АЭРОЗОЛЬНАЯ ТЕРАПИЯ ВО ВРЕМЯ НЕИНВАЗИВНОЙ ВЕНТИЛЯЦИИ ЛЕГКИХ
Аннотация
К настоящему времени получены доказательства эффективности ингаляционной лекарственной терапии во время неинвазивной вентиляции легких (НВЛ). Доставка аэрозольных препаратов во время НВЛ зависит от многих факторов, таких как выбор ингаляционного устройства и маски, положение порта утечки и позиция устройства в контуре респиратора. Технологические инновации в области ингаляционной терапии привели к созданию новых устройств, способных оптимизировать легочную депозицию и уменьшить время ингаляционной терапии. По сравнению со стандартными струйными небулайзерами мембранные небулайзеры способны доставить в дыхательные пути пациента в 4 раза большую дозу лекарственного препарата. Необходимо проведение дальнейших исследований, посвященных возможности проведения аэрозольной терапии во время высокопоточной кислородотерапии с помощью носовых канюль.
Об авторе
С. Н. Авдеев
ФГАОУ ВО «Первый МГМУ им. И. М. Сеченова» МЗ РФ;
ФГБУ «НИИ пульмонологии» ФМБА России
Россия
Россия
Авдеев Сергей Николаевич – доктор медицинских наук, профессор, член-корреспондент РАН, заведующий кафедрой пульмонологии ФГАОУ ВО «Первый МГМУ им. И. М. Сеченова» МЗ РФ
119048, Москва, ул. Доватора, д. 15, стр. 2, УКБ № 4
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Для цитирования:
Авдеев С.Н. АЭРОЗОЛЬНАЯ ТЕРАПИЯ ВО ВРЕМЯ НЕИНВАЗИВНОЙ ВЕНТИЛЯЦИИ ЛЕГКИХ. Вестник анестезиологии и реаниматологии. 2018;15(2):45-54. https://doi.org/10.21292/2078-5658-2018-15-2-45-54
For citation:
Аvdeev S.N. AEROSOL THERAPY DURING NON-INVASIVE VENTILATION. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2018;15(2):45-54. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-2-45-54
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