野外與登山醫學----18---WMS 2019 update AMS/HACE Treatment Continuous positive airway pressure 18

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update
統一名詞翻譯
AMS 急性高山病
HACE 高海拔腦水腫
acute altitude illness 急性高海拔疾病

Continuous positive airway pressure

Rather than affecting barometric pressure, CPAP works by increasing transmural pressure across alveolar walls, thereby increasing alveolar volume and improving ventilation-perfusion matching and gas exchange. Two reports have demonstrated the feasibility of administering CPAP to treat AMS,77,78 but this has not been studied in a systematic manner. Logistical challenges to use in field settings include access to power and the weight and bulk of these systems. Recommendation. Because of lack of data, no recommendation can be made regarding use of CPAP for AMS treatment.