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Effects of BiPAP ventilation on elderly patients with acute pulmonary edema complicated with respiratory failure

Luo Qiao-l

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Abstract

Objective To observe the therapeutic effects of bilevel positive air pressure (BiPAP) ventilation on elderly patients with acute pulmonary edema complicated with respiratory failure. Methods The clinical data of 54 elderly patients with acute pulmonary edema treated by BiPAP ventilation were reviewed and analyzed. During the BiPAP ventilation, the efficiency rate and the changes of arterial blood gas(OI, HCO-3) were measured. The hemodynamic parameters(HR,MBP, CVP) were detected. Results The patients receiving BiPAP ventilation showed more significant improvement of the efficiency rate (87%) and the hemodynamic parameters (HR) was decreased obviously(P0.01) during non-invasive ventilation. The levels of arterial blood gas (OI, HCO-3) were improved significantly, and the dose of dopamine was also decreased obviously(P0.05 or P0.01). Conclusions The BiPAP ventilation is safe for elderly patients with acute pulmonary edema.

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What this paper is about

Objective To observe the therapeutic effects of bilevel positive air pressure (BiPAP) ventilation on elderly patients with acute pulmonary edema complicated with respiratory failure. Methods The clinical data of 54 elderly patients with acute pulmonary edema treated by BiPAP ventilation were reviewed and analyzed. During the BiPAP ventilation, the efficiency rate and the changes of arterial blood gas(OI, HCO-3) were measured. The hemodynamic parameters(HR,MBP, CVP) were detected. Results The patients receiving BiPAP ventilation showed more significant improvement of the efficiency rate (87%) and the hemodynamic parameters (HR) was decreased obviously(P0.01) during non-invasive ventilation. The levels of arterial blood gas (OI, HCO-3) were improved significantly, and the dose of dopamine was also decreased obviously(P0.05 or P0.01). Conclusions The BiPAP ventilation is safe for elderly patients with acute pulmonary edema.

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Available abstract

Objective To observe the therapeutic effects of bilevel positive air pressure (BiPAP) ventilation on elderly patients with acute pulmonary edema complicated with respiratory failure. Methods The clinical data of 54 elderly patients with acute pulmonary edema treated by BiPAP ventilation were reviewed and analyzed. During the BiPAP ventilation, the efficiency rate and the changes of arterial blood gas(OI, HCO-3) were measured. The hemodynamic parameters(HR,MBP, CVP) were detected. Results The patients receiving BiPAP ventilation showed more significant improvement of the efficiency rate (87%) and the hemodynamic parameters (HR) was decreased obviously(P0.01) during non-invasive ventilation. The levels of arterial blood gas (OI, HCO-3) were improved significantly, and the dose of dopamine was also decreased obviously(P0.05 or P0.01). Conclusions The BiPAP ventilation is safe for elderly patients with acute pulmonary edema.

Key concepts: Medicine, Ventilation (architecture), Anesthesia, Hemodynamics, Pulmonary edema, Respiratory rate, Respiratory system, Arterial blood

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