Continuous Positive Airway Pressure vs. Pressure Support Ventilation in Acute Cardiogenic Pulmonary Edema: A Randomized Trial

Ferrari, Giovanni; Milan, Alberto; Groff, Paolo; Pagnozzi, Fiammetta; Mazzone, M; Molino, Paola; Aprà, Franco

doi:10.1016/j.jemermed.2009.07.042

Cited by 24 publications

(10 citation statements)

References 38 publications

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“…Die Ergebnisse dieser Metaanalyse werden durch die Daten weiterer zwischenzeitlich publizierter Studien unterstützt. Beim Vergleich von NIV und CPAP in einer monozentrischen, randomisiert kontrollierten Studie an 80 Patienten fanden Ferrari et al [103] keine Unterschiede bezüglich der Intubationsrate, Krankenhausletalität, Krankenhausliegedauer und Verbesserung verschiedener physiologischer Parameter. Über vergleichbare Ergebnisse hatte dieselbe Arbeitsgruppe bereits in einer früheren Publikation berichtet [104].…”

Section: Erfolg Und Versagen Der Nivunclassified

Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz

et al. 2015

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The non-invasive ventilation (NIV) is widespread in the clinical medicine and has attained meanwhile a high value in the clinical daily routine. The application of NIV reduces the length of ICU stay and hospitalization as well as mortality of patients with hypercapnic acute respiratory failure. Patients with acute respiratory failure in context of a cardiopulmonary edema should be treated in addition to necessary cardiological interventions with continuous positive airway pressure (CPAP) or NIV. In case of other forms of acute hypoxaemic respiratory failure it is recommended the application of NIV to be limited to mild forms of ARDS as the application of NIV in severe forms of ARDS is associated with higher rates of treatment failure and mortality. In weaning process from invasive ventilation the NIV reduces the risk of reintubation essentially in hypercapnic patients. A delayed intubation of patients with NIV failure leads to an increase of mortality and should therefore be avoided. With appropriate monitoring in intensive care NIV can also be successfully applied in pediatric patients with acute respiratory insufficiency. Furthermore NIV can be useful within palliative care for reduction of dyspnea and improving quality of life. The aim of the guideline update is, taking into account the growing scientific evidence, to outline the advantages as well as the limitations of NIV in the treatment of acute respiratory failure in daily clinical practice and in different indications.

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Section: Erfolg Und Versagen Der Nivunclassified

Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz

et al. 2015

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“…Noninvasive ventilation is effective in improving gas exchanges in cardiogenic pulmonary edema. 11 As compared to standard oxygen therapy, NIV was associated with greater mean improvements at 1 hour after the beginning of treatment in patient-reported dyspnea, heart rate, acidosis, and hypercapnia. 6 Noninvasive ventilation support delivered by either CPAP or non-invasive positive pressure ventilation safely provides early improvement and resolution of breathlessness, respiratory distress, and metabolic abnormality in pulmonary edema.…”

Section: Discussionmentioning

confidence: 88%

Hyperacute Hemodynamic Effects of BiPAP Noninvasive Ventilation in Patients With Acute Heart Failure and Left Ventricular Systolic Dysfunction in Emergency Department

Iurilli

Brunetti

Corato

et al. 2017

J Intensive Care Med

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“…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%

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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Continuous Positive Airway Pressure vs. Pressure Support Ventilation in Acute Cardiogenic Pulmonary Edema: A Randomized Trial

Cited by 24 publications

References 38 publications

Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz

Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz

Hyperacute Hemodynamic Effects of BiPAP Noninvasive Ventilation in Patients With Acute Heart Failure and Left Ventricular Systolic Dysfunction in Emergency Department

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

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