关键词: Hypercapnia Hypercapnic respiratory failure Hypoventilation Non-invasive ventilation Positive airway pressure Respiratory insufficiency Sleep apnea

Mesh : Humans Hypercapnia / complications Respiratory Insufficiency / therapy epidemiology etiology Sleep Apnea, Obstructive / therapy complications epidemiology physiopathology Critical Care / methods Inpatients Outpatients

来  源:   DOI:10.1016/j.jsmc.2024.02.012   PDF(Pubmed)

Abstract:
An emerging body of literature describes the prevalence and consequences of hypercapnic respiratory failure. While device qualifications, documentation practices, and previously performed clinical studies often encourage conceptualizing patients as having a single \"cause\" of hypercapnia, many patients encountered in practice have several contributing conditions. Physiologic and epidemiologic data suggest that sleep-disordered breathing-particularly obstructive sleep apnea (OSA)-often contributes to the development of hypercapnia. In this review, the authors summarize the frequency of contributing conditions to hypercapnic respiratory failure among patients identified in critical care, emergency, and inpatient settings with an aim toward understanding the contribution of OSA to the development of hypercapnia.
摘要:
新兴的文献描述了高碳酸血症呼吸衰竭的患病率和后果。虽然设备资格,文档惯例,以前进行的临床研究通常鼓励将患者概念化为高碳酸血症的单一“原因”,实践中遇到的许多患者都有几种情况。生理和流行病学数据表明,睡眠呼吸紊乱-特别是阻塞性睡眠呼吸暂停(OSA)-通常会导致高碳酸血症的发展。在这次审查中,作者总结了重症监护患者中高碳酸血症呼吸衰竭的发病频率,紧急情况,和住院设置,目的是了解OSA对高碳酸血症发展的贡献。
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