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Intensive Care Medicine
Erschienen in: Intensive Care Medicine 2/2011

01.02.2011 | Editorial

Is the noninvasive ventilatory mode of importance during cardiogenic pulmonary edema?

verfasst von: Erwan L’Her

Erschienen in: Intensive Care Medicine | Ausgabe 2/2011

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Excerpt

Despite its high incidence [1, 2] and a high mortality rate after a first episode (20–40%) [3, 4], cardiogenic pulmonary edema (CPE) treatment has changed very little during the past 35 years, the only real novelties coming from the proposal for nitrate boluses and the introduction of noninvasive ventilation (NIV). NIV is now routinely used during the emergency care of patients with acute CPE, with the aim of rapidly improving acute respiratory distress symptoms and reducing the need for endotracheal intubation [5]. Several meta-analyses and consensus have positioned the early use of NIV during CPE [6‐10], at least in the case of persistent respiratory distress after an adequate medical treatment failure. In such indications, NIV is presumed to reduce by half the intubation and early mortality rates, and was also suggested to be associated with decreased ICU length of stay and hospital costs. …
Literatur
1.
Poppas A, Rounds S (2002) Congestive heart failure. Am J Respir Crit Care Med 165:4–8PubMed
2.
Mejhert M, Persson H, Edner M, Kahan T (2001) Epidemiology of heart failure in Sweden: a national survey. Eur J Heart Fail 3:97–103CrossRefPubMed
3.
L’Her E, Duquesne F, Girou E, de Rosière X, Le Conte P, Renault S, Allamy JP, Boles JM (2004) Noninvasive continuous positive airway pressure in elderly cardiogenic pulmonary edema patients. Intensive Care Med 30:882–888CrossRefPubMed
4.
Le Conte P, Coutant V, N’Guyen JM, Baron D, Touze MD, Potel G (1999) Prognostic factors in acute cardiogenic pulmonary edema. Am J Emerg Med 17:329–332CrossRefPubMed
5.
Nieminen MS, Böhm M, Cowie MR, Drexler H, Filippatos GS, Jondeau G, Hasin Y, Lopez-Sendon J, Mebazaa A, Metra M, Rhodes A, Swedberg K, Priori SG, Garcia MA, Blanc JJ, Budaj A, Cowie MR, Dean V, Deckers J, Burgos EF, Lekakis J, Lindahl B, Mazzotta G, Morais J, Oto A, Smiseth OA, Garcia MA, Dickstein K, Albuquerque A, Conthe P, Crespo-Leiro M, Ferrari R, Follath F, Gavazzi A, Janssens U, Komajda M, Morais J, Moreno R, Singer M, Singh S, Tendera M, Thygesen K, ESC Committee for Practice Guidelines (CPG) (2005) Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the task force on acute heart failure of the European Society of Cardiology. Eur Heart J 26:384–416CrossRefPubMed
6.
7.
Masip J, Roque M, Sánchez B, Fernández R, Subirana M, Expósito JA (2005) Noninvasive ventilation in acute cardiogenic pulmonary edema: systematic review and meta-analysis. JAMA 294:3124–3130CrossRefPubMed
8.
Peter JV, Moran JL, Phillips-Hughes J, Graham P, Bersten AD (2006) Effect of non-invasive positive pressure ventilation (NIPPV) on mortality in patients with acute cardiogenic pulmonary oedema: a meta-analysis. Lancet 367:1155–1163CrossRefPubMed
9.
Collins SP, Mielniczuk LM, Whittingham HA, Boseley ME, Schramm DR, Storrow AB (2006) The use of noninvasive ventilation in emergency department patients with acute cardiogenic pulmonary edema: a systematic review. Ann Emerg Med 48:260–269CrossRefPubMed
10.
Winck JC, Azevedo LF, Costa-Pereira A, Antonelli M, Wyatt JC (2006) Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema-a systematic review and meta-analysis. Crit Care 10:R69CrossRefPubMed
11.
Sharp JT, Griffith GT, Bunnell IL, Greene DG (1958) Ventilatory mechanics in pulmonary oedema in man. J Clin Invest 37:111–117CrossRefPubMed
12.
Aubier M, Trippenbach T, Roussos C (1981) Respiratory muscle fatigue during cardiogenic shock. J Appl Physiol 51:499–508PubMed
13.
Broseghini C, Brandolese R, Poggi R, Polese G, Manzin E, Milic-Emili J, Rossi A (1988) Respiratory mechanics during the first day of mechanical ventilation in patients with pulmonary oedema and chronic airway obstruction. Am Rev Respir Dis 138:355–361PubMed
