Abo Hamila, M., Saber, H., Mohamed, M., Mohammed, A. (2024). Conventional Oxygen Therapy Versus High Velocity Nasal cannula in patients with acute pulmonary edema. test, 4(2), 36-50. doi: 10.21608/jicem.2024.286468.1036
Mohammed AbdAlkadar Abo Hamila; Hamdy Mohammed Saber; Mohamed Kamel Mohamed; Ahmed Yassin Mohammed. "Conventional Oxygen Therapy Versus High Velocity Nasal cannula in patients with acute pulmonary edema". test, 4, 2, 2024, 36-50. doi: 10.21608/jicem.2024.286468.1036
Abo Hamila, M., Saber, H., Mohamed, M., Mohammed, A. (2024). 'Conventional Oxygen Therapy Versus High Velocity Nasal cannula in patients with acute pulmonary edema', test, 4(2), pp. 36-50. doi: 10.21608/jicem.2024.286468.1036
Abo Hamila, M., Saber, H., Mohamed, M., Mohammed, A. Conventional Oxygen Therapy Versus High Velocity Nasal cannula in patients with acute pulmonary edema. test, 2024; 4(2): 36-50. doi: 10.21608/jicem.2024.286468.1036

Conventional Oxygen Therapy Versus High Velocity Nasal cannula in patients with acute pulmonary edema

The Egyptian Journal of Intensive Care and Emergency Medicine
Volume 4, Issue 2, June 2024, Pages 36-50    PDF (421.8 K)
Document Type: Original papers
DOI: 10.21608/jicem.2024.286468.1036
Authors
Mohammed AbdAlkadar Abo Hamila; Hamdy Mohammed Saber; Mohamed Kamel Mohamed* ; Ahmed Yassin Mohammed
Critical Care medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef 62511, Egypt
Abstract
Background: Acute pulmonary edema (APE) is one of the main diagnoses for dyspnea patients in emergency departments (ER). High-velocity nasal cannula (HVNC) might be considered as an alternative support for early management of APE in the ER. Objectives: to compare the effectiveness of HVNC therapy for those with APE to that of conventional oxygen therapy (COT). Methodology: This study was a randomized controlled trial with 60 APE patients admitted to the critical care and chest units at Beni-Suef University Hospital. We randomly assigned patients to Group A, who received COT. Group B received HVNC. All patients received a full history and evaluation, a chest X-ray, and a chest CT scan. A complete blood count (CBC), coagulation profile, renal function tests, and assessments of serum sodium, potassium, and arterial blood gas (ABG) were included in laboratory examinations. We conducted these tests at admission and again six hours later. Results: We linked the use of HVNC to a significant drop in respiratory rate. Both groups' PO2 levels increased while PCO2 decreased. The HVNC intervention was more effective in increasing PO2 and decreasing PCO2 levels than the COT. There was a trend in the HVNC group toward less reliance on mechanical ventilation (MV) as compared to COT. The length of time patients spent in the ICU dropped significantly for those receiving HVNC.  Conclusion: In patients with APE, HVNC significantly improves ABG, ICU stay duration, and MV frequency compared to COT.
Keywords
High velocity nasal cannula; Pulmonary edema; Conventional oxygen therapy; Mechanical Ventilation
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