| Autor: |
Brywczynski JJ; Vanderbilt University Medical Center, Nashville, Tennessee, USA., Barrett TW, Schriger DL |
| Jazyk: |
angličtina |
| Zdroj: |
Annals of emergency medicine [Ann Emerg Med] 2008 Sep; Vol. 52 (3), pp. 242-3. |
| DOI: |
10.1016/j.annemergmed.2008.07.004 |
| Abstrakt: |
WHAT IS ALREADY KNOWN ON THIS TOPIC: Application of continuous positive airway pressure (CPAP) for patients with acute respiratory distress reduces the need for tracheal intubation and mechanical ventilation. Case series have demonstrated CPAP's feasibility in out-of-hospital settings. WHAT QUESTION THIS STUDY ADDRESSED: Seventy-one out-of-hospital patients with severe respiratory distress, randomized to receive CPAP or usual care, were assessed to determine need for tracheal intubation and mortality. WHAT THIS STUDY ADDS TO OUR KNOWLEDGE: Within the CPAP group, the rate of intubation was 30% less than the usual care group, and mortality was 20% lower. HOW THIS MIGHT CHANGE CLINICAL PRACTICE: Emergency medical services systems and their medical directors should consider making CPAP available as part of the treatment for out-of-hospital severe respiratory distress patients, particularly in systems with long transport times. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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