title: The usage of the Boussignac continuous positive airway pressure system in acute respiratory failure.
abstract: Traditionally, continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) devices have been used to treat patients in acute respiratory failure. However they require an electric power source, are relatively large in size, and may be difficult to use in prehospital settings. The recently introduced Boussignac CPAP system is capable of delivering 10 cmH2O of CPAP, is compact, portable and requires only an oxygen source. This paper reviews the efficacy of using Boussignac CPAP as a treatment for acute respiratory failure in both prehospital and hospital settings. All studies mainly focused on patients treated for cardiogenic pulmonary edema. In the prehospital setting, Boussigac CPAP significantly improved respiratory parameters and oxygenation from baseline values. In the emergency department setting, Boussignac CPAP was more effective than standard oxygen delivery and just as effective as BiPAP in improving patient oxygenation and respiration. In one study, implementing Boussignac CPAP reduced intubation rate and hospital stay. Most hospital staff found Boussignac CPAP easy to use and complication rates were low. Boussigac CPAP is a useful device in the treatment of patients with acute respiratory failure, especially in the prehospital setting.
authors: Department of Anesthesia, Toronto Western Hospital, University of Toronto, ON, M5T 2S8, Canada. david.wong@uhn.ca
authors: D T
authors: DT
authors: Wong
authors: A D
authors: AD
authors: Tam
authors: T C R V
authors: TC
authors: Van Zundert
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000295:instrumentation*; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D006761:Hospitals; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012131:Respiratory Insufficiency / Q000628:therapy*