P65 THE USE OF CPAP IN A HEMODYNAMICS ROOM ON A PATIENT UNDERGOING CORONARY PROCEDURE – SAFETY AND FEASIBILITY

Abstract

Abstract Context of the Study It’s not uncommon that patients who suffer from Acute Coronary Syndrome (ACS) also show respiratory failure from acute pulmonary edema. The need to treat these patients preemptively with an invasive approach is made harder by the difficulty of managing them in a hemodynamics room in a supine decubitus position. Therefore, the risk is that the procedure is delayed, or that it becomes necessary to proceed with an orotracheal intubation. Not much data is available on the use of non–invasive assisted ventilation with cPAP during revascularization in a hemodynamics room. In general, there is quite some distrust over both the hemodynamic effects of positive pressure and the managerial difficulties for the nursing staff. Goal of the Study To evaluate the safety and feasibility of the use of cPAP in patients with ACS and severe acute respiratory failure, radiological framework of acute pulmonary edema and severe hypoxemia, decubits semiortopnoic cumpolsory. Materials and methods Patients who suffer from ACS and acute pulmonary edema, undergoing urgent coronary catheterization with the use of cPAP in a hemodynamics room, with a “total face” mask. Description of the management by the nursing staff. Results 27 patients were analyzed. For all patients, cPAP was positioned before the procedure and maintained at all times during the coronary interventional procedure. Never was necessary the intervention of a rianimator, nor was orotracheal intubation. Conclusions The use of cPAP, in a hemodynamics room, by the nursing staff, has been proven to be feasible and safe, and it might reduce the need for orotracheal intubation in patients suffering from ACS and acute pulmonary edema. Proposal for a multicentre study.