High flow humidification oxygen therapy for elderly patients with abnormal respiratory rhythms and difficult weaning:report of two cases and literature review
10.3760/cma.j.issn.0254-9026.2018.02.012
- VernacularTitle:高流量湿化氧疗模式用于伴呼吸节律异常的高龄患者困难撤机两例并文献复习
- Author:
Xuefeng ZHONG
1
;
Peng YU
;
Yanming LI
Author Information
1. 100730,北京医院国家老年医学中心呼吸与危重医学科国家呼吸临床研究中心
- Keywords:
Ventilators,negative-pressure;
Ventilator weaning
- From:
Chinese Journal of Geriatrics
2018;37(2):167-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluation the effect of high flow humidification oxygen (HFHO) therapy for two elderly cases with respiratory rhythm abnormalities and multiple organ dysfunction weaning from mechanical ventilation.Methods Clinical features and weaning processes of two elderly cases with respiratory rhythm abnormalities and multiple organ dysfunction were analyzed and the related literature was reviewed.Results Two elderly patients had multiple organ dysfunction,respiratory rhythm abnormalities and other difficult weaning factors.After a variety of unsuccessfully weaning patterns,HFHO was successfully used in helping patients wean from mechanical ventilation,with gradually increasing the time of HFHO and restoring respiratory muscle function.Conclusions For elderly patients with artificial airways,respiratory muscle dysfunction(long-term mechanical ventilation)and/or respiratory rhythm abnormalities,HFHO is a promising weaning method.
