Is tympanic membrane perforation a contraindication for CPAP & APAP use for sleep apnea, what is the treatment for ear discharge from this condition?
CPAP. CPAP OVERVIEW CPAP (Continuous Positive Airway Pressure) is a tool which can be used to assist the oxygenation of several respiratory pathologies. CPAP is not a r eplacement for any medicati on or procedure, but a t ool which can provide a high level of ventilatory support without the need for RSI or intubation. Patients whose condition is resistant to parenteral medications but whose respiratory effort does not yet require intubation should be considered prime candidates for CPAP. INDICATIONS ? Respiratory distress secondary to suspected congesti ve heart failure, acute cardiogenic pulmonary edema, pneumonia, and chronic obstructive pulmonary disease (asthma, bronchitis, emphysema). CONTRAINDICATIONS ? Unconsciousness ? Suspected pneumothorax ? Inadequate respiratory drive ? Shock/Hypotension (BP <90) ? Chest wall trauma ? Persistent nausea/vomiting ? Has active upper GI bleeding or history of recent gastric surge.