{"id":22998,"date":"2023-04-17T12:42:14","date_gmt":"2023-04-17T05:42:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22998"},"modified":"2023-04-17T16:51:33","modified_gmt":"2023-04-17T09:51:33","slug":"bipap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/bipap\/","title":{"rendered":"BiPAP – K\u1ef9 thu\u1eadt th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m l\u1ea5n \u1edf b\u1ec7nh nh\u00e2n COVID 19"},"content":{"rendered":"

Trong b\u1ed1i c\u1ea3nh d\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, vi\u1ec7c s\u1eed d\u1ee5ng BiPAP (Bilevel Positive Airway Pressure) \u0111ang tr\u1edf th\u00e0nh m\u1ed9t gi\u1ea3i ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1eb7ng. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng BiPAP c\u1ea7n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u00fang c\u00e1ch v\u00e0 theo ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb.<\/p>\n

1. \u0110\u1ecbnh ngh\u0129a<\/strong><\/h1>\n

BiPAP (Bi-level Positive Airway Ventilaton) l\u00e0 ph\u01b0\u01a1ng th\u1ee9c th\u00f4ng kh\u00ed h\u1ed7 tr\u1ee3 2 m\u1ee9c \u00e1p l\u1ef1c d\u01b0\u01a1ng. C\u00f3 th\u1ec3 th\u00f4ng kh\u00ed x\u00e2m nh\u1eadp ho\u1eb7c kh\u00f4ng x\u00e2m nh\u1eadp.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh d\u00f9ng BiPAP<\/strong><\/h2>\n

– Sau ph\u1eabu thu\u1eadt tim ph\u1ed5i.<\/p>\n

– Sau g\u00e2y m\u00ea ph\u1eabu thu\u1eadt.<\/p>\n

– M\u1ee9c \u0111\u1ed9 nh\u1eb9 c\u1ee7a \u0111\u1ee3t c\u1ea5p COPD, suy h\u00f4 h\u1ea5p c\u1ea5p ti\u1ebfn tri\u1ec3n, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ea5p, ph\u00f9 ph\u1ed5i c\u1ea5p.<\/p>\n

– Suy tim.<\/p>\n

– H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7.<\/p>\n

– Sau r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n.<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng BiPAP<\/strong><\/h2>\n

– Ng\u01b0\u1eddi b\u1ec7nh ng\u1eebng th\u1edf, ng\u1eebng tim.<\/p>\n

– H\u00f4n m\u00ea < 10 \u0111i\u1ec3m, ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a tr\u00ean n\u1eb7ng, huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/p>\n

– Bi\u1ebfn d\u1ea1ng, ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u, h\u00e0m m\u1eb7t.<\/p>\n

– T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf: d\u1ecb v\u1eadt, \u0111\u1eddm.<\/p>\n

– Kh\u00f4ng h\u1ee3p t\u00e1c v\u1edbi th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng th\u1edf; ho kh\u1ea1c k\u00e9m.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ngu\u1ed3n<\/strong>: COVID 19 – BiPAP and CPAP<\/em><\/figcaption><\/figure>\n

4. Chu\u1ea9n b\u1ecb quy tr\u00ecnh\u00a0\u00a0<\/strong><\/h2>\n

4.1. Nh\u00e2n vi\u00ean y t\u1ebf<\/strong><\/h3>\n

B\u00e1c s\u1ef9 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng chuy\u00ean khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u ho\u1eb7c \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 th\u1edf m\u00e1y.<\/p>\n

4.2. Ph\u01b0\u01a1ng ti\u1ec7n<\/strong><\/h3>\n

– M\u00e1y th\u1edf c\u00f3 ph\u01b0\u01a1ng th\u1ee9c th\u1edf BiPAP v\u00e0 c\u00f3 b\u1ed9 ph\u1eadn trigger, \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u1eed khu\u1ea9n.<\/p>\n

