Out-of-Hospital Continuous Positive Airway Pressure Ventilation Versus Usual Care in Acute Respiratory Failure: A Randomized Controlled Trial:Answers to the September 2008 Journal Club Questions

摘要

1.During the past 2 years, Annals has published 4 articles addressing the use of continuous positive airway pressure (CPAP)/bilevel positive airway pressure (BIPAP) in the emergency department (ED). Thompson et al studied the efficacy of CPAP in the out-of-hospital setting and reported beneficial patient outcomes.1A.Describe the mechanism of action of noninvasive ventilation in the treatment of patients with respiratory distress.Specifically, detail the key differences between CPAP and BIPAP.1B. Noninvasive ventilation has been advocated for the treatment of ED patients presenting with respiratory distress caused by various cardiopulmonary etiologies. Briefly review the recent literature advocating the use of CPAP/BIPAP in the treatment of acute respiratory distress in the ED