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Category: CPAP

CPAP, Drowning

Question #: 457

Question:


Hello.



The question is in regard to CPAP for acute pulmonary edema.



In the setting of near drowning CPAP can be found to be indicated in some literature. What is the position of the RPPEO in application of CPAP for near drowning?



Thank you

Answer:


 

[Different patient care situations may benefit from CPAP. Although not as effective as cardiogenic ethiologies, CPAP can be used to assist with inhalation burns, near drownings, etc. Please note that the care goal for near drowning/drowning are to optimize oxygenation and ventilation. This would assist with premature alveolar collapse from surfactant wash. You may also need to address bronchoconstriction (Bronchoconstriction Medical Directive).The CPAP Medical Directive allows you to use a CPAP regardless of the ethiology, providing that the safety parameters (conditions, contraindications) are followed when applying, monitoring and/removing as needed. Please ensure information/clinical picture/pertinent +/- in your documentation supports the use of CPAP. Note the Covid clinical considerations when considering the use of CPAP for your patient.>

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