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Full length article| Volume 39, P109-113, January 01, 2021

Is the flow-safe disposable continuous positive airway pressure (CPAP) system as effective as non-invasive mechanical ventilation (NIMV) in the treatment of acute cardiogenic pulmonary Oedema?

Published:January 18, 2020DOI:https://doi.org/10.1016/j.ajem.2020.01.034
Is the flow-safe disposable continuous positive airway pressure (CPAP) system as effective as non-invasive mechanical ventilation (NIMV) in the treatment of acute cardiogenic pulmonary Oedema?
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      Acute cardiogenic pulmonary oedema (ACPO) is one of the common causes of acute respiratory failure, constituting 10%–20% of acute heart failure syndromes and potentially causing death [
      • Nieminen M.S.
      • Brutsaert D.
      • Dickstein K.
      • Drexler H.
      • Follath F.
      • Harjola V.-P.
      • et al.
      EuroHeart failure survey II (EHFS II): a survey on hospitalized acute heart failure patients: description of population.
      Eur Heart J. 2006; 27: 2725-2736https://doi.org/10.1093/eurheartj/ehl193
      ]. Acute cardiogenic pulmonary oedema usually presents with sudden dyspnoea at rest, impaired exertion capacity, tachypnoea, tachycardia and hypoxia. Increased endogenous catecholamine levels and hypertension due to stress are common in cases with good left ventricular function. Cough is a frequent finding in these cases. In the presence of severe oedema, patients may produce foamy or pink sputum. In these patients, the primary goal is to ensure adequate tissue oxygenation in order to prevent organ dysfunction and multiple organ failure [
      • Ingbar David H.
      Cardiogenic pulmonary edema: mechanisms and treatment-an intensivist's view.
      Curr Opin Crit Care. 2019; 25: 371-378https://doi.org/10.1097/mcc.0000000000000626
      ].
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      Article Info

      Publication History

      Published online: January 18, 2020
      Accepted: January 18, 2020
      Received in revised form: January 9, 2020
      Received: October 13, 2019

      Identification

      DOI: https://doi.org/10.1016/j.ajem.2020.01.034

      Copyright

      © 2020 Elsevier Inc. All rights reserved.

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