Non-invasive mechanical ventilation in the treatment of acute cardiogenic pulmonary edema Application

Abstract

Objective To investigate the non-invasive mechanical ventilation (NMV) treatment of acute cardiogenic pulmonary edema (ACPE) for clinical application.Methods 80 patients with different causes of acute pulmonary edema were randomly divided into NMV treatment group and control group 39 cases,41 cases of conventional therapy control group,high-flow oxygen by nasal catheter,NMV in the conventional treatment group,drug treatment basis for pressure support ventilation (PSV) plus PEEP (PEEP) ventilation node,were monitored before treatment and after treatment of clinical manifestations,blood gas analysis,oxygen saturation,respiratory rate,heart rate,blood pressure changes.Results After treatment,39 patients were in remission within 30 min,in addition to three cases of heavy patients can be assisted ventilation weaning 2 h,the other are at weaning within 1 h.Supine position after weaning can breathe,looking back to normal,sweating away,no purple lips,bubble-like sputum disappeared,bilateral pulmonary rales,decreased or even disappeared.Clinical difference between the two groups of indicators were statistically significant (P ＜ 0.05).Conclusion In routine cardiac,diuretic,while expanding treatment and other infrastructure management,plus non-invasive bi-level positive pressure ventilation treatment of acute pulmonary edema,hypoxia can be corrected quickly,to improve the condition,improve the success rate,reduce and tracheal intubation cut rates and reduce mortality. Key words: Acute pulmonary edema; Non-invasive mechanical ventilation; Effect