2021, Number 2
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CorSalud 2021; 13 (2)
Evolution of patients with cardiogenic pulmonary edema treated with non-invasive ventilation in the emergency department
Navarro RZ, Romero GLI, Torres MJM
Language: Spanish
References: 15
Page: 150-154
PDF size: 249.34 Kb.
ABSTRACT
Introduction: Acute pulmonary edema is frequently treated in emergency departments and non-invasive ventilation is a new modality of ventilatory support
used in its treatment.
Objective: To describe the variations in clinical, ventilatory and hemogasometric
parameters in patients with cardiogenic pulmonary edema treated with noninvasive ventilation.
Method: A descriptive and cross-sectional study was carried out on 54 patients
with acute pulmonary edema admitted to the Emergency Intensive Care Unit of
the Hospital Provincial Saturnino Lora, in the city of Santiago de Cuba, from January 2019 to January 2020.
Results: Males (70.4% of patients) prevailed and mean age was 62 years old. The
applied technique was successful in 90.7% of patients. After one hour of treatment
there was an improvement in all clinical and hemogasometric parameters, except
in sodium bicarbonate. Higher PEEP (positive end-expiratory pressure) values
were required in patients where the technique failed and the frequency of the
technique application was higher in patients where it was successful.
Conclusions: Patients with acute pulmonary edema, treated with non-invasive
ventilation, evolved favorably with improvement in clinical, ventilatory and hemogasometric parameters.
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