A pre-hospital clinician is managing a 65-year-old male with acute pulmonary oedema. He is sat upright, severely dyspnoeic, with bilateral crackles an...

Question

A pre-hospital clinician is managing a 65-year-old male with acute pulmonary oedema. He is sat upright, severely dyspnoeic, with bilateral crackles and pink frothy sputum. BP is 160/100 mmHg. SpO2 is 82% on high-flow oxygen. In addition to GTN and oxygen, what ventilatory support should be considered?

Accepted Answer

Continuous positive airway pressure (CPAP) at 5-10 cmH2O

Answer

Bag-valve-mask ventilation with PEEP valve

Answer

Non-invasive ventilation with bilevel positive airway pressure (BiPAP)

Answer

Immediate intubation and mechanical ventilation

Answer

No ventilatory support - oxygen alone is sufficient

uk-dipimc MCQ (SBA): CPAP in Pulmonary Oedema