Skip to main content

Noninvasive Positive Airway Pressure in Acute Cardiogenic Pulmonary Edema

  • Chapter
  • First Online:
Noninvasive Mechanical Ventilation
  • 595 Accesses

Abstract

Acute cardiogenic pulmonary edema (ACPE) is a common cause of acute respiratory failure, often requiring ventilatory support with noninvasive positive airway pressure (NIPAP) therapy or endotracheal intubation. Although NIPAP has been recognized as a reliable treatment choice for patients with ACPE, firm evidence is scarce. This review provides recent evidence and practical applications of NIPAP therapy in the setting of ACPE.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ACPE:

Acute cardiogenic pulmonary edema

AMI:

Acute myocardial infarction

BiPAP:

Bi-level positive airway pressure

CI:

Confidence interval

CO2:

Carbon dioxide

COVID-19:

Coronavirus disease 2019

CPAP:

Continuous positive airway pressure

EPAP:

Expiratory positive airway pressure

IPAP:

Inspiratory positive airway pressure

ITP:

Intrathoracic pressure

LV:

Left ventricle

LVP:

Left ventricular pressure

NIPAP:

Noninvasive positive airway pressure

PaCO2:

Partial pressure of arterial carbon dioxide

PaO2:

Partial pressure of arterial oxygen

PEEP:

Positive end-expiratory pressure

RAP:

Right atrial pressure

RR:

Relative risk

RV:

Right ventricle

References

  1. Potts JM. Noninvasive positive pressure ventilation: effect on mortality in acute cardiogenic pulmonary edema: a pragmatic meta-analysis. Pol Arch Med Wewn. 2009;119(6):349–53.

    PubMed  Google Scholar 

  2. McMurray JJV, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2012;14(8):803–69.

    Article  CAS  PubMed  Google Scholar 

  3. Dworzynski K, Roberts E, Ludman A, Mant J, Guideline Development Group of the National Institute for Health and Care Excellence. Diagnosing and managing acute heart failure in adults: summary of NICE guidance. BMJ. 2014;349:g5695.

    Article  PubMed  Google Scholar 

  4. McKelvie RS, Moe GW, Ezekowitz JA, Heckman GA, Costigan J, Ducharme A, et al. The 2012 Canadian Cardiovascular Society heart failure management guidelines update: focus on acute and chronic heart failure. Can J Cardiol. 2013;29(2):168–81.

    Article  PubMed  Google Scholar 

  5. Packer M. How should physicians view heart failure? The philosophical and physiological evolution of three conceptual models of the disease. Am J Cardiol. 1993;71(9):3C–11C.

    Article  CAS  PubMed  Google Scholar 

  6. Allison RC. Initial treatment of pulmonary edema: a physiological approach. Am J Med Sci. 1991;302(6):385–91.

    Article  CAS  PubMed  Google Scholar 

  7. Marteles MS, Urrutia A. Formas de presentación de la insuficiencia cardíaca aguda: edema agudo de pulmón y shock cardiogénico. Med Clin. 2014;142:14–9.

    Article  Google Scholar 

  8. Ni YN, Luo J, Yu H, Liu D, Liang BM, Liang ZA. The effect of high-flow nasal cannula in reducing the mortality and the rate of endotracheal intubation when used before mechanical ventilation compared with conventional oxygen therapy and noninvasive positive pressure ventilation. A systematic review and meta-analysis. Am J Emerg Med. 2018;36(2):226–33.

    Article  PubMed  Google Scholar 

  9. Nava S, Carbone G, DiBattista N, Bellone A, Baiardi P, Cosentini R, et al. Noninvasive ventilation in cardiogenic pulmonary edema: a multicenter randomized trial. Am J Respir Crit Care Med. 2003;168(12):1432–7.

    Article  PubMed  Google Scholar 

  10. Masip J, Betbesé AJ, Páez J, Vecilla F, Cañizares R, Padró J, et al. Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomised trial. Lancet. 2000;356(9248):2126–32.

    Article  CAS  PubMed  Google Scholar 

  11. Pagano A, Numis FG, Rosato V, Russo T, Porta G, Bosso G, et al. Pressure support ventilation vs continuous positive airway pressure for treating of acute cardiogenic pulmonary edema: a pilot study. Respir Physiol Neurobiol. 2018;255:7–10.