– D\u1ee5ng c\u1ee5 ti\u00eau hao: b\u1ed9 \u0111\u01b0\u1eddng d\u1eabn kh\u00ed m\u00e1y th\u1edf b\u1eb1ng ch\u1ea5t d\u1ebbo (d\u00e2y m\u00e1y th\u1edf) v\u00f4 khu\u1ea9n, \u1ed1ng th\u00f4ng h\u00fat \u0111\u1eddm th\u00f4ng th\u01b0\u1eddng (d\u00f9ng 1 l\u1ea7n), \u1ed1ng th\u00f4ng h\u00fat \u0111\u1eddm k\u00edn (thay h\u00e0ng ng\u00e0y).<\/p>\n

– H\u1ec7 th\u1ed1ng oxy (oxy t\u01b0\u1eddng ho\u1eb7c b\u00ecnh oxy c\u00f3 van gi\u1ea3m \u00e1p).<\/p>\n

– H\u1ec7 th\u1ed1ng kh\u00ed n\u00e9n (ho\u1eb7c m\u00e1y n\u00e9n kh\u00ed, d\u00f9ng cho c\u00e1c m\u00e1y th\u1edf v\u1eadn h\u00e0nh b\u1eb1ng kh\u00ed n\u00e9n).<\/p>\n

– H\u1ec7 th\u1ed1ng h\u00fat (ho\u1eb7c m\u00e1y h\u00fat).<\/p>\n

– M\u00e1y theo d\u00f5i li\u00ean t\u1ee5c: \u0111i\u1ec7n tim, m\u1ea1ch, huy\u1ebft \u00e1p, SpO2<\/sub>.<\/p>\n

– M\u00e1y x\u00e9t nghi\u1ec7m kh\u00ed m\u00e1u.<\/p>\n

– M\u00e1y ch\u1ee5p X-quang t\u1ea1i gi\u01b0\u1eddng.<\/p>\n

– B\u00f3ng ambu k\u00e8m theo m\u1eb7t n\u1ea1, b\u1ed9 d\u1ee5ng c\u1ee5 th\u1edf oxy (oxymeter, b\u00ecnh l\u00e0m \u1ea9m oxy, \u1ed1ng d\u1eabn oxy, g\u1ecdng k\u00ednh oxy, m\u1eb7t n\u1ea1 oxy).<\/p>\n

– B\u1ed9 m\u1edf m\u00e0ng ph\u1ed5i c\u1ea5p c\u1ee9u, h\u1ec7 th\u1ed1ng h\u00fat kh\u00ed \u00e1p l\u1ef1c th\u1ea5p, b\u1ed9 c\u1ea5p c\u1ee9u ng\u1eebng tu\u1ea7n ho\u00e0n.<\/p>\n

– Chu\u1ea9n b\u1ecb m\u00e1y th\u1edf:<\/p>\n

+ L\u1eafp \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u00e0o m\u00e1y.<\/p>\n

+ Cho n\u01b0\u1edbc c\u1ea5t v\u00e0o b\u00ecnh l\u00e0m \u1ea9m \u0111\u1ebfn \u0111\u00fang m\u1ee9c n\u01b0\u1edbc quy \u0111\u1ecbnh.<\/p>\n

+ C\u1eafm \u0111i\u1ec7n, n\u1ed1i c\u00e1c \u0111\u01b0\u1eddng oxy, kh\u00ed n\u00e9n (n\u1ebfu m\u00e1y d\u00f9ng kh\u00ed n\u00e9n) v\u00e0o m\u00e1y th\u1edf.<\/p>\n

+ B\u1eadt m\u00e1y, ti\u1ebfn h\u00e0nh test m\u00e1y theo h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng m\u00e1y th\u1edf.<\/p>\n

4.3. Ng\u01b0\u1eddi b\u1ec7nh<\/h3>\n

– Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh\/ng\u01b0\u1eddi \u0111\u1ea1i di\u1ec7n h\u1ee3p ph\u00e1p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 s\u1ef1 c\u1ea7n thi\u1ebft v\u00e0 c\u00e1c nguy c\u01a1 c\u1ee7a th\u1edf m\u00e1y. Ng\u01b0\u1eddi b\u1ec7nh\/\u0111\u1ea1i di\u1ec7n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh k\u00fd cam k\u1ebft th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt.<\/p>\n

