Clinical application and nursing methods of bilevel positive air way pressure ventilation in patients with neurogenic pulmonary edema
- VernacularTitle:双水平正压通气模式在神经源性肺水肿患者中的应用及护理
- Author:
Ning GUO
;
Honglu XU
;
Lijuan LUO
- Publication Type:Journal Article
- Keywords:
Bilevel positive airway pressure;
Neurogenic pulmonary edema;
Nursing
- From:
Chinese Journal of Practical Nursing
2008;24(36):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect and nursing methods of bilevel positive air-way pressure(BiPAP)ventilation in patients with neurogenic pulmonary edema(NPE).Methods Totally 11 NPE patients from January 2004 to December 2007 were enrolled.Ventilation support adopted specific invasive BiPAP mode of Puritan-Bennett840.Aiway pressure release ventilation(APRV)tactics was ap- plied in this mode.The blood oxygen saturation rote(SpO2),acidity-alkalinity(pH),arterial oxygen pres-sure(PaO2),arterial carbon dioxide pressure(PaCO2)were analyzed and compared between synchronized intemittent mandatory ventilation(SIMV)mede2 h and 24 h after BiPAP ventilation.Results Among,arterial blood gas analysis of 11 patients,SpO2 and PaO2 were obviously ameliorated after BiPAP ventilation compared with SIMV ventilation.No side-effect occurred.Conclusions The application of invasive Bi- PAP ventilation support in NPE patients proved to be a fast and effective method.