202020052021113338Copyright © Авдеев С.Н., 20212021Авдеев С.Н.Авдеев С.Н.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.natszdrav.ru/jour/article/view/9

 На начальных этапах пандемии новой коронавирусной инфекции (COronaVIrus Disease-19, COVID-19) многие руководства по ведению пациентов не содержали  рекомендаций по использованию неинвазивной  вентиляции легких (НВЛ) в связи с опасениями, что НВЛ может сопровождаться высокими дыхательными объемами, способными вызвать повреждение легких, и, кроме того, существовало мнение, что НВЛ повышает риск распространения биоаэрозоля, содержащего вирус SARS-CoV-2. В то же время НВЛ достаточно широко используется в реальной клинической практике при ведении тяжелых пациентов с COVID-19 (в некоторых странах – до 60% среди всех методов респираторной поддержки). Накопленный опыт показывает, что при работе с НВЛ риск контаминации вирусными инфекциями сводится к минимуму при адекватном использовании средств индивидуальной защиты. К настоящему времени доступны результаты небольшого числа исследований, посвященных эффективности НВЛ при гипоксемической острой дыхательной недостаточности (ОДН) у пациентов с COVID-19. В большинстве исследований потребность в интубации трахеи и госпитальная летальность, в среднем, составили 20-30%, что позволяет говорить о достаточно высокой эффективности НВЛ при ОДН у пациентов с COVID-19.  

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The authors declare that there are no conflicts of interest present.