Summary of Recommendations and Key Points of the Consensus of Spanish Scientific Societies (SEPAR, SEMICYUC, SEMES; SECIP, SENEO, SEDAR, SENP) on the Use of Non-Invasive Ventilation and High-Flow Oxygen Therapy with Nasal Cannulas in Adult, Pediatric, and Neonatal Patients with Severe Acute Respiratory Failure

被引：5

作者：

Lujan, Manel ^{[1
,2
,3
]}

Penuelas, Oscar ^{[3
,4
,5
]}

Cinesi Gomez, Cesar ^{[6
,7
]}

Garcia-Salido, Alberto ^{[8
,9
]}

Moreno Hernando, Julio ^{[10
]}

Romero Berrocal, Antonio ^{[11
]}

Gutierrez Ibarluzea, Inaki ^{[12
]}

Masa Jimenez, Juan Fernando ^{[13
,14
]}

Mas, Arantxa ^{[5
,15
,16
]}

Carratala Perales, Jose Manuel ^{[17
]}

Gaboli, Mirella ^{[18
]}

Concheiro Guisan, Ana ^{[19
]}

Garcia Fernandez, Javier ^{[20
]}

Escamez, Joaquin ^{[21
]}

Parrilla Parrilla, Julio ^{[22
]}

Farrero Munoz, Eva ^{[23
]}

Gonzalez, Monica ^{[24
]}

Beatrice Heili-Frades, Sarah ^{[25
,26
]}

Sanchez Quiroga, Maria Angeles ^{[27
,28
,29
]}

Rialp Cervera, Gemma ^{[5
,30
]}

Hernandez, Gonzalo ^{[5
,31
]}

Sanchez Torres, Ana ^{[32
]}

Una, Rafael ^{[33
]}

Ferrando Ortola, Carlos ^{[34
]}

Ferrer Monreal, Miquel ^{[35
]}

Egea Santaolalla, Carlos ^{[36
]}

机构：

[1] Hosp Univ Parc Tauli Sabadell, Serv Neumol, Barcelona, Spain

[2] Univ Autanoma Barcelona, Barcelona, Spain

[3] CIBER Enfermedades Resp CIBERES, Madrid, Spain

[4] Hosp Univ Getafe, Serv Med Intens & Grandes Quemados, Madrid, Spain

[5] Grp Trabajo SEMICUYC Insuficiencia Resp Aguda, Barcelona, Spain

[6] Hosp Gen Univ Reina Sofia, Serv Urgencias, Murcia, Spain

[7] Univ Catolica Murcia UCAM, Master Med Urgencias & Emergencias, Murcia, Spain

[8] Hosp Infantil Univ Nino Jestis, Serv Cuidados Intens Pediat, Madrid, Spain

[9] Hosp Infantil Univ Nino Jestis, Lab Invest Biomed, Madrid, Spain

[10] Hosp Univ St Joan Deu, Serv Neonatol, Barcelona, Spain

[11] Hosp Univ Puerta Hierro Majadahonda, Serv Anestesia & Reanimac, Madrid, Spain

[12] Fdn Vasca Innovac & Invest Sanitarias, Baracaldo, Vizcaya, Spain

[13] Hosp San Pedro Alcantara, Serv Neumol, Caceres, Spain

[14] Inst Univ Invest Biosanitaria Extremadura INUBE, CIBER Enfermedades Resp CIBERES, Caceres, Spain

[15] Hosp St Joan Despi Moises Broggi, Serv Med Intens, Barcelona, Spain

[16] Hosp Gen dHospitalet, Barcelona, Spain

[17] Hosp Gen Univ, Serv Urgencias, Unidad Corta Estancia, Alicante, Spain

[18] Hosp Univ Virgen Rocio, Neumol Pediat & Unidad Cuidados Intens Pediat, Seville, Spain

