Positive Pressure Ventilation in the Cardiac Intensive Care Unit.

Journal Article (Journal Article;Review)

Contemporary cardiac intensive care units (CICUs) provide care for an aging and increasingly complex patient population. The medical complexity of this population is partly driven by an increased proportion of patients with respiratory failure needing noninvasive or invasive positive pressure ventilation (PPV). PPV often plays an important role in the management of patients with cardiogenic pulmonary edema, cardiogenic shock, or cardiac arrest, and those undergoing mechanical circulatory support. Noninvasive PPV, when appropriately applied to selected patients, may reduce the need for invasive mechanical PPV and improve survival. Invasive PPV can be lifesaving, but has both favorable and unfavorable interactions with left and right ventricular physiology and carries a risk of complications that influence CICU mortality. Effective implementation of PPV requires an understanding of the underlying cardiac and pulmonary pathophysiology. Cardiologists who practice in the CICU should be proficient with the indications, appropriate selection, potential cardiopulmonary interactions, and complications of PPV.

Full Text

Duke Authors

Cited Authors

  • Alviar, CL; Miller, PE; McAreavey, D; Katz, JN; Lee, B; Moriyama, B; Soble, J; van Diepen, S; Solomon, MA; Morrow, DA; ACC Critical Care Cardiology Working Group,

Published Date

  • September 25, 2018

Published In

Volume / Issue

  • 72 / 13

Start / End Page

  • 1532 - 1553

PubMed ID

  • 30236315

Pubmed Central ID

  • 30236315

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2018.06.074

Language

  • eng

Conference Location

  • United States