Document Detail


Acute cardiogenic pulmonary edema. What's the latest in emergency treatment?
MedLine Citation:
PMID:  9479313     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
With the methods available today, most patients who arrive at the emergency department with acute cardiogenic pulmonary edema can be treated quickly and effectively. Modern pharmacologic therapy is based on directly counteracting the physiologic abnormalities that cause pulmonary edema. Agents that are useful in reducing LV preload and afterload and in managing hypotension are nitroglycerin, ACE inhibitors, vasodilators, vasopressors, and bipyrines. Noninvasive pressure support ventilation helps patients with pulmonary edema by decreasing the work of breathing, enhancing oxygen and carbon dioxide exchange, and increasing cardiac output. Use of BiPAP systems in emergency departments has averted endotracheal intubation in about 90% of patients with pulmonary edema who are experiencing acute respiratory failure.
Authors:
A D Sacchetti; R H Harris
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Postgraduate medicine     Volume:  103     ISSN:  0032-5481     ISO Abbreviation:  Postgrad Med     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-03-11     Completed Date:  1998-03-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  145-7, 153-4, 160-2 passim     Citation Subset:  AIM; IM    
Affiliation:
Department of Emergency Medicine, Our Lady of Lourdes Medical Center, Camden, NJ 08103, USA. asacch@mindspring.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Cardiovascular Agents / therapeutic use*
Combined Modality Therapy
Emergency Treatment*
Humans
Positive-Pressure Respiration* / methods
Pulmonary Edema / diagnosis,  etiology,  physiopathology,  therapy*
Ventricular Dysfunction, Left / complications
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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