CPAP stands for Right Ans - Continuous Positive Pressure Ventilation
BPAP stands for Right Ans - Bi-Level Positive Airway Pressure
CPAP uses what type of airway pressure Right Ans - Non-invasive positive
airway pressure
CPAP delivers Right Ans - positive pressure airflow throughout entire
respiratory cycle
CPAP has been in use since Right Ans - 1940s for respiratory failure
CPAP is mostly used to Right Ans - treat patients with sleep apnea
CPAP gained acceptance in the hospital in Right Ans - 1980
CPAP is the emergency is most commonly used during Right Ans - acute
pulmonary edema (APE)
CPAP empirically supported to reduce Right Ans - mortality and morbidity
What was the first CPAP device Right Ans - the Boussignac CPAP
the Boussignac CPAP device made the CPAP more accessible in Right Ans -
the prehospital setting
Boussignac CPAP created by Right Ans - Dr. George Boussignac
What event was the Boussignac CPAP first used Right Ans - the aftermath
of a Boeing 707 crash near Paris Francis in July 1973
The Boussignac CPAP was a compossed of Right Ans - plastic bag with low
pressure, high concentration of O2 and an outlet tube going down to an 8-10
cm water.
CPAP Advantages Right Ans - Prevents atelectasis (alveolar collapse)
Provides optimal alveolar expansion for better gas exchange
, Improves oxygenation
Increases alveolar pressure helping to reduce fluid shift
Reduces work of inspiration
Preserves normal airway defense mechanisms
Can be used with a nebulizer
CPAP Indications Right Ans - Most commonly used by patients with chronic
sleep apnea
Acute Respiratory Distress Syndrome (ARDS)
Post near-drowning
COPD or severe Asthma exacerbation
Pneumonia
Pulmonary edema and CHF
Atelectasis
Pulmonary edema and CHF (treatment priorities with CPAP) Right Ans -
High flow O2
Early CPAP
Aggressive nitrate therapy (.4mg SL)(.5"-2" TD)
Furosemide (very controversial)
Opiates not recommended
Asthma (treatment priorities with CPAP) Right Ans - Should be treated first
with bronchodilators and O2
Consider: Magnesium Sulfate 2 grams slow IV, Epi 1:1000 0.3-0.5mg SQ/IM,
and Solu-Medrol 125mg IV
CPAP for severe refractory exacerbation used in conjunction with the above
treatments
Types of Bronchodilators to use before CPAP Right Ans - Albuterol 2.5 mg
neb.
Atrovent 500 mcg neb.
Levalbuterol 1.25-2.5mg via neb.
CPAP Contraindications Right Ans - Age <14 yrs old
Inability to maintain airway or decreased LOC
Upper airway or facial abnormalities that prevent mask seal
Open stoma or tracheostomy
Hemodynamic instability or decreased cardiac output
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