Prehospital noninvasive pressure support ventilation for acute cardiogenic pulmonary edema.

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类别 Primary study
期刊European journal of emergency medicine : official journal of the European Society for Emergency Medicine
Year 2007
連結 Pubmed, DOI

此文章收錄於 5 Systematic reviews Systematic reviews (5 references)

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重症急性心源性肺水肿（ACPE）可以成功地与无创压力支持通气（NIPSV）在临床上治疗。无论是院前NIPSV年初开始在患者的家，并正在继续，直到抵达医院是可行的，提高脊髓灰质炎咨询委员会的紧急医疗检查在这项研究中。研究的终点是在入院和临床疗效的氧饱和度。在这个控制的前瞻性随机试验包括23名患者患有严重的心脏与肺水肿，严重的呼吸困难，血氧饱和度低于90％，基底罗音。所有患者都接受标准的医疗和另外与NIPSV（压力支持水平，12公分水柱积极的endexpiratory压力，5公分水柱; FIO2 0.6）治疗10例，而其他患者接受氧气（8升/分钟），通过文丘里面罩。血氧饱和度的改善是显着快于NIPSV组，并在入院时血氧饱和度较高（NIPSV = 97.3 + / -0.8％;标准= 89.5 + / -2.7％，P = 0.002）。在标准治疗组，向着更高的肌钙蛋白T水平的趋势。重症监护治疗的必要性并没有显着差异，各治疗组的病人在医院死亡。无并发症，注意期间与NIPSV治疗。院前NIPSV是可行的，能够提高应急管理脊髓灰质炎咨询委员会。
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Epistemonikos ID: 8db8f4d9a85e5954ab445dc43868270a0c59609e
First added on: Jun 08, 2011
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