Noninvasive mechanical ventilation in the treatment of acute cardiogenic pulmonary edema.
نویسندگان
چکیده
Current literature was searched by using the MEDLINE database to find consistent evidence regarding the use of noninvasive mechanical ventilation in patients with acute cardiogenic pulmonary edema. 18 studies demonstrating that noninvasive ventilation applied by continuous positive airway pressure (CPAP) or bilevel positive airway pressure (bilevel-PAP) is safe, and that the two approaches have similar effects and are effective in preventing endotracheal intubation in patients with respiratory distress of cardiac origin, were found. The results support the concept that positive intrathoracic positive pressure must be seen as a nonpharmacological form of treatment of acute pulmonary edema rather than only a supportive measure.
منابع مشابه
Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema
Background Noninvasive ventilation (continuous positive airway pressure [CPAP] or noninvasive intermittent positive-pressure ventilation [NIPPV]) appears to be of benefit in the immediate treatment of patients with acute cardiogenic pulmonary edema and may reduce mortality. We conducted a study to determine whether noninvasive ventilation reduces mortality and whether there are important differ...
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Noninvasive ventilation (NIV) has emerged over the last 2 decades to become the clear choice in the management of patients presenting with respiratory distress secondary to cardiogenic pulmonary edema1 and exacerbations of COPD.2 For these patient groups NIV clearly improves symptoms and, for the latter group at least, NIV is associated with less need for invasive mechanical ventilation and les...
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STUDY OBJECTIVE Acute cardiogenic pulmonary edema is a common cause of respiratory distress in emergency department (ED) patients. Noninvasive ventilation by noninvasive positive pressure ventilation or continuous positive airway pressure has been studied as a treatment strategy. We critically evaluate the evidence for the use of noninvasive ventilation on rates of hospital mortality and endotr...
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ورودعنوان ژورنال:
- Clinics
دوره 61 3 شماره
صفحات -
تاریخ انتشار 2006