Differentiate SCAPE from cardiogenic shock pulmonary edema by assessing blood pressure, perfusion, and the underlying hemodynamic phenotype rather than treating all pulmonary edema identically.

Explain how CPAP and BiPAP affect cardiopulmonary physiology, including alveolar recruitment, reduced work of breathing, decreased venous return, and reduced left-ventricular afterload.

Select and reassess treatment based on physiology, using early NIV and vasodilation for hypertensive pulmonary edema while applying positive pressure cautiously, supporting perfusion, and recognizing early NIV failure in cardiogenic shock.

About the course

This course examines the use of noninvasive positive-pressure ventilation in acute cardiogenic pulmonary edema, emphasizing the critical distinction between hypertensive pulmonary edema—particularly SCAPE—and pulmonary edema associated with hypotension or cardiogenic shock. Through physiologic review and clinical cases, learners explore how CPAP and BiPAP improve oxygenation, reduce work of breathing, and alter ventricular preload and afterload; select and titrate appropriate initial settings; integrate vasodilator or circulatory-support strategies according to the patient’s hemodynamic phenotype; and recognize early indicators of NIV failure requiring escalation to invasive ventilation.

Sean Eaton, BS, NRP, FP-C

I am a Critical Care Flight Paramedic, healthcare leader, and founder of the Mechanical Ventilation Training Institute. With more than 25 years of experience in emergency and critical care medicine, I have dedicated my career to improving clinician confidence, patient safety, and outcomes through practical, evidence-based education. I am the creator of Basic Ventilator Life Support, Advanced Ventilator Life Support, and Prehospital Ventilator Life Support—specialized certification programs designed to help healthcare professionals deliver safer, more effective mechanical ventilation care.

Curriculum

3 Chapters · 6 Lessons

    1. (Included in full purchase)

      Course Objectives

    2. (Included in full purchase)

      Pre-Course Student Survey

    1. (Included in full purchase)

      Managing Acute Pulmonary Edema with NIV

    2. (Included in full purchase)

      Thanks for Watching

    1. (Included in full purchase)

      Check Your Understanding

    2. (Included in full purchase)

      Post-Course Student Survey

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