Respiratory Care using NPPV for Patients with ADHF: Principal Role of PEEP, CPAP, BiPAP and ASV

Patients with acute decompensated heart failure (ADHF) present with clinical features of orthopnea and hypoxic respiratory/circulatory failure due to acute pulmonary edema. Emergent respiratory care to improve the tissueoxygenation and cardiovascular hemodynamics should be urgent. In the former endotracheal intubation era, we reported intermittent positive pressure breathing with optimal-level PEEP significantly decreased HR, PCWP, and PaCO2, and significantly increased PaO2, pH, and Stroke Work Index in patients with ADHF due to AMI (Jpn Heart J, 1986).

Source: Journal of Cardiac Failure - September 18, 2014 Category: Cardiology Authors: Yoshihiko Seino, Akihiro Shirakabe, Noritake Hata, Shinhiro Takeda, Wataru Shimizu Source Type: research