[Continuous positive airway pressure in XXXX . application in a general medical ward].

@entity1 @entity1576 @entity3126
BACKGROUND: The application of a Continuous Positive pressure to @entity1 's airway (CPAP) represents one of the most important respiratory treatments during @entity1576 ( @entity1576 ) due to Acute @entity3126 (ACPE). Thanks to its hemodynamic and ventilatory effects, CPAP improves clinical and gasanalytic parameters and lead to a decrease of mortality and need of intubation in these @entity1 . CPAP can be applied with different devices: ventilators, Venturi-like flow generators and Boussignac's device. AIM: To verify and to compare effectiveness and tolerability of two different CPAP's devices (Venturi-like flow generator and Buossignac's device) in @entity1576 due to ACPE. The study was performed in a General Medical Ward. MATERIALS AND METHODS: 20 @entity1 with @entity1576 due to ACPE were randomized in two group: the first group (10 @entity1 ) received CPAP with a Venturi-like flow generator, the second group (10 @entity1 ) with Boussignac's device. At the end of CPAP treatment each @entity1 gave a score to tolerability. RESULTS: In each group we noted a significant (p<0.05) improvement in clinical and gasanalytic parameters since the first hour of treatment; these improvements were confirmed in following determinations and were not significantly different in the two group of @entity1 . The Boussignac group showed a better tolerability. CONCLUSIONS: The two CPAP's devices resulted similar in term of effectiveness. Boussignac's device has shown a better tolerability: this characteristic, together with the simple use, should stimulate the diffusion of this device where a flow generator or a ventilator are not present (outside Intensive Care Units, for example in General Medical Wards).
