Early evolution of arterial oxygenation in severe community-acquired pneumonia: A prospective observational study

Wu, Chien Liang; Lin, Fung-J; Lee, Shih Yi; Lee, Chao Hsien; Peng, Ming Jen; Chen, Pei Jan; Kuo, Hsu Tah

doi:10.1016/j.jcrc.2006.06.009

Cited by 13 publications

(8 citation statements)

References 29 publications

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“…Three articles were included independently from the search engines (Figure 1). The papers were divided into two groups: those evaluating ARF in CAP but not its ventilatory management ( n = 12) [10,20,21,22,23,24,25,26,27,28,29,30] and those evaluating ventilatory management of ARF in CAP ( n = 17) [11,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46] (Tables S1 and S2).…”

Section: Resultsmentioning

confidence: 99%

Management of Acute Respiratory Failure Due to Community-Acquired Pneumonia: A Systematic Review

et al. 2019

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Community-acquired pneumonia (CAP) is a leading cause of mortality worldwide. CAP mortality is driven by the development of sepsis and acute respiratory failure (ARF). We performed a systematic review of the available English literature published in the period 1 January 1997 to 31 August 2017 and focused on ARF in CAP. The database searches identified 189 articles—of these, only 29 were retained for data extraction. Of these 29 articles, 12 addressed ARF in CAP without discussing its ventilatory management, while 17 evaluated the ventilatory management of ARF in CAP. In the studies assessing the ventilatory management, the specific treatments addressed were: high-flow nasal cannula (HFNC) (n = 1), continuous positive airway pressure (n = 2), non-invasive ventilation (n = 9), and invasive mechanical ventilation (n = 5). When analyzed, non-invasive ventilation (NIV) success rates ranged from 20% to 76% and they strongly predicted survival, while NIV failure led to an increased risk of adverse outcome. In conclusion, ARF in CAP patients may require both ventilatory and non-ventilatory management. Further research is needed to better evaluate the use of NIV and HFNC in those patients. Alongside the prompt administration of antimicrobials, the potential use of steroids and the implementation of severity scores should also be considered.

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Section: Resultsmentioning

confidence: 99%

Management of Acute Respiratory Failure Due to Community-Acquired Pneumonia: A Systematic Review

et al. 2019

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“…Consecutive measurements of CRP and assessment of oxygenation may be used during follow‐up to assess treatment response [285,286].…”

Section: Management Inside Hospitalmentioning

confidence: 99%

“…[284]Association between timing of intensive care unit admission and outcomes for emergency department patients with community‐acquired pneumoniaPCS3A+Wu et al. [286]Early evolution of arterial oxygenation in severe community‐acquired pneumonia: a prospective observational studyPCS3B−…”

Section: Management Inside Hospitalmentioning

confidence: 99%

Guidelines for the management of adult lower respiratory tract infections - Full version

Woodhead

Blasi

Ewig

et al. 2011

Clinical Microbiology and Infection

802

616

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This document is an update of Guidelines published in 2005 and now includes scientific publications through to May 2010. It provides evidence-based recommendations for the most common management questions occurring in routine clinical practice in the management of adult patients with LRTI. Topics include management outside hospital, management inside hospital (including community-acquired pneumonia (CAP), acute exacerbations of COPD (AECOPD), acute exacerbations of bronchiectasis) and prevention. Background sections and graded evidence tables are also included. The target audience for the Guideline is thus all those whose routine practice includes the management of adult LRTI.

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“…Arterial hypoxaemia (the partial pressure of oxygen in arterial blood (P aO2) <8kPa) is independently associated with poorer outcomes in hospitalised patients with CAP, [13][14][15][16] and may be useful in identifying patients at higher risk of adverse outcomes despite apparently low severity CAP as measured by current severity scores. 17 However, arterial blood gas analysis as a measure of hypoxaemia is not routinely available in primary care and is usually inappropriate in patients who do not have low S pO2 or suspected significant metabolic derangement.…”

Section: Introductionmentioning

confidence: 99%

What is the role of pulse oximetry in the assessment of patients with community-acquired pneumonia in primary care?

Bewick

Greenwood

Lim

2010

Primary Care Respiratory Journal

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Early evolution of arterial oxygenation in severe community-acquired pneumonia: A prospective observational study

Cited by 13 publications

References 29 publications

Management of Acute Respiratory Failure Due to Community-Acquired Pneumonia: A Systematic Review

Management of Acute Respiratory Failure Due to Community-Acquired Pneumonia: A Systematic Review

Guidelines for the management of adult lower respiratory tract infections - Full version

What is the role of pulse oximetry in the assessment of patients with community-acquired pneumonia in primary care?

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