Official Title
Non-Invasive Positive Pressure Ventilation Management of High Altitude Pulmonary Edema
Phase
N/ALead Sponsor
Harvard UniversityStudy Type
InterventionalStatus
Unknown statusIndication/Condition
High Altitude Pulmonary Edema Non-Invasive Positive Pressure Ventilation HypoxiaIntervention/Treatment
Nifedipine supplemental oxygen ...Study Participants
16Trial of Non-Invasive Positive Pressure Ventilation Management of High Altitude Pulmonary Edema
Patients in the Everest area will assessed for evidence of acute HAPE. Subjects will be randomized and assigned to standard care options or treatment with Non-Invasive Positive Pressure Ventilation.
Continuous positive airway pressure delivered by face mask at 10cmH2O
Nifedipine 30mg, Pharmacotherapy
supplemental oxygen
Continuous supplemental oxygen and nifedipine 30mg will be administered to patients.
CPAP at 10mmHg with supplemental oxygen, as well as nifedipine 30mg will be administered to patients.
Inclusion Criteria: Healthy adults (age 18-80) Travel through Pheriche, Nepal Diagnosis of HAPE by symptoms, vital signs, and lung ultrasound Exclusion Criteria: History of chronic respiratory conditions (asthma, COPD, ILD) Concomitant pneumonia or aspiration, cardiomyopathy, congestive heart failure Kidney disease Neurologic disorder Cognitive disorder Temporary altered mental status Use of phosphodiesterase inhibitors or nifedipine prior to diagnosis of HAPE Age under 18 or over 80 Pregnancy