NIPPV for acute cardiogenic pulmonary oedema
-
Report By: Rupert Jackson - Specialist Registrar in Emergency Medicine
-
Search checked by Steve Jones - Specialist Registrar in Emergency Medicine
-
Institution: Manchester Royal Infirmary
-
Current web editor: Minnie Alexander - Senior Information Officer
-
Date Submitted: 22nd February 2001
-
Date Completed: 22nd February 2001
-
Last Modified: 6th May 2003
-
Status:
Green (complete)
Three Part Question
In [patients with acute LVF] is [NIPPV better than alternative treatment strategies] at [avoiding intubation and improving mortality]?Clinical Scenario
A 76 year old male is brought in to A&E in a collapsed state. He has a history of ischaemic heart disease. He is agitated, tachypnoeic and sweating profusely. His neck veins are distended and there are widespread coarse crepitations in his chest. He has a diminshed oxygen saturation. You make a clinical diagnosis of acute cardiogenic pulmonary oedema. In addition to vasodilator treatment and opiates, you wonder whether you should administer non-invasive positive pressure ventilation (NIPPV).
Search Strategy
Medline 1966-08/01 using OVID interface.
