Comparison of high-flow oxygen treatment and standard oxygen treatment in patients with hypertensive pulmonary edema

• Published in: Anatolian journal of cardiology 2020-10, Vol.24 (4), p.260-266
• Main Authors: Şener, Kemal, Çalış, Mustafa, Köseoğlu, Zikret, Sarı, Sezai, Polat, Mustafa, Üzücek, Durdu Mehmet, Yolcu, Sadiye
• Format: Article
• Language: English
• Subjects: emergency department; high-flow oxygen treatment; hypertensive pulmonary edema; lactate; Original Investigation
• ISSN: 2149-2263; 2149-2271; 2149-2263
• DOI: 10.14744/AnatolJCardiol.2020.50680

OBJECTIVEThe aim compares the blood gases, vital signs, mechanical ventilation requirement, and length of hospitalization in patients with hypertensive pulmonary edema treated with standard oxygen therapy (SOT) and high-flow oxygen therapy (HFOT). METHODSThis prospective observational study was conducted in patients with tachypneic, hypoxemic, hypertensive pulmonary edema. The patients' 0th, 1st, and 2nd hour blood gas results; 0th, 1st, and 2nd hour vital signs; requirement of endotracheal intubation, length of hospitalization, and the prognosis were recorded on the study form. RESULTSA total of 112 patients were included in this study, of whom 50 underwent SOT and 62 received HFOT. The initial blood gas analysis revealed significantly lower levels of pH, PaO2, and SpO2 and significantly higher levels of PaCO2 in the HFOT group. Patients in the HFOT group had significantly higher respiratory rate and pulse rate and significantly lower SpO2 values. The recovery of vital signs was significantly better in the HFOT group (p