Non-invasive continuous positive airway pressure in acute hypoxaemic respiratory failure???experience of an emergency department

L'HerE,; Moriconi, Martina; Texier, F; Bouquin, Vincent Le; Kaba, L; Renault, Anne; Garo, B.; Boles, J.-M.

doi:10.1097/00063110-199809000-00006

Cited by 20 publications

(14 citation statements)

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“…This may simply be reflective of the underlying severity of illness among patients with alternative diagnoses, as evidenced by their increased median LOS. In fact, several reports have suggested that CPAP is useful for the treatment of respiratory distress due to noncardiogenic etiologies, such as pneumonia 23 and COPD. [24][25][26] Larger, controlled trials are needed in order to distinguish how well CPAP performs with respect to alternative etiologies of respiratory failure.…”

Section: Discussionmentioning

confidence: 99%

P Rehospital U Se of C Ontinuous P Ositive a Irway P Ressure (Cpap) for P Resumed P Ulmonary E Dema : A P Reliminary C Ase S Eries

Kosowsky

Stephanides

Branson

et al. 2001

Prehospital Emergency Care

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Section: Discussionmentioning

confidence: 99%

P Rehospital U Se of C Ontinuous P Ositive a Irway P Ressure (Cpap) for P Resumed P Ulmonary E Dema : A P Reliminary C Ase S Eries

Kosowsky

Stephanides

Branson

et al. 2001

Prehospital Emergency Care

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“…Between September 28, 1997, andJanuary 19, 1999, 123 consecutive adults admitted with acute respiratory insufficiency secondary to pulmonary edema were recruited prospectively at the medical ICUs of 6 hospitals (Henri Mondor, Créteil, France; La Cavalle Blanche, Brest, France; Croix Rousse, Lyon, France; Sant Pau, Barcelona, Spain; Monastir Hospital, Monastir, Tunisia; and La Sapienza University, Rome, Italy), which previously had participated in NIV studies and had experience with the various NIV techniques. 1,16,19,20 The study protocol was approved by the appropriate institutional review boards. In-formed consent was obtained from all the patients.…”

Section: Patientsmentioning

confidence: 99%

“…All centers were experienced in the delivery of face-mask ventilation and had previously participated in NIV studies. 1,16,19,20 Analysis of daily CPAP treatment duration data showed that CPAP was used for at least 6 h/d, as required by the study protocol. Use of intubation in patients in the oxygen plus CPAP group was not explained by a low compliance with CPAP treatment.…”

Section: Commentmentioning

confidence: 99%

Treatment of Acute Hypoxemic Nonhypercapnic Respiratory Insufficiency With Continuous Positive Airway Pressure Delivered by a Face Mask

Delclaux¹,

L’Her²,

Alberti³

et al. 2000

JAMA

450

278

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“…A few, however, develop acute asphyxic respiratory distress and require ventilatory support until the medical treatment starts to work. This may be particularly common in elderly patients with heart disease and patients with concomitant chronic lung disease [48]. Several NIV modalities have been tried successfully, the goal being to avoid ETI.…”

Section: Pathophysiologymentioning

confidence: 99%

Mechanical ventilation: invasiveversusnoninvasive: Table 1—

Brochard¹

2003

Eur Respir J

106

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Mechanical ventilation is the most widely used supportive technique in intensive care units. Several forms of external support for respiration have long been described to assist the failing ventilatory pump, and access to lower airways through tracheostomy or endotracheal tubes had constituted a major advance in the management of patients with respiratory distress. More recently, however, new “noninvasive” ventilation (NIV) techniques, using patient/ventilator interfaces in the form of facial masks, have been designed.The reasons for promoting NIV include a better understanding of the role of ventilatory pump failure in the indications for mechanical ventilation, the development of ventilatory modalities able to work in synchrony with the patient, and the extensive recognition of complications associated with endotracheal intubation and standard mechanical ventilation.NIV has been used primarily for patients with acute hypercapnic ventilatory failure, and especially for acute exacerbation of chronic obstructive pulmonary disease. In this population, the use of NIV is associated with a marked reduction in the need for endotracheal intubation, a decrease in complication rate, a reduced duration of hospital stay and a substantial reduction in hospital mortality. Similar benefits have also been demonstrated in patients with asphyxic forms of acute cardiogenic pulmonary oedema. In patients with primarily hypoxemic forms of respiratory failure, the level of success of NIV is more variable, but major benefits have also been demonstrated in selected populations with no contraindications such as multiple organ failure, loss of consciousness or haemodynamic instability.One important factor in success seems to be the early delivery of noninvasive ventilation during the course of respiratory failure. Noninvasive ventilation allows many of the complications associated with mechanical ventilation to be avoided, especially the occurrence of nosocomial infections. The current use of noninvasive ventilation is growing up, and is becoming a major therapeutic tool in the intensive care unit.

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Non-invasive continuous positive airway pressure in acute hypoxaemic respiratory failure???experience of an emergency department

Cited by 20 publications

References 0 publications

P Rehospital U Se of C Ontinuous P Ositive a Irway P Ressure (Cpap) for P Resumed P Ulmonary E Dema : A P Reliminary C Ase S Eries

P Rehospital U Se of C Ontinuous P Ositive a Irway P Ressure (Cpap) for P Resumed P Ulmonary E Dema : A P Reliminary C Ase S Eries

Treatment of Acute Hypoxemic Nonhypercapnic Respiratory Insufficiency With Continuous Positive Airway Pressure Delivered by a Face Mask

Mechanical ventilation: invasiveversusnoninvasive: Table 1—

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