Which patients with cardiogenic pulmonary edema or congestive heart failure (CHF) may have the greatest benefit from noninvasive ventilation (NIV)?

Updated: Jun 18, 2020
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Answer

Noninvasive ventilation is well suited for patients with cardiogenic pulmonary edema.

CPAP and BiPAP modalities both are effective, with CPAP possibly being more effective.

The greatest benefits are realized in relief of symptoms and dyspnea.

A decrease in intubation and mortality rates is not a universal experience.

Patients with hypercapnic respiratory acidosis may derive the greatest benefit from noninvasive ventilation.

Importantly, adjust to standard therapy, including diuresis.

Benefit may be seen with as few as 2 hours of support.


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