– L\u00e0m x\u00e9t nghi\u1ec7m kh\u00ed trong m\u00e1u. \u0110o huy\u1ebft \u00e1p, l\u1ea5y m\u1ea1ch, nh\u1ecbp th\u1edf, SpO2<\/sub>. \u0110\u1eb7t m\u00e1y theo d\u00f5i li\u00ean t\u1ee5c.<\/p>\n

– C\u00e2n b\u1ec7nh nh\u00e2n, \u0111o chi\u1ec1u cao, t\u00ednh c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng.<\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh \u0111\u1eb7t BiPAP<\/strong><\/h2>\n

5.1. \u0110\u1eb7t c\u00e1c th\u00f4ng s\u1ed1 m\u00e1y th\u1edf ban \u0111\u1ea7u:<\/strong><\/h3>\n

– FiO2\u00a0<\/sub>100% sau \u0111\u00f3 gi\u1ea3m d\u1ea7n \u0111\u1ec3 duy tr\u00ec FiO2\u00a0<\/sub>\u2265 92%<\/p>\n

– IPAP 8-12 cmH2<\/sub>O<\/p>\n

– EPAP 0-5 cmH2<\/sub>O<\/p>\n

– \u00c1p l\u1ef1c h\u1ed7 tr\u1ee3 (PS) = IPAP-EPAP<\/p>\n

– \u00c1p l\u1ef1c ch\u00eanh l\u1ec7ch gi\u1eefa IPAP v\u00e0 EPAP n\u00ean duy tr\u00ec kho\u1ea3ng 5cmH2<\/sub>O, BiPAP th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u IPAP\/EPAP l\u00e0 8\/3 ho\u1eb7c 10\/5 cmH2<\/sub>O.<\/p>\n

5.2. \u0110\u1eb7t c\u00e1c m\u1ee9c gi\u1edbi h\u1ea1n b\u00e1o \u0111\u1ed9ng<\/strong><\/h3>\n

\u0110\u1eb7t c\u00e1c gi\u1edbi h\u1ea1n b\u00e1o \u0111\u1ed9ng, m\u1ee9c \u0111\u1eb7t t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee5 th\u1ec3 c\u1ee7a m\u1ed7i ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

5.3. Ti\u1ebfn h\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh th\u1edf m\u00e1y<\/strong><\/h3>\n

– N\u1ed1i m\u00e1y th\u1edf v\u1edbi ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Gi\u1eef v\u00e0 c\u1ed1 \u0111\u1ecbnh m\u1eb7t n\u1ea1 cho ng\u01b0\u1eddi b\u1ec7nh quen d\u1ea7n trong v\u00f2ng 5-10 ph\u00fat sau \u0111\u00f3 c\u1ed1 \u0111\u1ecbnh m\u1eb7t n\u1ea1 sao cho \u0111\u1ee7 kh\u00edt \u0111\u1ea3m b\u1ea3o kh\u00f4ng r\u00f2 kh\u00ed nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c qu\u00e1 ch\u1eb7t.<\/p>\n

– Theo d\u00f5i SpO2<\/sub>, m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf, vte. L\u00e0m x\u00e9t nghi\u1ec7m kh\u00ed trong m\u00e1u sau 30 ph\u00fat \u0111\u1ebfn 60 ph\u00fat th\u1edf m\u00e1y.<\/p>\n

– M\u1ee5c ti\u00eau c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c:<\/p>\n

+ SpO2\u00a0<\/sub>> 92%, PaO2\u00a0<\/sub>> 60 mmHg.<\/p>\n

+ PaCO2<\/sub>, pH b\u00ecnh th\u01b0\u1eddng ho\u1eb7c \u1edf m\u1ee9c ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c (khi th\u00f4ng kh\u00ed ch\u1ea5p nh\u1eadn t\u0103ng CO2\u00a0<\/sub>\u1edf ng\u01b0\u1eddi b\u1ec7nh ARDS, hen ph\u1ebf qu\u1ea3n, COPD).<\/p>\n

