2011
DOI: 10.1016/j.cardfail.2011.05.010
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Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema: A Meta-Analysis of Randomized Controlled Trials

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Cited by 68 publications
(33 citation statements)
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“…The use of NIV decreased the need for intubation, with a relative risk (RR) of 0.41 (95% CI 0.33-0.53); this translates into a number needed to treat (NNT) of 4 (95% CI 4 -5). More important, NIV decreased mortality, with a RR of 0.52 (95% CI 0.35-0.76), which is a NNT of 10 (95% CI [7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”
Section: Copd Exacerbationmentioning
confidence: 99%
See 1 more Smart Citation
“…The use of NIV decreased the need for intubation, with a relative risk (RR) of 0.41 (95% CI 0.33-0.53); this translates into a number needed to treat (NNT) of 4 (95% CI 4 -5). More important, NIV decreased mortality, with a RR of 0.52 (95% CI 0.35-0.76), which is a NNT of 10 (95% CI [7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”
Section: Copd Exacerbationmentioning
confidence: 99%
“…3 Other systematic reviews and narrative reviews reached similar conclusions. [13][14][15][16][17][18][19] Post-Extubation NIV can be used in the post-extubation period to shorten the duration of invasive ventilation, to prevent extubation failure, and to rescue a failed extubation. [20][21][22] Burns et al 23,24 conducted a systematic review and meta-analysis of randomized and quasi-randomized controlled trials to evaluate the evidence for extubation with immediate application of NIV, compared with continued invasive weaning.…”
Section: Cardiogenic Pulmonary Edemamentioning
confidence: 99%
“…However, interpretation of the results is limited by the high crossover rate (56 out of 367 patients (15%) in the oxygen group crossed over to bilevel NIV). Subsequently, five systematic reviews [44][45][46][47][48] that have incorporated the data from GRAY et al [43], as well as other new trials, have been published. They consistently conclude that: 1) NIV decreases the need for intubation, 2) NIV is associated with a reduction in hospital mortality, 3) NIV is not associated with increased myocardial infarction (a concern raised by the first study comparing NIV and CPAP [49]), and 4) CPAP and NIV have similar effects on these outcomes.…”
Section: Implementation Considerationsmentioning
confidence: 99%
“…Birincisi uygulanan pozitif basıncın tüm alveollerdeki sıvının intravasküler alana geçişini arttırmasıdır. İkincisi ise konjestif kalp yetmezliğine bağlı gelişen akut akciğer ödeminde ön yükü azaltarak kardiyak liflerin gerilimini azaltmakta bu yolla sol ventrikül kasılmasını arttırmaktadır (2). POSY olgularında ise solunum yetmezliği atelektazi gelişimine bağlı olup bu olgularda uygulanan pozitif basınç akciğerin tüm alanlarına aynı şekilde yansımamaktadır (7).…”
Section: Discussionunclassified
“…En önemli endikasyonları arasında kronik obstrüktif akciğer hastalığının (KOAH) aktivasyon dönemleri, akut kardiyojenik pulmoner ödem ve postoperatif solunum yetmezliği (POSY) sayılabilir (1). Özellikle akut pulmoner ödem (APÖ) olgularında medikal tedavinin yanında kullanılması önerilir (2,3). Postoperatif olgularda ise genellikle atelektazi ile ilişkili solunum yetmezliği görülmektedir.…”
Section: Introductionunclassified