p.92 抽出テキスト

で使用され,内訳はCPAP 15.4%,bilevel PAP 16%となっているa).2007 年から2011 年の多施設研究であるので,本ガイドラインの普及・教育に努めなければならないであろう.より早期のNPPV 開始を積極的に行う必要がある.

9 禁忌

NPPV の禁忌としてはショック,VT,Vf,意識消失があげられる.NPPV を行っても低酸素血症が改善しない状態のときには,気管挿管を行うことが必要になる.

ⵌおわりに

急性心原性肺水腫に対しNPPV は気管挿管による人工呼吸を有意に減少させる.特にCPAP は生命予後を有意に改善する.急性心原性肺水腫に対してはNPPV(特にCPAP)を第一選択とした呼吸管理を行うべきである.

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