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The Use of Noninvasive Ventilation in Emergency Department Patients With Acute Cardiogenic Pulmonary Edema: A Systematic Review  Sean P. Collins, MD,

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Presentation on theme: "The Use of Noninvasive Ventilation in Emergency Department Patients With Acute Cardiogenic Pulmonary Edema: A Systematic Review  Sean P. Collins, MD,"— Presentation transcript:

1 The Use of Noninvasive Ventilation in Emergency Department Patients With Acute Cardiogenic Pulmonary Edema: A Systematic Review  Sean P. Collins, MD, MSC, Lisa M. Mielniczuk, MD, Heather A. Whittingham, MD, Mark E. Boseley, MD, David R. Schramm, MD, Alan B. Storrow, MD  Annals of Emergency Medicine  Volume 48, Issue 3, Pages e4 (September 2006) DOI: /j.annemergmed Copyright © 2006 American College of Emergency Physicians Terms and Conditions

2 Figure 1 Flow diagram of selection process to obtain articles chosen for meta-analysis. RCT, Randomized clinical trial; CHF, congestive heart failure; CPAP, continuous positive airway pressure; NPPV, noninvasive positive pressure ventilation; MI, myocardial infarction. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

3 Figure 2 Pooled RR for mortality: noninvasive ventilation versus standard care. NIV, Noninvasive ventilation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

4 Figure 3 Pooled RR for eventual intubation: noninvasive ventilation versus standard care. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

5 Figure 4 Pooled RR for mortality: continuous positive airway pressure versus noninvasive positive pressure ventilation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

6 Figure 5 Pooled RR for eventual intubation: continuous positive airway pressure versus noninvasive positive pressure ventilation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

7 Figure E1 Funnel plot of noninvasive ventilation versus standard care: mortality. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

8 Figure E2 Funnel plot of noninvasive ventilation versus standard care: intubation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

9 Figure E3 Funnel plot of continuous positive airway pressure versus noninvasive positive pressure ventilation: mortality. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

10 Figure E4 Funnel plot of continuous positive airway pressure versus noninvasive positive pressure ventilation: intubation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

11 Figure E5 Funnel plot of continuous positive airway pressure versus standard care: intubation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

12 Figure E6 Funnel plot of continuous positive airway pressure versus standard care: mortality. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

13 Figure E7 Funnel plot of noninvasive positive pressure ventilation versus standard care: mortality. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

14 Figure E8 Funnel plot of noninvasive positive pressure ventilation versus standard care: intubation. Annals of Emergency Medicine  , e4DOI: ( /j.annemergmed ) Copyright © 2006 American College of Emergency Physicians Terms and Conditions

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