Oral Abstract O18 TO CPAP OR NOT TO CPAP THAT IS THE QUESTION?
Conference theme: Research & Development Author B. Gosling1, D. Laming Macadam2 1 Sister Critical Care Outreach Team, Southampton General Hospital University NHS Trust 2 Southampton General Hospital University NHS Trust Background In October 2009 the British Thoracic Society (BTS) recommended that patients with Community Acquired Pneumonia (CAP) are only treated with non-invasive ventilation, as a bridge to ventilation. A retrospective study was carried out to explore the practice of CPAP (Continuous Positive Airway Pressure) being used, in certain medical conditions to avoid ventilation. It was decided that a retrospective study should be undertaken to review all the patients admitted to a level 2 or level 3 beds with a diagnosis of pneumonia. Analysis explored whether the patients had received CPAP and whether treatment progressed to invasive ventilation. Aim The aim of the study was to explore whether the BTS guidelines were supported, therefore optimising patient care and outcomes by either promoting early invasive ventilation or encouraging early trials of CPAP to avoid invasive ventilation. This would have a beneficial effect on patient outcomes and experience, and have cost saving implications. Results and implications Initial results show that of the patients who have CPAP as their only form of ventilation 67% of those patients survive. In comparison only 50% of the patients who have to progress onto invasive ventilation survive. Further analysis will demonstrate practice implications to improve patient outcome and experience. Â Reference Information British Thoracic Society (2009) Guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax Vol 64, supplement III.
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Oral Abstracts