Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema

Laura Jurema dos Santos, Juliano Oliveira Belato, Fabrícia Cristina Hoff, Silvia Regina Rios Vieira, Waldomiro Carlos Manfroi

Abstract


The use of continuous positive airway pressure (CPAP) in the treatment of acute cardiogenic pulmonary edema (CPE) has been studied by some authors. Recently, the use of bi-level positive airway pressure (BiPAP) has been studied in this clinical situation, although the results have been controversial. We searched MEDLINE in order to find randomized trials published in English that analyzed the use of BiPAP in patients with CPE. Eleven trials were found. BiPAP was useful in the management of CPE, showing similar benefits to those of CPAP. In hypercapnic patients, BiPAP appears to be an important strategy of noninvasive ventilatory support. However, large trials are necessary to clarify certain doubts that still remain.

Keywords


Ventilação não-Invasiva; Edema Agudo de Pulmão;



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ISSN: 2357-9730 

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