PMID: 7019562Jun 15, 1981Paper

Treatment of acute pulmonary failure by CPAP via face mask: when can intubation be avoided?

Klinische Wochenschrift
P M Suter, N Kobel

Abstract

Continuous positive airway pressure (CPAP) is used frequently to improve gas exchange in acute pulmonary failure. We investigated clinical and respiratory variables in 98 patients presenting with two or more of the classical criteria for endotracheal intubation and mechanical ventilation. CPAP applied by a face mask was efficient in 60 cases. Posttraumatic and postoperative pulmonary problems responded better to this therapy than lung dysfunction secondary to left heart failure, sepsis or pneumonia. Abundant expectorations, discoordination of respiratory movements and an increase in arterial carbon dioxide were frequently associated with failure of CPAP by mask and the necessity of endotracheal intubation and mechanical ventilation.

References

Mar 1, 1978·Canadian Anaesthetists' Society Journal·G R SelleryR E Greenway
Jun 1, 1976·Chest·G J TaylorW R Summer
Jan 1, 1976·Anesthesiology·J J Downes
Oct 5, 1972·The New England Journal of Medicine·H PontoppidanE Lowenstein
Jun 17, 1971·The New England Journal of Medicine·G A GregoryW K Hamilton

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