Articoli di revisione
V. 43 N. 1 (2026)
Esiti respiratori durante l'uso della cannula nasale ad alto flusso in pazienti con ustioni gravi e lesioni da inalazione: una revisione sistematica
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Pubblicato: 11 marzo 2026
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Introduzione: i pazienti con gravi ustioni e lesioni da inalazione spesso necessitano di ventilazione meccanica per il supporto vitale. Le cannule nasali ad alto flusso (HFNC) sono dispositivi non invasivi che possono migliorare i parametri respiratori. Tuttavia, vi è una mancanza di conoscenze sull'uso delle HFNC nei pazienti con gravi ustioni. Lo scopo del presente lavoro è quello di descrivere i risultati respiratori in pazienti con gravi ustioni e lesioni da inalazione sottoposti a ossigenoterapia tramite HFNC.
Materiali e Metodi: è stata condotta una revisione sistematica seguendo le linee guida Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). Sono stati inclusi studi incentrati su pazienti adulti con gravi ustioni e lesioni da inalazione trattati con HFNC; sono state escluse le popolazioni pediatriche e gli studi secondari.
Risultati: su 796 record esaminati, tre serie di casi e un caso clinico hanno soddisfatto i criteri di inclusione e sono stati inclusi. I risultati hanno dimostrato che gli HFNC hanno influenzato in modo significativo i principali esiti respiratori, tra cui il miglioramento del rapporto P/F (PaO₂/FiO₂), la riduzione della frequenza respiratoria e il successo dello svezzamento dal supporto ventilatorio.
Conclusione: l'uso dell'HFNC sembra sicuro e potenzialmente benefico per migliorare lo scambio gassoso nei pazienti con ustioni gravi e lesioni da inalazione. Tuttavia, le prove complessive rimangono limitate. Sono necessarie ulteriori ricerche per confermare la sua efficacia e stabilire il suo ruolo nella cura standard delle ustioni.
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Come citare
Esiti respiratori durante l’uso della cannula nasale ad alto flusso in pazienti con ustioni gravi e lesioni da inalazione: una revisione sistematica. (2026). Scenario® - Il Nursing Nella Sopravvivenza, 43(1). https://doi.org/10.4081/scenario.2026.656
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Questo volume è pubblicato con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.