Hypertensive pulmonary edema Respiratory Hypertensive pulmonary edema
Conditions
Interventions
Intravenous furosemide versus intravenous placebo on top of standard medication.
Sponsors
Medical University of Vienna (Austria)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Hypertensive pulmonary edema (Relative Risk [RR] more than 180 mmHg, crackles in auscultation) 2. Over 18 years of age
Exclusion criteria
Exclusion criteria: 1. Women of childbearing potential 2. Chronic renal failure with renal replacement therapy 3. Acute ST-Elevation Myocardial Infarction (STEMI) 4. Need for intubation on arrival at scene 5. Need for catecholamines on arrival 6. Known incompatibilities to furosemide, urapidil or morphine hydrochloride
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in dyspnoea severity one hour after hospital admission (BORG scale). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. BORG scale at hours two, three and six 2. Visual analogue scale score at one, two, three and six hours 3. Blood pressure 4. Partial pressure of oxygen in arterial blood (paO2), partial pressure of carbon dioxide in arterial blood (paCO2), spot oxygen saturation (SpO2) 5. pH, BE, lactate 6. Safety: acute myocardial infarction, hypotension, intubation, catecholamines, cardiac arrest, death | — |
Countries
Austria
Outcome results
None listed