Abstract
We describe continuous positive airway pressure (CPAP) by mask to reduce hypercarbia in two patients who had pulmonary edema due to congestive heart failure. In such patients, beside reducing venous return and filling pressures, CPAP improves compliance and decreases the work of breathing, thereby improving effective ventilation. Hence, CPAP may be useful to combat not only hypoxemia but also hypercarbia that is associated with pulmonary edema.
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Sturgeon CL, Douglas ME, Downs JB, Dannemiller FJ (1977) PEEP and CPAP: Cardiopulmonary effects during spontaneous ventilation. Anesth Analg (Cleve) 56:633
Douglas ME, Downs JB (1978) Special correspondence. Anesth Analg (Cleve) 57:347
Gherini S, Peters RM, Virgilio RW (1979) Mechanical work on the lungs and work of breathing with positive end-expiratory pressure and continuous positive airway pressure. Chest 76:251
Greenbaum DM, Millen JE, Eross B, Snyder JV, Grenvik A, Safar P (1976) Continuous positive airway pressure without tracheal intubation in spontaneously breathing patients. Chest 69:615
Gregory GA, Kitterman JA, Phibbs RH, Tooley WH, Hamilton WK (1971) Treatment of idiopathic respiratory-distress syndrome with continuous positive airway pressure. N Engl J Med 284:1333
Venus B, Jacobs HK, Lim L (1979) Treatment of the adult respiratory distress syndrome with continuous positive airway pressure. Chest 76:257
Gabriele G, Rosenfeld CR, Fixler DE, Wheeler JN (1977) Continuous airway pressure breathing with the head-box in the newborn lamb: Effects of regional blood flows. Pediatrics 59:858
Colgan FJ, Stewart S (1979) PEEP and CPAP following open-heart surgery in infants and children. Anesthesiology 50:336
Gillick JS (1977) Spontaneous positive end-expiratory pressure (sPEEP). Anesth Analg (Cleve) 56:627
Andersen J, Beck O, Brochner J (1975) Intermittent positive and expiratory pressure (PEEP) in the treatment of atelectasis. Ugeskr Laeg 137:889
Wiebe H, Brooks JB, Gregory GA (1975) The effect of continuous positive airway pressure (CPAP) on lung function in infants with the respiratory distress syndrome (RDS). J Pediatr Res 9:402 (Abstract)
Richardson CP, Jung AL (1978) Effects of continuous positive airway pressure on pulmonary function and blood gases of infants with respiratory distress syndrome. Pediatr Res 12:771
Haller JA, White JJ, Moynihan PC, Galvis AG (1973) Use of continuous positive airway pressure breathing in the improved management of neonatal emergencies. Pediatr Surg 8:669
Stewart S, Edmunds LH, Kirklin JW, Allarde RR (1973) Spontaneous breathing with continuous positive airway pressure after open intracardiac operations in infants. J Thorac Cardiovasc Surg 65:37
Hatch DJ, Taylor BW, Glover WJ, Cogswells JJ, Battersby EF, Kerr AA (1973) Continuous positive-airway pressure after open-heart operations in infancy. Lancet 2:469
Osher AB, Gothe B, Simmons DH, Waymost O, Green H (1978) Effects of continuous positive airway pressure after oleic acid-induced lung injury in dogs. Pediatr Res 12:923
Downs JB, Modell JH (1977) Patterns of respiratory support aimed at pathophysiologic conditions. In: Hershey SG (ed) ASA Refresher Courses in Anesthesiology, vol 5, J. B. Lippincott, Philadelphia, p. 71
Kittredge P (1977) Continuous positive airway pressure via face mask is a dangerous step backwards. Chest 71:118
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Perel, A., Williamson, D.C. & Modell, J.H. Effectiveness of CPAP by mask for pulmonary edema associated with hypercarbia. Intensive Care Med 9, 17–19 (1983). https://doi.org/10.1007/BF01693700
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DOI: https://doi.org/10.1007/BF01693700