Implementation of Boussignac continuous positive airway pressure in the coronary care unit: experiences and attitudes

Willem Dieperink, Maarten W N Nijsten, Mark van de Stadt, Iwan C C van der Horst, Leon P H J Aarts, Felix Zijlstra, Tiny Jaarsma, Willem Dieperink

Research output: Contribution to journalArticleAcademicpeer-review


OBJECTIVE: Boussignac continuous positive airway pressure (BCPAP) delivered by face mask is useful for patients with acute cardiogenic pulmonary edema (ACPE). Although BCPAP is medically effective, we observed that not all suitable patients received it. In this descriptive, prospective, cohort study, we explored the experiences and attitudes of both patients and staff with BCPAP.

METHODS: Patients were interviewed 12 to 48 hours after treatment with BCPAP. Nurses on the coronary care unit were interviewed on their knowledge, skills, experiences, and opinions concerning BCPAP.

RESULTS: Of 117 patients with ACPE, 87 patients (74%) received BCPAP treatment. It was decided not to administer BCPAP in 30 patients with ACPE (26%). Patients who received BCPAP found that the reduction of dyspnea outweighed any discomfort. Barriers for the use of BCPAP were not related to nurses' skills but to the following: the nurses' belief that BCPAP created major discomfort, the lack of guidelines, the ultimate improvement of oxygenation without BCPAP, and the more labor-intensive treatment.

CONCLUSION: Overestimation of patient discomfort by nurses and system-related factors impeded the use of BCPAP for all patients with ACPE.

Original languageEnglish
Pages (from-to)449-454
Number of pages6
JournalHeart & Lung: The Journal of Cardiopulmonary and Acute Care
Issue number6
Publication statusPublished - 11 Nov 2008
Externally publishedYes


  • acute disease
  • aged
  • 80 and over
  • cohort studies
  • Continuous Positive Airway Pressure/adverse effects
  • coronary care units
  • coronary disease
  • female
  • humans
  • laryngeal masks
  • male
  • middle aged
  • nurse-patient relations
  • patient acceptance of health care
  • patient satisfaction/statistics & numerical data
  • prospective studies
  • pulmonary edema
  • risk assessment
  • sensitivity and specificity
  • surveys and questionnaires
  • treatment outcome
  • complications
  • etiology


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