Status:

COMPLETED

Non Invasive Mechanical Ventilation in Acute Cardiogenic Pulmonary Edema

Lead Sponsor:

Assiut University

Conditions:

Acute Cardiogenic Pulmonary Edema

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Cardiogenic pulmonary edema (CPE) is a common medical emergency and noninvasive ventilation (NIV) in addition to conventional medical treatment might be beneficial for patients with CPE.

Detailed Description

To evaluate the effect of adding continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) to standard medical therapy (ST) on intensive care unit (ICU) stay, hospital sta...

Eligibility Criteria

Inclusion

  • CPE confirmed radiologically and/or clinically
  • Severe acute respiratory failure (partial arterial oxygen (PaO2)/Fraction of inspired oxygen (FIO2) less than 250)
  • Dyspnea of sudden onset with respiratory
  • Systolic blood pressure \< 180 mmHg

Exclusion

  • Immediate need for endotracheal intubation:
  • Severe sensorial impairment
  • Shock
  • Ventricular arrhythmias,
  • Life-threatening hypoxia (SpO2 \[oxygen saturation as indicated by pulse oximetry\] less than 80% with oxygen)
  • Acute myocardial infarction necessitating thrombolysis
  • Cardiac or respiratory arrest
  • Severe chronic renal failure
  • Pneumothorax.
  • Contraindication of non invasive ventilation (NIV)

Key Trial Info

Start Date :

October 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2007

Estimated Enrollment :

129 Patients enrolled

Trial Details

Trial ID

NCT00912158

Start Date

October 1 2003

End Date

November 1 2007

Last Update

September 4 2009

Active Locations (1)

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1

Assiut University Hospital

Asyut, Egypt, 71111