Which of the following modes of ventilatory support would you recommend for a hypoxemic patient with congestive heart failure?
a. Continuous positive airway pressure (CPAP)
b. Intermittent mandatory ventilation (IMV)
c. Inverse-ratio pressure-control ventilation (PCV)
d. High-level pressure support ventilation (PSV)
ANS: A
In a systematic review of randomized trials, noninvasive positive-pressure ventilation was found to reduce intubation rates and mortality in patients with acute cardiogenic pulmonary edema. Overall, the level of evidence was noted to be similar for CPAP without significant advantages of bilevel positive-pressure ventilation over CPAP.
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