    Article  PubMed  Google Scholar 

  12. Evans TW. International consensus conferences in intensive care medicine: non-invasive positive pressure ventilation in acute respiratory failure. Organised jointly by the American Thoracic Society, the European Respiratory Society, the European Society of Intensive Care Medicine, and the Société de Réanimation de langue française, and approved by the ATS Board of Directors, December 2000. Intensive Care Med. 2001;27(1):166–78.

    Article  CAS  PubMed  Google Scholar 

  13. Uchôa CHG, Pedrosa RP, Javaheri S, Geovanini GR, Carvalho MMB, Torquatro ACS, et al. OSA and prognosis after acute cardiogenic pulmonary edema: the OSA-CARE study. Chest. 2017;152(6):1230–8.

    Article  PubMed  Google Scholar 

  14. Lenique F, Habis M, Lofaso F, Dubois-Randé JL, Harf A, Brochard L. Ventilatory and hemodynamic effects of continuous positive airway pressure in left heart failure. Am J Respir Crit Care Med. 1997;155(2):500–5.

    Article  CAS  PubMed  Google Scholar 

  15. Pinsky MR. Instantaneous venous return curves in an intact canine preparation. J Appl Physiol Respir Environ Exerc Physiol. 1984;56(3):765–71.

    CAS  PubMed  Google Scholar 

  16. Yoshida M, Kadokami T, Momii H, Hayashi A, Urashi T, Narita S, et al. Enhancement of cardiac performance by bilevel positive airway pressure ventilation in heart failure. J Card Fail. 2012;18(12):912–8.

    Article  PubMed  Google Scholar 

  17. Nakano S, Kasai T, Tanno J, Sugi K, Sekine Y, Muramatsu T, et al. The effect of adaptive servo-ventilation on dyspnoea, haemodynamic parameters and plasma catecholamine concentrations in acute cardiogenic pulmonary oedema. Eur Heart J Acute Cardiovasc Care. 2015;4(4):305–15.

    Article  PubMed  Google Scholar 

  18. Aliberti S, Rosti VD, Travierso C, Brambilla AM, Piffer F, Petrelli G, et al. A real life evaluation of non invasive ventilation in acute cardiogenic pulmonary edema: a multicenter, perspective, observational study for the ACPE SIMEU study group. BMC Emerg Med. 2018;18(1):61.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Rochwerg B, Brochard L, Elliott MW, Hess D, Hill NS, Nava S, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50(2):1602426.

    Article  PubMed  Google Scholar 

  20. Tsutsui H, Isobe M, Ito H, Ito H, Okumura K, Ono M, et al. JCS 2017/JHFS 2017 guideline on diagnosis and treatment of acute and chronic heart failure—digest version. Circ J. 2019;83(10):2084–184.

    Article  PubMed  Google Scholar 

  21. Berbenetz N, Wang Y, Brown J, Godfrey C, Ahmad M, Vital FM, et al. Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema. Cochrane Database Syst Rev. 2019;4:CD005351.

    PubMed  Google Scholar 

  22. Murata H, Inoue T, Takahashi O. What prevents critically ill patients with respiratory failure from using non-invasive positive pressure ventilation: a mixed-methods study. Jpn J Nurs Sci. 2017;14(4):297–310.

    Article  PubMed  Google Scholar 

  23. Kain T, Fowler R. Preparing intensive care for the next pandemic influenza. Crit Care. 2019;23(1):337.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Nava S, Hill N. Non-invasive ventilation in acute respiratory failure. Lancet. 2009;374(9685):250–9.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Hui DS, Chow BK, Ng SS, Chu LCY, Hall SD, Gin T, et al. Exhaled air dispersion distances during noninvasive ventilation via different respironics face masks. Chest. 2009;136(4):998–1005.

    Article  PubMed  Google Scholar 

  27. Zhang Y, Coats AJS, Zheng Z, Adamo M, Ambrosio G, Anker SD, et al. Management of heart failure patients with COVID-19: a joint position paper of the Chinese Heart Failure Association & National Heart Failure Committee and the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2020;22(6):941–56.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Takatoshi Kasai .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Naito, R., Kasai, T. (2023). Noninvasive Positive Airway Pressure in Acute Cardiogenic Pulmonary Edema. In: Esquinas, A.M. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-28963-7_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-28963-7_47

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-28962-0

  • Online ISBN: 978-3-031-28963-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics