ICU SAQs · Respiratory / ventilation
Cardiogenic pulmonary oedema vs ARDS — distinction and management
A CICM SAQ on the cardiogenic-vs-ARDS distinction — the PAWP, BNP, echo, CXR, the oedema-fluid protein ratio, and the different management (CPAP/diuresis vs lung-protective ventilation).
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Prompt
A ventilated patient has bilateral pulmonary infiltrates and hypoxaemia. Describe the features that distinguish cardiogenic from non-cardiogenic (ARDS) pulmonary oedema, and how the management differs.
Question
A ventilated patient has bilateral pulmonary infiltrates and hypoxaemia. Describe the features that distinguish cardiogenic from non-cardiogenic (ARDS) pulmonary oedema, and how the management differs.
[4] [1]References4ShowHide
- [1]Gray A, Goodacre S, Newby DE, et al. Noninvasive ventilation in acute cardiogenic pulmonary edema. New England Journal of Medicine, 2008.PMID 18614781
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [3]Ingbar DH Cardiogenic pulmonary edema: mechanisms and treatment - an intensivist's view Curr Opin Crit Care, 2019.PMID 31116110
- [4]Berbenetz N, Wang Y, Brown J, et al. Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema Cochrane Database Syst Rev, 2019.PMID 30950507