14.
Field S, Kelly SM, Macklem PT (1982) The oxygen cost of breathing in patients with cardiorespiratory disease. Am Rev Respir Dis 126:9–13PubMed
15.
Buda AJ, Pinsky MR, Ingels NB Jr, Daughters GT 2nd, Stinson EB, Alderman EL (1979) Effect of intrathoracic pressure on left ventricular performance. N Engl J Med 301:453–459CrossRefPubMed
16.
Naughton MT, Rahman MA, Hara K, Floras JS, Bradley TD (1995) Effect of continuous positive airway pressure on intrathoracic and left ventricular transmural pressures in patients with congestive heart failure. Circulation 91:1725–1731PubMed
17.
Bersten AD, Holt AW, Vedig AE, Skowronski GA, Baggely CJ (1991) Treatment of severe cardiogenic pulmonary edema with continuous positive airway pressure delivered by face mask. N Engl J Med 325:1825–1830CrossRefPubMed
18.
Perel A, Williamson DC, Modell JH (1983) Effectiveness of CPAP by mask for pulmonary oedema associated with hypercarbia. Intensive Care Med 9:17–19CrossRefPubMed
19.
Emerson H (1909) Artificial respiration in the treatment of edema of the lungs. Arch Intern Med 3:368–371
20.
Poulton E, Oxon D (1936) Left-sided heart failure with pulmonary edema: its treatment with the “pulmonary plus pressure machine”. Lancet 231:981–983CrossRef
21.
Barach A, Martin J, Eckman M (1938) Positive pressure respiration and its application to the treatment of acute pulmonary oedema. Ann Intern Med 12:754–795
22.
Appendini L, Patessio A, Zanaboni S, Carone M, Gukov B, Donner CF, Rossi A (1994) Physiologic effects of positive end-expiratory pressure and mask pressure support during exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 149:1069–1076PubMed
23.
L’Her E, Deye N, Lellouche F, Taille S, Demoule A, Fraticelli A, Mancebo J, Brochard L (2005) Physiologic effects of non-invasive ventilation during acute lung injury. Am J Respir Crit Care Med 172:1112–1118CrossRefPubMed
24.
Chadda K, Annane D, Hart N, Gajdos P, Raphael J, Lofaso F (2002) Cardiac and respiratory effects of continuous positive airway pressure and non-invasive ventilation in acute cardiac pulmonary oedema. Crit Care Med 30:2457–2461CrossRefPubMed
25.
Mehta S, Jay GD, Woolard RH, Hipona RA, Connolly EM, Cimini DM, Drinkwine JH, Hill NS (1997) Randomized, prospective trial of bilevel versus continuous positive airway pressure in acute pulmonary edema. Crit Care Med 25:620–628CrossRefPubMed
26.
Bellone A, Monari A, Cortellaro F, Vettorello M, Arlati S, Coen D (2004) Myocardial infarction rate in acute pulmonary edema: noninvasive pressure support ventilation versus continuous positive airway pressure. Crit Care Med 32:1860–1865CrossRefPubMed
27.
Park M, Sangean MC, Volpe MS, Feltrim MIZ, Nozawa E, Leite PF, Amato MBP, Lorenzi-Filho G (2004) Randomized, prospective trial of oxygen, continuous positive airway pressure, and bilevel positive airway pressure by face mask in acute cardiogenic pulmonary edema. Crit Care Med 32:2407–2415CrossRefPubMed
28.
Moritz F, Brousse B, Gellée B, Chajara A, L’Her E, Hellot MF, Bénichou J (2007) Continuous positive airway pressure versus bilevel noninvasive ventilation in acute cardiogenic pulmonary edema: a randomized multicenter trial. Ann Emerg Med 50:666–675CrossRefPubMed
29.
Gray A, Goodacre S, Newby DE, Masson M, Sampson F, Nicholl J, 3CPO trialists (2008) Noninvasive ventilation in acute cardiogenic pulmonary edema. N Engl J Med 359:142–151CrossRefPubMed
30.
Nouira S, Boukef R, Bouida W, Kerkeni W, Beltaief K, Boubaker H, Boudhib L, Grissa M-H, Naceur Trimech M, Boussarsar H, Methamem M, Marghli S, Ltaief M (2010) Non-invasive pressure support ventilation and CPAP in cardiogenic pulmonary edema: a multicenter randomized study in emergency department. Intensive Care Med. doi: 10.​1007/​s00134-010-2082-3
Metadaten
Titel
Is the noninvasive ventilatory mode of importance during cardiogenic pulmonary edema?
verfasst von
Erwan L’Her
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 2/2011
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-010-2084-1

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