Navigation Links
Assisted Breathing Eases Lung Symptoms for Heart Patients

But it doesn't improve death rates, study finds

WEDNESDAY, July 9 (HealthDay News) -- Assisted breathing improves the symptoms of patients whose lungs fill with water because of a weak heartbeat, but it doesn't reduce death rates, a new British study shows.

The study found no significant difference between two forms of assisted breathing -- continuous positive airway pressure (CPAP) and noninvasive intermittent positive-pressure ventilation (NIPPV). Both deliver more air to the lungs through face masks -- CPAP continuously, NIVVP in an on-and-off fashion.

The study, led by physicians at the University of Edinburgh, included 1,069 people, average age 77, hospitalized with what is formally called cardiogenic pulmonary edema -- accumulation of fluid in the lungs due to a weak heartbeat.

Standard treatment in such cases concentrates on improving heart function, said Dr. Arnold Baas, a cardiovascular disease specialist at the University of California, Los Angeles. Many patients also get oxygen through nose tubes.

"Lots of small studies suggested that a noninvasive breathing support mechanism might be of benefit," Baas said. "This is the largest randomized trial showing whether pushing air into the lungs might help."

In the British study, reported in the July 10 issue of the New England Journal of Medicine, one-third of the participants got conventional oxygen therapy, one-third were given CPAP, and one-third received NIVVP.

"The long and short of it is that they showed these interventions improved symptoms and blood chemistry but didn't help patients live longer," Baas said.

People getting either of the assisted breathing treatments reported less shortness of breath and had better heartbeats and fewer blood abnormalities than those getting conventional oxygen therapy. But deaths during the seven days of treatment were about the same for those getting conventional oxygen therapy (9.8 percent of patients) and those with assisted breathing (9.5 percent).

The percentage of those getting assisted breathing who died or required more serious intervention in those seven days was about the same for CPAP (11.7 percent) and NIVVP (11.1 percent).

The improvement in symptoms means that assisted breathing is worth using for pulmonary edema, Baas said. "It did make people feel more comfortable," he noted.

Both methods are readily available in hospitals, Baas said, but CPAP probably is preferable because it is in wider use by people with sleep apnea, who can do it at home, he explained.

More information

Pulmonary edema and its treatment are described by the U.S. Library of Medicine.

SOURCES: Arnold Baas, M.D., assistant professor, medicine, University of California, Los Angeles; July 10, 2008, New England Journal of Medicine

Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. New Coalition Presses for Quality Standards for Assisted Living Facilities in PA
2. As I-1000 Signatures are Counted, Washington State Medical Association Opposition to Physician-Assisted Suicide Reiterated
3. AdCare Health Systems, Inc. Announces the Refinancing of Three Assisted Living Properties in Ohio
4. A Place for Mom, Nations Largest Assisted Living and Senior Housing Referral Service Announces New Vice President of Finance
5. Californians Against Assisted Suicide - Controversial Bill, AB 2747 Narrowly Passes Assembly
6. Assisted Living Industry Looks at Future of Alzheimers
7. American Humane Forms Human-Animal Bond Division, Including Animal-Assisted Therapy, Humane Ed and Pets & Womens Shelters
8. New National Survey: 84% of Americans Over 50 Expect a Family Member to Move into an Assisted Living Community Within the Next 10 Years
9. Robot-assisted minimally-invasive CABG surgery
10. Palomar to Unveil New Laser-Assisted Liposuction Platform at the American Society for Laser Medicine & Surgery
11. Ethicon Endo-Surgery Submits Application to FDA for Approval of the SEDASYS(TM) System - the First Computer-Assisted Personalized Sedation System
Post Your Comments:
(Date:11/25/2015)... ... ... On November 23rd 2015 Cozy Products, a division of Bird-X Incorporated, ... explains what this means for business moving forward. , The Tri Lite heater business ... to sell personal heaters that reduce energy consumption, are economical and keep people warm ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... of music, friendships, and learning in its 65th Anniversary Brillianteen Revue, scheduled for ... , For 65 years, Brillianteen has been a treasured tradition for ...
(Date:11/25/2015)... ... 25, 2015 , ... Castlewood Treatment Center for Eating Disorders, ... as a result of the $20,000 raised at the center’s recent golf ... Club in Eureka, will help individuals who otherwise might not seek treatment for ...
(Date:11/25/2015)... ... ... An unlikely combination of recycled plastic shopping bags in ... to have a more dignified and comfortable night’s sleep. , Residents of Friendship ... bags into sleeping mats for the homeless. The project, according to Jeannette ...
(Date:11/25/2015)... ... November 25, 2015 , ... Students and parents have something ... winners of the Create Real Impact awards. California Casualty is proud to ... the tide of distracted and reckless driving, the number one killer of young drivers. ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... COMMACK , Nueva York ... Avery Biomedical Devices (ABD), fabricante del Avery Breathing ... Anders Jonzon , MD; Ph.D. como consultor ...   --> Foto - ... --> El doctor Jonzon es un ...
(Date:11/24/2015)... 2015 Sectra (STO: SECT B) ... into a multi-year agreement to deploy Breast Imaging ... provide the Breast Center a future-proof platform capable of ... SECT B) announces that Breast Center of Acadiana ... Breast Imaging PACS in its two freestanding imaging centers. This ...
(Date:11/24/2015)... and BERN, Switzerland , November 24, ... Center for Biomedical Engineering Research of the University of ... of Endocrinology, Diabetes and Clinical Nutrition of the Bern ... of an exclusive collaboration to develop a novel generation ... the personalised delivery of insulin for diabetic patients with ...
Breaking Medicine Technology: