This paper reports two cases of acute pulmonary edema successfully treated, when medical management failed, with continuous positive airway pres sure (CPAP) and spontaneous breathing. The clinical, laboratory, and radio logical findings indicate that this technic offers an alternative to mechanical ventilation when respiratory failure complicates pulmonary edema in infants.
Get full access to this article
View all access options for this article.
References
1.
Uzawa, T. and Ashbaugh, D.G.: Continuous positive-pressure breathing in acute hemorrhagic pulmonary edema . J. Appl. Physiol.26: 427, 1969.
2.
Gregory, G.A. , Kitterman, J.A., Phibbs, R.H., Toaley, V. H. and Hamilton, W. K.: Treatment of the idiopathic respiratory distress syndrome with continuous positive airway pressure. N. Engl. J. Med.284: 1333, 1971.
3.
Kumar, A., Falke, K.J., Geffin, B., Aldredge, C.E., Laver, M.B., Lowenstein, E. and Pontoppidan, H.: Continuous positive-pressure ventilation in acute respiratory failure. N. Engl. J. Med.283: 1430, 1970.
4.
Ashbaugh, D.G. , Petty, T.L., Bigelow, D.B. et al.: Continuous positive-pressure breathing (CPPB) in adult respiratory distress syndrome. J. Thorac. Cardiovasc. Surg.57: 31, 1969.
5.
Stewart, S. III, Edmunds, L.H. Jr. and Kirklin, J.W. : Spontaneous breathing with continuous positive airway pressure (CPAP) after open intracardiac operation in infants. The American Association for Thoracic Surgery 52nd Annual Meeting , May 1972, Los Angeles, California.
6.
Graft, T.D. and Benson, D.W.: Systemic and pulmonary changes with inhaled humid atmosphere. Anesthesiology30: 199, 1969.
7.
Nash, G., Blennerhassett, J.B. and Pontoppidan, H.: Pulmonary lesions associated with oxygen therapy and artificial ventilation . N. Engl. J. Med.276: 368, 1967.
8.
Mclntyre, R.W. , Laws, A.K. and Ramachandran , P.R.: Positive expiratory pressure plateau improved gas exchange during mechanical ventilation. Can. Anaesth. Soc. J.16: 477, 1969.
9.
Downes, J.J. , Fulgencio, T. and Raphaely, R.C.: Acute respiratory failure in infants and children. Pediatr. Clin. North Am.19: 423, 1972.
