Use of CPAP mask as the sole mode of ventilatory support in trauma patients with mild to moderate respiratory insufficiency.
Thirty-three trauma patients presenting with hypoxemia and normo- or hypocarbia were treated with continuous positive airway pressure (CPAP) via a snug-fitting face mask. All patients had demonstrated continued hypoxemia despite supplemental oxygen administration before institution of CPAP therapy as the primary mode of ventilatory support. Therapeutic end-point of PaO2/FIO2 greater than 300 was achieved in 32 of 33 patients. Duration of CPAP treatment was 28 +/- 19 hours. Two patients (6%) required intubation, but neither for elevation in PaCO2. CPAP mask appears an effective means of support for mild to moderate post-traumatic respiratory insufficiency.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D006801:Humans; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010102:Oxygen Inhalation Therapy; D011175:Positive-Pressure Respiration / Q000295:instrumentation; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D014947:Wounds and Injuries / Q000503:physiopathology*
D010100:Oxygen