Non-Invasive Mechanical Ventilation Versus Continuous Positive Airway Pressure Relating to Cardiogenic Pulmonary Edema in an Intensive Care Unit

Muncharaz, A. Belenguer; Mateu‐Campos, Lidón; González-Luís, Rubén; Vidal-Tegedor, Bárbara; Ferrándiz-Sellés, Amparo; Arguedas-Cervera, J.; Altaba-Tena, Susana; Casero-Roig, Patricia; Moreno-Clarí, Ester

doi:10.1016/j.arbres.2017.02.005

Cited by 15 publications

(4 citation statements)

References 34 publications

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“…A prospective randomized control trial was conducted by Belenguer et al [17] on the same comparison of BiPAP (n=56) and CPAP (n=54) in cardiogenic pulmonary edema and a similar randomized control trial by Ferrari et al [16] on 80 patients with 40 on CPAP and 40 on BiPAP had found out similar outcomes. Both interventions had similar intubation rates and a similar reduction in mortality and hospital stay.…”

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 94%

“…Five studies out of 16 studies collected for review were comparing the effects of different forms of noninvasive ventilation [10,13,16,17,21]. Outcomes measured included rate of endotracheal intubation, mortality rate, length of hospital stay in patients suffering from acute respiratory failure from COPD and cardiogenic pulmonary edema.…”

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 99%

“…Two systematic reviews [11,14], two randomized control trials [16,17], and one observational study [21] were reviewed for comparison. Although the studies conducted earlier suggest better efficacy on patients with COPD and ACPE on intervention with non-invasive ventilation over standard medical care, fewer studies compared the effect of different forms of non-invasive ventilation on these patients.…”

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 99%

“…In this five studies [10,13,16,17,21], a total of 1,984 patients received CPAP and 1,419 received BiPAP. The mortality rate with CPAP was 168 out of 1,984 and that with BiPAP was 139 out of 1,419.…”

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 99%

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Non-invasive Positive Pressure Ventilation for Acute Cardiogenic Pulmonary Edema and Chronic Obstructive Pulmonary Disease in Prehospital and Emergency Settings

Abubacker¹,

Ndakotsu²,

Chawla³

et al. 2021

Cureus

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Non-invasive ventilation is an important intervention in treating acute respiratory failure caused by acute cardiogenic pulmonary edema (ACPE) and acute exacerbations of chronic obstructive pulmonary disease (COPD). Although there are studies that give evidence on the efficacy and safety of non-invasive ventilation over standard medical care for COPD and cardiogenic pulmonary edema, less are known about the form of non-invasive ventilation, continuous positive airway pressure (CPAP), or bilevel positive airway pressure (BiPAP) as an effective intervention for respiratory failure and its efficacy and safety in prehospital settings. We conducted a systematic review by using PubMed and Google Scholar as databases for collecting studies related to the effectiveness of CPAP and BiPAP for cardiogenic pulmonary edema and COPD; the major outcome studied was reducing rates of endotracheal intubation secondary and tertiary outcomes included mortality reduction and shortening length of hospital stay. The study follows the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) checklist 2009. Sixteen studies were identified, including systematic reviews, randomized control trials, and observational studies. Studies published on or after 2010 in a population greater than 40 years old suffering from acute COPD and cardiogenic pulmonary edema were taken for review. Studies that described other respiratory diseases treated with non-invasive ventilation were excluded. Quality appraisal was done using the Cochrane risk bias tool for randomized control trials, Amstar-2 for systematic reviews, and New Castle Ottawa Tool for observational studies. Five studies compared the effectiveness of CPAP and BiPAP with standard medical care in prehospital and emergency settings. Six studies described prehospital intervention. Both forms of non-invasive ventilation were equally significant and effective. Prehospital use had tremendously reduced intubation rates, with not much variability noticed for mortality and hospital stay. Non-invasive ventilation is an effective measure for respiratory failure secondary to COPD and ACPE. Early out of hospital utilization of CPAP and BiPAP reduces the rate of invasive ventilation and reduces complications due to endotracheal intubation. Endotracheal intubation is associated with a considerable incidence of complications like failed intubation, hypotension, or circulatory arrest, even if the emergency physician is well trained, making these forms of non-invasive ventilation safe and effective interventions in the prehospital settings.

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Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 94%

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 99%

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 99%

Section: Cpap V/s Bipap For Reducing Intubation Rates Mortality and Length Of Hospital Staymentioning

confidence: 99%

See 2 more Smart Citations

Non-invasive Positive Pressure Ventilation for Acute Cardiogenic Pulmonary Edema and Chronic Obstructive Pulmonary Disease in Prehospital and Emergency Settings

Abubacker¹,

Ndakotsu²,

Chawla³

et al. 2021

Cureus

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show abstract

Escalation of Therapy from NIV

Scharffenberg

2020

Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care

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Noninvasive Ventilation in Hypoxemic Respiratory Failure

Ballenberger

Ishikawa

Mina

et al. 2020

Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care

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Non-Invasive Mechanical Ventilation Versus Continuous Positive Airway Pressure Relating to Cardiogenic Pulmonary Edema in an Intensive Care Unit

Cited by 15 publications

References 34 publications

Non-invasive Positive Pressure Ventilation for Acute Cardiogenic Pulmonary Edema and Chronic Obstructive Pulmonary Disease in Prehospital and Emergency Settings

Non-invasive Positive Pressure Ventilation for Acute Cardiogenic Pulmonary Edema and Chronic Obstructive Pulmonary Disease in Prehospital and Emergency Settings

Escalation of Therapy from NIV

Noninvasive Ventilation in Hypoxemic Respiratory Failure

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