Noninvasive Positive Pressure Ventilation in Acute Respiratory Failure

Gilbert, Christopher R.; Haouzi, Philippe

doi:10.1007/978-1-4899-7624-6_10

Cited by 2 publications

(2 citation statements)

References 114 publications

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“…De acordo com a necessidade do paciente, a oxigenoterapia suplementar e a ventilação assistida devem ser fornecidas para tratar a hipoxemia (SpO2 < 90%). O oxigênio, no entanto, não é recomendado como terapia de rotina em pacientes sem hipoxemia, pois pode causar vasoconstrição e redução do débito cardíaco [50][51][52] . No caso de desconforto respiratório, acidose respiratória e/ou hipóxia persistentes na oxigenoterapia, o teste de ventilação não invasiva (VNI)pressão positiva contínua nas vias aéreas (CPAP) ou VNI de dois níveisé recomendado se não houver contraindicações ao método.…”

Section: Oxigênio Suplementar E Ventilação Assistidaunclassified

Abordagem Multidisciplinar Do Edema Pulmonar Cardiogênico: Estratégias Integradas Para Melhorar Os Resultados Clínicos

Borguezan,

Ferreira,

Furtado

et al. 2024

Saúde Cardiovascular: Conhecimento, Prevenção E Cuidado

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Section: Oxigênio Suplementar E Ventilação Assistidaunclassified

Abordagem Multidisciplinar Do Edema Pulmonar Cardiogênico: Estratégias Integradas Para Melhorar Os Resultados Clínicos

Borguezan,

Ferreira,

Furtado

et al. 2024

Saúde Cardiovascular: Conhecimento, Prevenção E Cuidado

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“…Supplemental oxygen therapy and assisted ventilation should be provided as needed to treat hypoxemia (SpO2 < 90 percent). However, oxygen is not recommended as routine therapy in patients without hypoxemia, as it may cause vasoconstriction and reduction in cardiac output [46][47][48].…”

Section: Supplemental Oxygen and Assisted Ventilationmentioning

confidence: 99%

Cardiogenic Pulmonary Edema in Emergency Medicine

Zanza,

Saglietti,

Tesauro

et al. 2023

ARM

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Cardiogenic pulmonary edema (CPE) is characterized by the development of acute respiratory failure associated with the accumulation of fluid in the lung’s alveolar spaces due to an elevated cardiac filling pressure. All cardiac diseases, characterized by an increasing pressure in the left side of the heart, can cause CPE. High capillary pressure for an extended period can also cause barrier disruption, which implies increased permeability and fluid transfer into the alveoli, leading to edema and atelectasis. The breakdown of the alveolar-epithelial barrier is a consequence of multiple factors that include dysregulated inflammation, intense leukocyte infiltration, activation of procoagulant processes, cell death, and mechanical stretch. Reactive oxygen and nitrogen species (RONS) can modify or damage ion channels, such as epithelial sodium channels, which alters fluid balance. Some studies claim that these patients may have higher levels of surfactant protein B in the bloodstream. The correct approach to patients with CPE should include a detailed medical history and a physical examination to evaluate signs and symptoms of CPE as well as potential causes. Second-level diagnostic tests, such as pulmonary ultrasound, natriuretic peptide level, chest radiograph, and echocardiogram, should occur in the meantime. The identification of the specific CPE phenotype is essential to set the most appropriate therapy for these patients. Non-invasive ventilation (NIV) should be considered early in the treatment of this disease. Diuretics and vasodilators are used for pulmonary congestion. Hypoperfusion requires treatment with inotropes and occasionally vasopressors. Patients with persistent symptoms and diuretic resistance might benefit from additional approaches (i.e., beta-agonists and pentoxifylline). This paper reviews the pathophysiology, clinical presentation, and management of CPE.

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Noninvasive Positive Pressure Ventilation in Acute Respiratory Failure

Cited by 2 publications

References 114 publications

Abordagem Multidisciplinar Do Edema Pulmonar Cardiogênico: Estratégias Integradas Para Melhorar Os Resultados Clínicos

Abordagem Multidisciplinar Do Edema Pulmonar Cardiogênico: Estratégias Integradas Para Melhorar Os Resultados Clínicos

Cardiogenic Pulmonary Edema in Emergency Medicine

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