[How I treat…the cardiogenic acute pulmonary oedema].
Revue Medicale de Liege · 2024-12-01 · Guideline / consensus
Abstract
In the context of Acute Pulmonary Edema (APE), the old school moto was LMNOP, for "Lasix-Morphine-Nitrates-Oxygen-Positive Pressure". However, this mnemonic, while not entirely inaccurate, deserves revision or at least a slight reinterpretation. APE remains a well-known condition in emergency departments, with a high mortality rate. Despite its prevalence, management recommendations have seen minimal evolution over the past four decades, with references dating back to a 1974 article in the New England Journal of Medicine that already advocated for the triplet of Lasix-Oxygen-Nitrates, a recommendation still present in the 2021 ESC guidelines. In this article, we will discuss the management and potential updates in the treatment of this common pathology.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Analgesics · Cardiovascular drugs · CPAP & NIV · Furosemide · Morphine · Glyceryl trinitrate · Other drugs · Oxygen
Related articles
- Effectiveness of prehospital continuous positive airway pressure in the management of acute pulmonary edema. (Prehosp Emerg Care, 2006)
- High-dose intravenous isosorbide-dinitrate is safer and better than Bi-PAP ventilation combined with conventional treatment for severe pulmonary edema. (J Am Coll Cardiol, 2000)
- Pre-hospital management protocols and perceived difficulty in diagnosing acute heart failure. (ESC Heart Fail, 2020)
- [Anti-ischemic therapy in patients with STEMI or NSTEMI treated at county and university hospitals]. (Acta Med Croatica, 2009)
- THE PRE-HOSPITAL EMERGENCY HEALTH SERVICES ADHERENCE FOR ACUTE CARDIOGENIC PULMONARY EDEMA TREATMENT PROTOCOLS (Disaster and Emergency Medicine Journal, 2024)
- Prehospital therapy for acute congestive heart failure: state of the art. (Prehosp Emerg Care, 2003)