+ Nh\u1ecbp th\u1edf \u2264 30 l\u1ea7n\/ph\u00fat.<\/p>\n

+ Vt kh\u00f4ng qu\u00e1 8 ml\/kg.<\/p>\n

5.4. \u0110i\u1ec1u ch\u1ec9nh th\u00f4ng s\u1ed1 m\u00e1y th\u1edf<\/strong><\/h3>\n

– PaO2\u00a0<\/sub>gi\u1ea3m.<\/p>\n

+ T\u0103ng FiO2\u00a0<\/sub>m\u1ed7i 10% \u0111\u1ec3 \u0111\u1ea1t SpO2\u00a0<\/sub>> 92%.<\/p>\n

+ T\u0103ng IPAP v\u00e0 EPAP m\u1ed7i l\u1ea7n 2cmH2<\/sub>O, c\u00f3 th\u1ec3 t\u0103ng IPAP \u0111\u1ebfn 20cmH2<\/sub>O v\u00e0 EPAP t\u0103ng \u0111\u1ebfn 10-12cmH2<\/sub>O.<\/p>\n

– PaO2\u00a0<\/sub>t\u0103ng<\/p>\n

+ Gi\u1ea3m FiO2\u00a0<\/sub>m\u1ed7i 10% \u0111\u1ec3 \u0111\u1ea1t SpO2\u00a0<\/sub>> 92%<\/p>\n

– PaCO2\u00a0<\/sub>t\u0103ng (pH <7,3)<\/p>\n

+ T\u0103ng IPAP v\u00e0 EPAP m\u1ed7i l\u1ea7n 2cmH2<\/sub>O, c\u00f3 th\u1ec3 t\u0103ng IPAP \u0111\u1ebfn 20cmH2<\/sub>O v\u00e0 EPAP t\u0103ng \u0111\u1ebfn 10-12cmH2<\/sub>O.<\/p>\n

– PaCO2\u00a0<\/sub>gi\u1ea3m (pH > 7,45).<\/p>\n

+ Gi\u1ea3m IPAP v\u00e0 EPAP m\u1ed7i l\u1ea7n 2cmH2<\/sub>O.<\/p>\n

6. Theo d\u00f5i sau \u0111\u1eb7t BiPAP<\/strong><\/h2>\n

– Ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y th\u1edf, c\u00e1c \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf, b\u00e1o \u0111\u1ed9ng.<\/p>\n

– T\u00ecnh tr\u1ea1ng ch\u1ed1ng m\u00e1y: xem ng\u01b0\u1eddi b\u1ec7nh c\u00f3 h\u1ee3p t\u00e1c v\u1edbi m\u00e1y th\u1edf kh\u00f4ng. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng h\u1ee3p t\u00e1c gi\u1ea3i th\u00edch \u0111\u1ed9ng vi\u00ean h\u01b0\u1edbng d\u1eabn cho ng\u01b0\u1eddi b\u1ec7nh h\u1ee3p t\u00e1c v\u1edbi m\u00e1y th\u1edf. Trong tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i, oxy h\u00f3a m\u00e1u ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea3i thi\u1ec7n x\u00e9t \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n th\u1edf m\u00e1y x\u00e2m nh\u1eadp.<\/p>\n

– M\u1ea1ch, huy\u1ebft \u00e1p, \u0111i\u1ec7n tim (tr\u00ean m\u00e1y theo d\u00f5i), SpO2,\u00a0<\/sub>\u00fd th\u1ee9c th\u01b0\u1eddng xuy\u00ean.<\/p>\n

– X\u00e9t nghi\u1ec7m kh\u00ed trong m\u00e1u: l\u00e0m \u0111\u1ecbnh k\u1ef3 (12 – 24 gi\u1edd\/l\u1ea7n) t\u00f9y theo t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh, l\u00e0m c\u1ea5p c\u1ee9u khi c\u00f3 di\u1ec5n bi\u1ebfn b\u1ea5t th\u01b0\u1eddng.<\/p>\n

