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CorSalud
On-line version ISSN 2078-7170
Abstract
NAVARRO RODRIGUEZ, Zadis; ROMERO GARCIA, Lázaro I. and TORRES MACEO, José M.. Evolution of patients with cardiogenic pulmonary edema treated with non-invasive ventilation in the emergency department. CorSalud [online]. 2021, vol.13, n.2, pp. 150-154. Epub June 01, 2021. ISSN 2078-7170.
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 non-invasive 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.
Keywords : Mechanical ventilation; Non-invasive ventilation; Acute pulmonary edema; Cardiogenic pulmonary edema.