Abstract
Three cases of severe community acquired pneumonia requiring ventilatory support are presented. Continuous positive airway pressure (CPAP) applied via a tightly fitting face mask was used and was successful in two cases; the third required intermittent positive pressure ventilation. More extensive use of CPAP in these circumstances should be considered.
Full text
PDF

Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Craven D. E., Kunches L. M., Kilinsky V., Lichtenberg D. A., Make B. J., McCabe W. R. Risk factors for pneumonia and fatality in patients receiving continuous mechanical ventilation. Am Rev Respir Dis. 1986 May;133(5):792–796. [PubMed] [Google Scholar]
- Harrison B. D., Farr B. M., Connolly C. K., Macfarlane J. T., Selkon J. B., Bartlett C. L. The hospital management of community-acquired pneumonia. Recommendations of the British Thoracic Society. J R Coll Physicians Lond. 1987 Oct;21(4):267–269. [PMC free article] [PubMed] [Google Scholar]
- Lampron N., Lemaire F., Teisseire B., Harf A., Palot M., Matamis D., Lorino A. M. Mechanical ventilation with 100% oxygen does not increase intrapulmonary shunt in patients with severe bacterial pneumonia. Am Rev Respir Dis. 1985 Mar;131(3):409–413. doi: 10.1164/arrd.1985.131.3.409. [DOI] [PubMed] [Google Scholar]
- Lindner K. H., Lotz P., Ahnefeld F. W. Continuous positive airway pressure effect on functional residual capacity, vital capacity and its subdivisions. Chest. 1987 Jul;92(1):66–70. doi: 10.1378/chest.92.1.66. [DOI] [PubMed] [Google Scholar]
- Lutch J. S., Murray J. F. Continuous positive-pressure ventilation: effects on systemic oxygen transport and tissue oxygenation. Ann Intern Med. 1972 Feb;76(2):193–202. doi: 10.7326/0003-4819-76-2-193. [DOI] [PubMed] [Google Scholar]
- Miller R. F., Semple S. J. Continuous positive airway pressure ventilation for respiratory failure associated with Pneumocystis carinii pneumonia. Respir Med. 1991 Mar;85(2):133–138. doi: 10.1016/s0954-6111(06)80291-x. [DOI] [PubMed] [Google Scholar]
- Mink S. N., Light R. B., Wood L. D. Effect of pneumococcal lobar pneumonia on canine lung mechanics. J Appl Physiol Respir Environ Exerc Physiol. 1981 Feb;50(2):283–291. doi: 10.1152/jappl.1981.50.2.283. [DOI] [PubMed] [Google Scholar]
- Woodhead M. A., Macfarlane J. T., McCracken J. S., Rose D. H., Finch R. G. Prospective study of the aetiology and outcome of pneumonia in the community. Lancet. 1987 Mar 21;1(8534):671–674. doi: 10.1016/s0140-6736(87)90430-2. [DOI] [PubMed] [Google Scholar]