[19] Hosp Alvaro Cunqueiro, Unidad Neonatol, Vigo, Pontevedra, Spain

[20] Hosp Univ Puerta Hierro Majadahonda, Serv Anestesia Cuidados Crit Quinirg & Dolor, Madrid, Spain

[21] Hosp Virgen Lirios, Serv Urgencias, Alicante, Spain

[22] Hosp Univ Virgen Rocio, Unidad Cuidados Intens Pediat, Seville, Spain

[23] Hosp Univ Bellvitge, Serv Pneumol, Barcelona, Spain

[24] Univ Cantabria, Inst Invest Marques Valdecilla, Hosp Univ Marques Valdecilla, Serv Neumol,IDIVAL,Unidad Sueno & Ventilac, Santander, Cantabria, Spain

[25] Hosp Univ Fdn Jimenez, Neumol, Unidad Cuidados Resp Intermedios, Madrid, Spain

[26] Diaz Quiron Salud IIS CIBERES, REVA Network, EMDOS, Madrid, Spain

[27] Hosp Virgen Puerto Plasencia, Serv Neumol, Plasencia, Caceres, Spain

[28] CIBER Enfermedades Resp CIBERES, ISCIII, Madrid, Spain

[29] Inst Univ Invest Biosanitaria Extremadura INUBE, Caceres, Spain

[30] Hosp Univ Son Llatzer, Serv Med Intens, Palma De Mallorca, Spain

[31] Hosp Virgen Salud, Serv Med Intens, Toledo, Spain

[32] Hosp Univ La Paz, Serv Neonatol, Madrid, Spain

[33] Hosp Univ La Paz, Serv Anestesia & Reanimac, Madrid, Spain

[34] Hosp Clin Barcelona, Secc Area Cuidados Intens Quinirg, Serv Anestesia & Cuidados Intens, Barcelona, Spain

[35] Univ Barcelona, Inst TOrax, Hosp Clin Barcelona, IDIBAPS,CibeRes CB06 06 0028,Serv Pneumol, Barcelona, Spain

[36] Hosp Univ Araba, Unidad Func Sueno, OSI Araba, Vitoria, Araba, Spain

来源：

ARCHIVOS DE BRONCONEUMOLOGIA | 2021年 / 57卷 / 06期

关键词：

Non-invasive ventilation; Recommendations; Acute respiratory failure; High-flow therapy with nasal cannulas; Consensus; POSITIVE-PRESSURE VENTILATION; ACUTE VIRAL BRONCHIOLITIS; AIRWAY PRESSURE; MECHANICAL VENTILATION; STATUS-ASTHMATICUS; SEVERE PNEUMONIA; CHILDREN; INTUBATION; MANAGEMENT; DISTRESS;

D O I：

10.1016/j.arbres.2020.08.013

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Non-invasive respiratory support (NIRS) in adult, pediatric, and neonatal patients with acute respiratory failure (ARF) comprises two treatment modalities, non-invasive mechanical ventilation (NIMV) and high-flow nasal cannula (HFNC) therapy. However, experts from different specialties disagree on the benefit of these techniques in different clinical settings. The objective of this consensus was to develop a series of good clinical practice recommendations for the application of non-invasive support in patients with ARF, endorsed by all scientific societies involved in the management of adult and pediatric/neonatal patients with ARF. To this end, the different societies involved were contacted, and they in turn appointed a group of 26 professionals with sufficient experience in the use of these techniques. Three face-to-face meetings were held to agree on recommendations (up to a total of 71) based on a literature review and the latest evidence associated with 3 categories: indications, monitoring and follow-up of NIRS. Finally, the experts from each scientific society involved voted telematically on each of the recommendations. To classify the degree of agreement, an analogue classification system was chosen that was easy and intuitive to use and that clearly stated whether the each NIRS intervention should be applied, could be applied, or should not be applied. (C) 2020 SEPAR. Published by Elsevier Espana, S.L.U. All rights reserved.

引用

页码：415 / 427

页数：13

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