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

doi:10.1016/j.hrtlng.2007.12.006

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

Rijksuniversiteit Groningen, Universitair Medisch Centrum Groningen, Hartcentrum, Afdeling voor Cardiologie

Onderzoeksoutput: Article › Academic › peer review

Samenvatting

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.

Originele taal-2	English
Pagina's (van-tot)	449-454
Aantal pagina's	6
Tijdschrift	Heart & Lung: The Journal of Cardiopulmonary and Acute Care
Volume	37
Nummer van het tijdschrift	6
DOI's	https://doi.org/10.1016/j.hrtlng.2007.12.006
Status	Published - 11 nov. 2008
Extern gepubliceerd	Ja

Keywords

acute ziektes
oud
80 en ouder
cohortstudies
continue positieve ademhalingsdruk
coronaire aandoening
vrouwelijk
mensen
mannelijk
larynxmaskers
middelbare leeftijd
verpleegkundige-patiënt relatie
patiënt acceptatie van gezondheidszorg
patiënt tevredenheid
prospective studies
longoedeem
sensitiviteit
specificiteit
vragenlijsten en enquêtes
behandelingsresultaat
complicaties
etiologie

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10.1016/j.hrtlng.2007.12.006

Citeer dit

Dieperink, W., Nijsten, M. W. N., van de Stadt, M., van der Horst, I. C. C., Aarts, L. P. H. J., Zijlstra, F., Jaarsma, T., & Dieperink, W. (2008). Implementation of Boussignac continuous positive airway pressure in the coronary care unit: experiences and attitudes. Heart & Lung: The Journal of Cardiopulmonary and Acute Care, 37(6), 449-454. https://doi.org/10.1016/j.hrtlng.2007.12.006

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abstract = "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.",

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

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doi = "10.1016/j.hrtlng.2007.12.006",

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Dieperink, W, Nijsten, MWN, van de Stadt, M, van der Horst, ICC, Aarts, LPHJ, Zijlstra, F, Jaarsma, T & Dieperink, W 2008, 'Implementation of Boussignac continuous positive airway pressure in the coronary care unit: experiences and attitudes', Heart & Lung: The Journal of Cardiopulmonary and Acute Care, vol. 37, nr. 6, blz. 449-454. https://doi.org/10.1016/j.hrtlng.2007.12.006

TY - JOUR

T1 - Implementation of Boussignac continuous positive airway pressure in the coronary care unit

T2 - experiences and attitudes

AU - Dieperink, Willem

AU - Nijsten, Maarten W N

AU - van de Stadt, Mark

AU - van der Horst, Iwan C C

AU - Aarts, Leon P H J

AU - Zijlstra, Felix

AU - Jaarsma, Tiny

AU - Dieperink, Willem

PY - 2008/11/11

Y1 - 2008/11/11

N2 - 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.

AB - 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.

KW - acute disease

KW - aged

KW - 80 and over

KW - cohort studies

KW - Continuous Positive Airway Pressure/adverse effects

KW - coronary care units

KW - coronary disease

KW - female

KW - humans

KW - laryngeal masks

KW - male

KW - middle aged

KW - nurse-patient relations

KW - patient acceptance of health care

KW - patient satisfaction/statistics & numerical data

KW - prospective studies

KW - pulmonary edema

KW - risk assessment

KW - sensitivity and specificity

KW - surveys and questionnaires

KW - treatment outcome

KW - complications

KW - etiology

KW - acute ziektes

KW - oud

KW - 80 en ouder

KW - cohortstudies

KW - continue positieve ademhalingsdruk

KW - coronaire aandoening

KW - vrouwelijk

KW - mensen

KW - mannelijk

KW - larynxmaskers

KW - middelbare leeftijd

KW - verpleegkundige-patiënt relatie

KW - patiënt acceptatie van gezondheidszorg

KW - patiënt tevredenheid

KW - prospective studies

KW - longoedeem

KW - sensitiviteit

KW - specificiteit

KW - vragenlijsten en enquêtes

KW - behandelingsresultaat

KW - complicaties

KW - etiologie

U2 - 10.1016/j.hrtlng.2007.12.006

DO - 10.1016/j.hrtlng.2007.12.006

M3 - Article

C2 - 18992628

SN - 0147-9563

VL - 37

SP - 449

EP - 454

JO - Heart & Lung: The Journal of Cardiopulmonary and Acute Care

JF - Heart & Lung: The Journal of Cardiopulmonary and Acute Care

IS - 6

ER -

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

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Keywords

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