– X quang ph\u1ed5i: ch\u1ee5p 1 – 2 ng\u00e0y\/l\u1ea7n, ch\u1ee5p c\u1ea5p c\u1ee9u khi c\u00f3 di\u1ec5n bi\u1ebfn b\u1ea5t th\u01b0\u1eddng.<\/p>\n

7. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/strong><\/h2>\n

– \u00dd th\u1ee9c: c\u1ea7n theo d\u00f5i \u00fd th\u1ee9c xem ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u1ec9nh kh\u00f4ng (h\u00f4n m\u00ea: nguy\u00ean nh\u00e2n toan h\u00f4 h\u1ea5p, suy h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n n\u1eb7ng l\u00ean…), n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh h\u00f4n m\u00ea, x\u1eed tr\u00ed \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n th\u1edf m\u00e1y x\u00e2m nh\u1eadp.<\/p>\n

– T\u1ee5t huy\u1ebft \u00e1p<\/p>\n

+ Theo d\u00f5i huy\u1ebft \u00e1p.<\/p>\n

+ X\u1eed tr\u00ed khi c\u00f3 t\u1ee5t huy\u1ebft \u00e1p: truy\u1ec1n d\u1ecbch, d\u00f9ng v\u1eadn m\u1ea1ch n\u1ebfu c\u1ea7n.<\/p>\n

– Ch\u1ea5n th\u01b0\u01a1ng \u00e1p l\u1ef1c (tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i):<\/p>\n

+ Bi\u1ec3u hi\u1ec7n: ng\u01b0\u1eddi b\u1ec7nh ch\u1ed1ng m\u00e1y, SpO2\u00a0<\/sub>t\u1ee5t, tr\u00e0n kh\u00ed d\u01b0\u1edbi da, kh\u00e1m ph\u1ed5i c\u00f3 d\u1ea5u hi\u1ec7u tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i<\/p>\n

+ X\u1eed tr\u00ed: \u0111\u1eb7t d\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i c\u1ea5p c\u1ee9u.<\/p>\n

– Nhi\u1ec5m khu\u1ea9n li\u00ean quan th\u1edf m\u00e1y: c\u1ea7n tu\u00e2n th\u1ee7 tri\u1ec7t \u0111\u1ec3 c\u00e1c nguy\u00ean t\u1eafc v\u00f4 khu\u1ea9n b\u1ec7nh vi\u1ec7n \u0111\u1ec3 d\u1ef1 ph\u00f2ng. \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh s\u1edbm v\u00e0 theo nguy\u00ean t\u1eafc xu\u1ed1ng thang khi xu\u1ea5t hi\u1ec7n nhi\u1ec5m khu\u1ea9n.<\/p>\n

– Lo\u00e9t\/xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do stress: d\u1ef1 ph\u00f2ng b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton.<\/p>\n

Ngu\u1ed3n<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID 19 c\u1ee7a B\u1ed9 Y t\u1ebf 2022<\/p>\n","protected":false},"excerpt":{"rendered":"

Trong b\u1ed1i c\u1ea3nh d\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, vi\u1ec7c s\u1eed d\u1ee5ng BiPAP (Bilevel Positive Airway Pressure) \u0111ang tr\u1edf th\u00e0nh m\u1ed9t gi\u1ea3i ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1eb7ng. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng BiPAP c\u1ea7n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u00fang c\u00e1ch v\u00e0 theo ch\u1ec9 \u0111\u1ecbnh […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nBiPAP - K\u1ef9 thu\u1eadt th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m l\u1ea5n \u1edf b\u1ec7nh nh\u00e2n COVID 19<\/title>\n<meta name=\"description\" content=\"Trong b\u1ed1i c\u1ea3nh d\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, vi\u1ec7c s\u1eed d\u1ee5ng BiPAP (Bilevel Positive Airway Pressure) \u0111ang tr\u1edf th\u00e0nh m\u1ed9t\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"BiPAP - 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