Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema : a systematic review and meta-analysis

Login or register to view PDF.
Abstract

Abstract Introduction
Continuous positive airway pressure ventilation (CPAP) and non-invasive positive pressure ventilation (NPPV) are accepted treatments in acute cardiogenic pulmonary edema (ACPE). However, it remains unclear whether NPPV is better than CPAP in reducing the need for endotracheal intubation (NETI) rates, mortality and other adverse events. Our aim was to review the evidence about the efficacy and safety of these two methods in ACPE management.

References
  1. Jessup M, Brozena S: Heart Failure. N Engl J Med 2003, 348:2007-18.
  2. American Heart Association: 2004 Heart and Stroke statistical update. Dallas, Texas: American Heart Association; 2004.
  3. Fonarow G, ADHERE scientific advisory committee: The acute decompensated heart failure national registry (ADHERE): opportunities to improve care of patients hospitalized with acute decompensated heart failure. Rev Cardiovasc Med 2003, 4(Suppl 7):S21-30.
  4. Fedullo AJ, Swinburne AJ, Wahl GW, Bixby K: Acute cardiogenic pulmonary edema treated with mechanical ventilation. Factors determining in-hospital mortality. Chest 1991, 99:1220-6.
  5. Antonelli M, Pennisi MA, Montini L: Clinical review: Noninvasive ventilation in the clinical setting-experience from the past 10 years. Crit Care 2005, 9:98-103.
  6. Girou E, Brun-Buisson C, Taille S, Lemaire F, Brochard L: Secular trends in nosocomial infections and mortality associated with noninvasive ventilation in patients with exacerbation of COPD and pulmonary edema. JAMA 2003, 290:2985-91.
  7. Antonelli M, Conti G, Rocco M, Bufi M, De Blasi RA, Vivino G, Gasparetto A, Meduri GU: A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med 1998, 339:429-35.
  8. Vaisanen IT, Rasanen J: Continuous positive airway pressure and supplemental oxygen in the treatment of cardiogenic pulmonary edema. Chest 1987, 92:481-5.
  9. Hoffmann B, Welte T: The use of noninvasive pressure support ventilation for severe respiratory insufficiency due to pulmonary oedema. Intensive Care Med 1999, 25:15-20.
  10. Pang D, Keenan SP, Cook DJ, Sibbald WJ: The effect of positive pressure airway support on mortality and the need for intubation in cardiogenic pulmonary edema: a systematic review. Chest 1998, 114:1185-92.
  11. Takeda S, Takano T, Ogawa R: The effect of nasal continuous positive airway pressure on plasma endothelin-1 concentrations in patients with severe cardiogenic pulmonary edema. Anesth Analg 1997, 84:1091-6.
  12. Takeda S, Nejima J, Takano T, Nakanishi K, Takayama M, Sakamoto A, Ogawa R: Effect of nasal continuous positive airway pressure on pulmonary edema complicating acute myocardial infarction. Jpn Circ J 1998, 62:553-8.
  13. Masip J, Betbese AJ, Paez J, Vecilla F, Canizares R, Padro J, Paz MA, de Otero J, Ballus J: Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomised trial. Lancet 2000, 356:2126-32.
  14. Levitt MA: A prospective, randomized trial of BiPAP in severe acute congestive heart failure. J Emerg Med 2001, 21:363-9.
  15. Park M, Lorenzi-Filho G, MI Feltrim, PR Viecili, MC Sangean, M Volpe, Leite PF, Mansur AJ: Oxygen therapy, continuous positive airway pressure, or noninvasive bilevel positive pressure ventilation in the treatment of acute cardiogenic pulmonary edema. Arq Bras Cardiol 2001, 76:221-30.
  16. Kelly CA, Newby DE, McDonagh TA, Mackay TW, Barr J, Boon NA, Dargie HJ, Douglas NJ: Randomised controlled trial of continuous positive airway pressure and standard oxygen therapy in acute pulmonary oedema; effects on plasma brain natriuretic peptide concentrations. Eur Heart J 2002, 23:1379-86.