Articoli originali Open access

L’efficacia della CPAP in ambito preospedaliero nei pazienti con edema polmonare acuto cardiogeno: revisione della letteratura.

Autori

Pubblicato
24 gennaio 2018
Sezione
Articoli originali
Pagine
22 - 26

Abstract

Introduzione: l’edema polmonare acuto cardiogeno (EPAC) è un’emergenza medica a rischio per la vita se non viene trattata precocemente; da ciò l’importanza di un approccio immediato e adeguato, sin dal primo soccorso sul territorio. L’utilizzo della CPAP (Continuous Positive Airway Pressure) nell’insufficienza respiratoria acuta ipossica da EPAC è considerato, ormai, il primo approccio terapeutico accanto alla terapia medica convenzionale, e attualmente considerata la terapia non farmacologia più efficace.

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Riferimenti bibliografici

  1. BAnderA g, gelATi l, guideTTi A, orlAndini A, riCCiArdelli A, rosso s. Documento di Sintesi sulla Gestione dell’Insuf cienza Respirato- ria Acuta. Italian Journal of Emergency Medicine; 2013. http://www.itjem.org/im- ages/old_pdf/Documento_Sintesi_Ges- tione_Insufficienza_Respiratoria_Acuta_ Emergenza_Preospedaliera.pdf [ultimo accesso 12/01/2018].
  2. sTiell ig, sPAiTe dw, Field B, nesBiTT lP, Munkley d, MAloney J eT Al, Advanced life support for out-of-hospital respiratory distress. N Engl J Med. 2007;356(21):2156-64.
  3. gArdTMAn M, wAAgsTein l, kArlsson T, HerliTz J. Has an intensi ed treatment in the am- bulance of patients with acute severe left heart failure improved the outcome? Eur J Emerg Med.2000 Mar;7(1):15-24.
  4. FeVAng e, loCkey d, THoMPson J, lossius HM, TorPo reseArCH C. The top ve research pri- orities in physician-provided pre-hospital critical care: a consensus report from a European research collaboration. Scand J Trauma Resusc Emerg Med. 2011;19:57. doi: 10.1186/1757-7241-19-57.
  5. gAruTi g, BAndierA g, CATTAruzzA Ms, gelATi l, osBorn JF, TosCAni s eT Al, Out-of-hospital helmet CPAP in acute respiratory failure reduces mortality: a study led by nurses. Monaldi Arch Chest Dis. 2010;73(4):145-51.
  6. lAri F. Sistemi Cpap (pressione positive continua applicate alle vie aeree). Quaderni - Italian Journal of Medicine 2015; volume 3:411-416
  7. nykieForuk s, FrAnCHi C, APrigliAno n.F., de PA- doVA g, luCArelli d.l., Pontrandolfo S. Umidi- cazione attiva versus umidi cazione passi- va nella ventilazione meccanica. Revisione della letteratura. Scenario 2014;(4):31-39.
  8. CHeCklisTs, CASP. http://www.casp-uk.net/. http://www.casp-uk.net/casp-tools- checklists. [Online] Cited: 01 7; 2016.
  9. duCros l, logeArT d, ViCAuT e, Henry P, PlAi- sAnCe P, ColleT JP eT Al. CPAP for acute cardiogenic pulmonary oedema from out-of-hospital to cardiogenic pulmonary oedema from out-of-hospital to study. In- tensive Care Med. 2011;37(9):1501-9. doi: 10.1007/s00134-011-2311-4.
  10. PlAisAnCe P, PirrACCHio r, BerTon C, ViCAuT e, PAyen d. A randomized study of out-of-ho- spital continuous positive airway pressure for acute cardiogenic pulmonary oede- ma: physiological and clinical effects. Eur Heart J. 2007 Dec;28(23):2895-901
  11. HuBBle Mw, riCHArds Me, JArVis r, MillikAn T, young d. Effectiveness of prehospital continuous positive airway pressure in the management of acute pulmonary edema. Prehosp Emerg Care. 2006 Oct- Dec;10(4):430-9.
  12. FronTin P, Bounes V, Houzé-CerFon CH, CHAr- PenTier s, Houzé-CerFon V, duCAssé Jl. Conti- nuous positive airway pressure for cardio- genic pulmonary edema: a randomized study. Am J Emerg Med. 2011;29(7):775- 81. doi: 10.1016/j.ajem.2010.03.007
  13. diB Je, MATin sA, luCkerT A. Prehospital use of continuous positive airway pressure for acute severe congestive heart failu- re. J Emerg Med. 2012;42(5):553-8. doi: 10.1016/j.jemermed.2011.06.002.
  14. diePerink w, weelink ee, VAn der HorsT iC, de Vos r, JAArsMA T, AArTs lP eT Al. Treat- ment of presumed acute cardiogenic pulmonary oedema in an ambulance system by nurses using Boussignac con- tinuous positive airway pressure. Emerg Med J. 2009;26(2):141-4. doi: 10.1136/ emj.2007.055095..
  15. williAMs TA, Finn J, Perkins gd, JACoBs ig. Prehospital continuous positive airway pressure for acute respiratory failure: a systematic review and meta-analysis. Pre- hosp Emerg Care. 2013;17(2):261-73. doi: 10.3109/10903127.2012.749967.
  16. BAkke sA, BoTker MT, ridderVold is, kirkeg- AArd H, CHrisTensen eF. Continuous positive airway pressure and noninvasive ventila- tion in prehospital treatment of patients with acute respiratory failure: a systema- tic review of controlled studies. Scand J Trauma Resusc Emerg Med. 2014 Nov 22;22:69. doi: 10.1186/s13049-014-0069-8.
  17. williAMs B, Boyle M, roBerTson n, giddings C. When pressure is positive: a literature re- view of the prehospital use of continuous positive airway pressure. Prehosp Disas- ter Med. 2013;28(1):52-60. doi: 10.1017/ S1049023X12001562.

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