Важность использования неинвазивной вентиляции легких при новой коронавирусной инфекции (COVID-19)
Аннотация
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.
Об авторе
С. Н. Авдеев
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)
Россия
Россия
д-р мед. наук, профессор, чл.-корр. Российской академии наук, заведующий кафедрой пульмонологии
ул. Трубецкая, д. 8, стр. 2, г. Москва, 119991, Россия
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Рецензия
Для цитирования:
Авдеев С.Н. Важность использования неинвазивной вентиляции легких при новой коронавирусной инфекции (COVID-19). Национальное здравоохранение. 2020;1(1):33-38.
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