Advertisement

HVNI vs NIPPV in the treatment of acute decompensated heart failure: Is acute stabilization enough?

      We agree with Haywood et al. that HVNI could be non-inferior to NIPPV in the management of patients with acute decompensated heart failure [
      • Haywood S.T.
      • Whittle J.S.
      • Volakis L.I.
      • Dungan G.
      • Bublewicz M.
      • Kearney J.
      • et al.
      HVNI vs NIPPV in the treatment of acute decompensated heart failure: subgroup analysis of a multi-center trial in the ED.
      ]. As this study is a subgroup analysis of a larger study, there are some key issues that need to be addressed for meaningful clinical extrapolations.

      Keywords

      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Haywood S.T.
        • Whittle J.S.
        • Volakis L.I.
        • Dungan G.
        • Bublewicz M.
        • Kearney J.
        • et al.
        HVNI vs NIPPV in the treatment of acute decompensated heart failure: subgroup analysis of a multi-center trial in the ED.
        Am J Emerg Med. Mar 3 2019; (pii: S0735-6757(19)30151-2)
        • Rochwerg B.
        • Brochard L.
        • Elliott M.W.
        • Hess D.
        • Hill N.S.
        • Nava S.
        • et al.
        Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure.
        Eur Respir J. 2017; 50
        • Gray A.
        • Goodacre S.
        • Newby D.E.
        • Masson M.
        • Sampson F.
        • Nicholl J.
        • et al.
        Noninvasive ventilation in acute cardiogenic pulmonary edema.
        N Engl J Med. Jul 10 2008; 359: 142-151