CPAP Versus Bilevel Pressure Support Ventilation in Cardiogenic Pulmonary Edema
Phase 3
Completed
- Conditions
- Severe Acute Cardiogenic Pulmonary Edema
- Registration Number
- NCT00213681
- Lead Sponsor
- University Hospital, Rouen
- Brief Summary
To evaluate whether bilevel positive airway pressure more rapidly improves ventilation than continuous positive airway pressure (CPAP) in patients with acute pulmonary edema. CPAP is delivered via a simple device connected to oxygen.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- age > 16 yrs, acute onset of severe respiratory distress, bilateral rales and typical findings of congestion on chest radiograph
- breathing frequency of > 30/min, SpO2 >90%, use of accessory respiratory muscles
Exclusion Criteria
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Improvement in PaCO2 at the end of ventilation
- Secondary Outcome Measures
Name Time Method Blood gases, vital signs Time to transfer to medical ward Time to hospital discharge Endotracheal intubation, myocardial infarction and mortality during the first 24 hours Duration of the ventilation Easiness to use was evaluated by nurses Patients operational tolerance Complications of each ventilation mode
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie CPAP and bilevel ventilation in cardiogenic pulmonary edema?
How does bilevel positive airway pressure compare to CPAP in managing acute cardiogenic pulmonary edema?
Are there specific biomarkers that predict response to CPAP or bilevel ventilation in severe pulmonary edema?
What are the potential adverse events associated with CPAP versus bilevel ventilation in acute cardiogenic pulmonary edema?
What combination therapies or alternative approaches are being explored alongside CPAP for cardiogenic pulmonary edema treatment?