Noninvasive pressure support ventilation vs. continuous positive airway pressure in acute hypercapnic pulmonary edema

Abstract

NIPSV proved as effective as CPAP in the treatment of patients with acute pulmonary edema and hypercapnia but did not improve resolution time.

Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting

“…We identified 20 relevant RCTs. 45,54,57,59,61,62 or all three of these treatments. 50,56,64,65 Before publication of a recent large RCT, 65 which accounted for 40% of all patients who have been studied in RCTs of continuous positive airway pressure for cardiogenic pulmonary edema and 70% of patients receiving noninvasive positive-pressure ventilation for this indication, five separate systematic reviews [162][163][164][165][166] had consistently demonstrated a significant reduction in endotracheal intubation with both types of noninvasive ventilation.…”

Неінвазивна Вентиляція Легень У Онкохворих Після Операцій На Органах Грудної Клітки

“…В данных случаях при-менение неинвазивной вентиляции легких (НИВЛ) дает возможность решить проблему [1], исключая повреждающие факторы инвазивной вентиляции и сохраняя при этом спонтанное дыхание пациента [3, 4,8]. Совершенствование техники операций на орга-нах грудной полости и методов патогенетической те-рапии в послеоперационном периоде полностью не исключает возможности развития осложнений [5,7]. По данным некоторых исследователей, летальность при пневмонэктомии по поводу рака легкого состав-ляет от 6 до 15 %, а осложнения достигают 58 % [5].…”

Bi-level Versus Continuous Positive Airway Pressure in Acute Cardiogenic Pulmonary Edema: A Randomized Control Trial

“…Inclusion criteria were: severe dyspnea, bilateral rales on auscultation, and typical findings of congestion on chest radiography without evidence of pulmonary aspiration or pneumonia. In addition, respiratory rate of ≥30 breaths per minute, hypoxemia (PaO 2 ≤ 80mmHg) with a fraction of inspired oxygen (Fio 2 ) of 60% via a Venturi mask, and PaCO 2 ≥45mmHg [14,20,27,28].…”

“…Exclusion criteria were: requirement for a life-saving or emergency intervention, such as primary percutaneous coronary intervention, or chronic obstructive pulmonary diseases, hemodynamic instability (systolic BP ≤ 90mmHg), or life-threatening arrhythmia, acute myocardial infarction and/ or unstable angina, recent facial trauma, and esophageal/gastric surgery, gastrointestinal bleeding, or pregnant [22,28].…”