Document Detail


The role of noninvasive ventilation: CPAP and BiPAP in the treatment of congestive heart failure.
MedLine Citation:
PMID:  16552275     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congestive heart failure (CHF) is a common cause of respiratory failure for which patients seek emergency care. Mechanical ventilation is commonly used in the treatment for severe CHF. Studies have shown that noninvasive ventilation (NIV) methods, such as continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP), are effective in treating CHF and have fewer complications than endotracheal intubation. The use of NIV in the treatment of CHF has been shown to increase oxygenation, improve hemodynamic stability, and decrease the need for intubation. When NIV is chosen for a patient in CHF, the critical care nurse needs to be vigilant in assessing and monitoring these patients, especially those in severe CHF. This article evaluates the differences between the 2 types of NIV, the controversies that may exist, practice issues for the critical care nurse, and any financial considerations.
Authors:
Sam Stoltzfus
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Dimensions of critical care nursing : DCCN     Volume:  25     ISSN:  0730-4625     ISO Abbreviation:  Dimens Crit Care Nurs     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-03-22     Completed Date:  2006-05-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211489     Medline TA:  Dimens Crit Care Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  N    
Affiliation:
Emergency Department, Lancaster General Hospital, Lancaster, PA, USA. whitehorse49@juno.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Blood Gas Analysis
Continuous Positive Airway Pressure / adverse effects,  methods*,  nursing
Critical Care / methods*
Heart Failure / metabolism,  physiopathology,  therapy*
Humans
Monitoring, Physiologic / nursing
Nursing Assessment / methods
Patient Care Team / organization & administration
Patient Selection
Risk Factors
Severity of Illness Index
Treatment Outcome

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


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