Search Submit Your Manuscript

Become A Member

  1. Home
  2. February 2023
  3. 8. To Compare the Effect of Oxygen Therapy Via Face Mask With Bi-Level Positive Airway Pressure Ventilation (Bipap) In Managing Patients with Acute Cardiogenic Pulmonary Edema in Al-Nafees Me
Article Image
Admin

8. To Compare the Effect of Oxygen Therapy Via Face Mask With Bi-Level Positive Airway Pressure Ventilation (Bipap) In Managing Patients with Acute Cardiogenic Pulmonary Edema in Al-Nafees Me

Syed Saif Ur Rehman1, Amir Majeed1, Yasir Mumtaz1, Saad Hameed Khan1, Safdar Hussain1 and Jahanzeb Maqsood2

ABSTRACT

Objective: To compare the effect of oxygen therapy via face mask with bi-level positive airway pressure ventilation (BiPAP) in managing patients with acute cardiogenic pulmonary edema in Al-Nafees Medical College and Hospital, Islamabad.

Study Design: Interventional study

Place and Duration of Study: This study was conducted at the Intensive Care Unit (ICU), Department of Medicine, AL- Nafees Medical College and Hospital, Islamabad from 1st March 2019 – 1st March 2020.

Materials and Methods: The study was conducted after the approval of the synopsis. All the patients were educated and informed consent was taken. 154 Patients were selected according to the inclusion criteria 77 in each group and randomly assorted into two groups. Group A: those getting oxygen therapy by face mask and Group B: those getting oxygen by BiPAP. Clinical improvement was observed in Respiratory rate, Pulse rate, Oxygen Saturation on pulse oximeter (SPO2), Partial Pressure of Oxygen (po2) on Arterial Blood Gases (ABGs), and Echocardiography. All these parameters were observed and duly documented at zero 0 minutes, 30 minutes, 60 minutes and 180 minutes (3 hours). The collected data were analyzed by using SPSS 23 version.

Results: We enrolled 154 patients, 77 in each group in our study. The mean age of patients in Group A (Face Mask) was 64.69±8.93 years and in Group B (BiPAP) was 65.34±9.17. In Group A (Face Mask) 44(57.1%) patients were male and 33(42.9%) patients were female. Similarly in Group B (BiPAP), 48(62.3%) patients were male and 29(37.7%) patients were In our study we find BiPAP has better outcome results in the improvement of respiratory rate, pulse rate, oxygen saturation, partial pressure of oxygen in ABGs, and less need of mechanical ventilation than oxygen therapy with the face mask.

Conclusion: In our study, we concluded that BiPAP has significant clinical benefits and cost-effectiveness over oxygen therapy with face mask in patients with ACPE management.

Key Words: BiPAP, ACPE, Oxygen Therapy, Comparison, Face Mask

Citation of article: Rehman SS, Majeed A, Mumtaz Y, Khan SH, Hussain S, Maqsood J. To Compare the Effect of Oxygen Therapy Via Face Mask With Bi-Level Positive Airway Pressure Ventilation (Bipap) In Managing Patients with Acute Cardiogenic Pulmonary Edema in Al-Nafees Medical College And Hospital, Islamabad. Med Forum 2023;34(2):35-39.