Continuous positive airway pressure by face mask in acute cardiogenic pulmonary edema

Räsänen, Jukka; Heikkilä, J; Downs, John B.; Nikki, P.; Väisänen, Irma T.; Viitanen, Anne

doi:10.1016/0002-9149(85)90364-9

Cited by 332 publications

(175 citation statements)

References 16 publications

Supporting

Mentioning

143

Contrasting

Unclassified

Order By: Relevance

“…The usefulness of NIV is definitely proven in conditions such as acute exacerbations of chronic obstructive pulmonary disease, 8 acute cardiogenic pulmonary edema 9 and postoperative respiratory failure. The use of NIV in acute respiratory failure has also been described in immunocompromised patients, 10 patients with pneumonia, 11 weaned from or with failed extubation 12 and asthma 55 with varying degrees of success.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Non Invasive Ventilation in Children with Acute Respiratory Failure

A.S¹

2017

jmscr

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Outcome of Non Invasive Ventilation in Children with Acute Respiratory Failure

A.S¹

2017

jmscr

View full text Add to dashboard Cite

show abstract

“…A utilização de ventilação com pressão positiva de forma não invasiva (CPAP/BIPAP por máscara facial) é de grande valor no suporte ventilatório 6 e pode protelar, ou até mesmo evitar a necessidade de entubação orotraqueal e ventilação mecânica nos casos mais graves. Como a resposta à terapêutica inicial costuma ser rápida e dramática, a entubação orotraqueal deve ser reservada para casos onde se constate falha da terapia conservadora.…”

Section: -Tratamentounclassified

14. Insuficiência cardíaca

2009

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

“…[2][3][4][5][6][7][8][9][10]. Despite this background, reports of CPAP application in prehospital setting are, to our knowledge quite limited.…”

Section: Out Of Hospital Use Of Cpapmentioning

confidence: 99%

“…In hospital, non-invasive Continuous Positive Airway pressure (CPAP) has proven effective in ameliorating gas exchange and reducing both the need for endotracheal intubation and the overall mortality of patients with ACPE, as suggested by randomized controlled trials and a recent meta-analysis [2][3][4][5][6][7][8][9][10], although this result has been challenged by a large multicenter trial. [11] With the understanding that immediate advanced medical care is essential to improve the long-term outcome of cardiac patients, we developed a program for the pre-hospital application of CPAP.…”

Section: Introductionmentioning

confidence: 99%

Is helmet CPAP first line pre-hospital treatment of presumed severe acute pulmonary edema?

et al. 2008

View full text Add to dashboard Cite

PURPOSE: Non invasive Continuous Positive Airway Pressure (CPAP) is effective in reducingintubation rate and mortality of patient with Acute Cardiogenic Pulmonary Edema (ACPE). We report our experience on pre-hospital application of CPAP by helmet as an adjunct to medical therapy or as a stand alone procedure in patient with presumed ACPE. METHODS: In pre-hospital treatment of 62 patients with presumed ACPE, CPAP was added to standard medical treatment while in another 59 patients, CPAP was used as a sole therapy . RESULTS: Helmet CPAP was feasible in all patients. No patient required pre-hospital intubation. In both groups, CPAP significantly improved oxygenation (SpO 2 went from 79 ± 12 % to 97 ± 3% and from 81 ± 13 % to 98 ± 3 %), reduced respiratory rate (from 26 ± 4 to 21 ± 3 bpm and from 30 ± 9 to 22 ± 8 bpm) and improved hemodynamics, with a more pronounced decrease in blood pressure in the group with medical treatment than in the one without it. In the two cohorts, four and five patients were respectively intubated in Emergency Department and eleven and nine eventually died. CONCLUSIONS:Helmet CPAP is feasible, efficient and safe in pre-hospital treatment of presumed ACPE. A significant improvement of physiological variables was observed also in the group treated with CPAP in absence of a drug therapy. We propose helmet CPAP as first line prehospital treatment of presumed severe ACPE.

show abstract

Continuous positive airway pressure by face mask in acute cardiogenic pulmonary edema

Cited by 332 publications

References 16 publications

Outcome of Non Invasive Ventilation in Children with Acute Respiratory Failure

Outcome of Non Invasive Ventilation in Children with Acute Respiratory Failure

14. Insuficiência cardíaca

Is helmet CPAP first line pre-hospital treatment of presumed severe acute pulmonary edema?

Contact Info

Product

Resources

About