Adult Pulmonary Oedema

Question 1

Contraindications of CPAP

Answer 1

Contraindications to CPAP:
Airway
- Inability to manage own airway
-> Altered conscious state, active vomiting, excessive secretions.
- Upper airway obstruction
Breathing
- Hypoventilation
- Patient must have adequate spontaneous respiration.
- Untreated tension pneumothorax
-> Tension pneumothorax must be treated prior to considering CPAP
Circulation
- Haemodynamic instability
->Severe hypotension, ventricular arrhythmias etc., should be treated prior to considering CPAP
Other
- Injuries precluding mask application