A 62-year-old man with chronic atrial fibrillation and heart failure is admitted with increasing breathlessness. Chest X-ray shows bilateral alveolar ...

Question

A 62-year-old man with chronic atrial fibrillation and heart failure is admitted with increasing breathlessness. Chest X-ray shows bilateral alveolar shadowing and cardiomegaly. He is hypertensive and has bibasal crackles to the upper zones. What is the most appropriate initial ventilatory support if hypoxic despite high-flow oxygen and medical therapy?

Accepted Answer

Non-invasive ventilation (CPAP)

Answer

Intubation and mechanical ventilation for all

Answer

Heliox therapy

Answer

No further ventilatory support needed

Answer

Hyperbaric oxygen

uk-plab-1 MCQ (SBA): Acute pulmonary oedema – ventilatory support