| Treatment of high-altitude pulmonary edema by bed rest and supplemental oxygen. | |
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MedLine Citation:
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PMID: 11990106 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVES: We evaluated the safety and efficacy of treating high-altitude pulmonary edema (HAPE) by bed rest and supplemental oxygen at moderate altitudes. We also characterized clinical parameters in HAPE before and after treatment. DESIGN: Case series. SETTING: Two primary care centers at about 9,200 feet (2,800 meters) above sea level. TYPE OF PARTICIPANTS: All patients aged 16-69 years who had been diagnosed with HAPE and were treated with bed rest and supplemental oxygen. Patients were seen on a follow-up visit. Interventions: Selected patients were treated with bed rest and supplemental oxygen rather than hospital admission or descent. MAIN OUTCOME MEASURE: Patients were considered improved on follow-up if room air arterial oxygen saturation was increased by 10 percentage points or if their symptoms had improved. RESULTS: Of 58 patients with confirmed HAPE, 25 (43%) were treated by bed rest and supplemental oxygen and were seen on return visits to the clinic. All of the treated patients improved at the return visit. Systolic blood pressure, heart rate, respiratory rate, and temperature decreased significantly between the first visit and the return visit. Oxygen saturation improved between visits. CONCLUSION: Some patients with HAPE at moderate altitudes where medical facilities are available can be safely treated with bed rest and oxygen without descent. |
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Authors:
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K Zafren; J T Reeves; R Schoene |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Wilderness & environmental medicine Volume: 7 ISSN: 1080-6032 ISO Abbreviation: Wilderness Environ Med Publication Date: 1996 May |
Date Detail:
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Created Date: 2002-05-06 Completed Date: 2002-06-04 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9505185 Medline TA: Wilderness Environ Med Country: United States |
Other Details:
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Languages: eng Pagination: 127-32 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Alaska Regional Hospital, Anchorage 99508, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Altitude Altitude Sickness / therapy* Bed Rest* Colorado Female Humans Male Medical Records Middle Aged Oxygen Inhalation Therapy* Pulmonary Edema / therapy* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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