OBLICI NEINVAZIVNE VENTILACIJE
DOI:
https://doi.org/10.46793/PP190111009VKljučne reči:
neinvazivna ventilacija, hronična pluća bolest, CPAP, nBiPApstrakt
U Srbiji se pre vremena godišnje rodi oko četiri hiljade beba i sve one su u riziku da razviju hroničnu plućnu bolest(HPB) Ovo stanje karakteriše visok mortalitet i morbiditet. Jedan od značajnih etioloških faktora koji doprinose razvoju HPB- a je dugotrajna mehanička ventilacija. Mehanička ventilacije putem endotrahealnog tubusa za mnoge prevremeno rođene bebe predstavlja vid respiratorne potpore koja spašava život. Ipak, u nekim slučajevima mehanička ventilacija dovodi do oštećenja pluća i pojave hronične plućne bolesti kod prematurusa. Uprkos primeni antenatalne kortikosteroidne terapije, primeni plućnog surfaktanta i različitih modova konvencionalne i visokofrekventne oscilatorne ventilacije više od 40% novorođenčadi rođene pre 28 nedelje gestacije i dalje razvija hroničnu plućnu bolest.Smanjenje trajanja mehaničke ventilacije, rana ekstubacija i primena neinvazivnih metoda respiratorne potpore su mere koje dokazano manje oštećuju pluća.
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