Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure

被引：977

作者：

Rochwerg, Bram ^{[1
]}

Brochard, Laurent ^{[2
,3
,4
]}

Elliott, Mark W. ^{[5
]}

Hess, Dean ^{[6
,7
]}

Hill, Nicholas S. ^{[8
]}

Nava, Stefano ^{[9
]}

Navalesi, Paolo ^{[10
]}

Antonelli, Massimo ^{[11
,12
]}

Brozek, Jan ^{[1
]}

Conti, Giorgio ^{[11
,12
]}

Ferrer, Miquel ^{[13
,14
]}

Guntupalli, Kalpalatha ^{[15
,16
]}

Jaber, Samir ^{[17
,18
]}

Keenan, Sean ^{[19
,20
]}

Mancebo, Jordi ^{[21
]}

Mehta, Sangeeta ^{[22
,23
]}

Raoof, Suhail ^{[24
,25
]}

机构：

[1] McMaster Univ, Dept Med, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada

[2] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada

[3] St Michaels Hosp, Keenan Res Ctr, Toronto, ON, Canada

[4] St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada

[5] St James Univ Hosp, Dept Resp Med, Leeds, W Yorkshire, England

[6] Harvard Med Sch, Massachusetts Gen Hosp, Resp Care Dept, Boston, MA USA

[7] Harvard Med Sch, Dept Anesthesia, Boston, MA USA

[8] Tufts Med Ctr, Div Pulm Crit Care & Sleep Med, Boston, MA USA

[9] Univ Bologna, St Orsola Malpighi Hosp, Dept Specialist Diagnost & Expt Med, Resp & Crit Care, Via Zamboni 33, I-40126 Bologna, Italy

[10] Magna Graecia Univ Catanzaro, Dept Med & Surg Sci, Anesthesia & Intens Care, Catanzaro, Italy

[11] Univ Cattolica Sacro Cuore, A Gemelli Univ Hosp, Dept Anesthesiol, Rome, Italy

[12] Univ Cattolica Sacro Cuore, A Gemelli Univ Hosp, Intens Care Med, Rome, Italy

[13] Univ Barcelona, IDIBAPS, Hosp Clin, Dept Pneumol,Resp Inst, Barcelona, Spain

[14] CIBERES, Barcelona, Spain

[15] Baylor Coll Med, Dept Pulm, Houston, TX 77030 USA

[16] Baylor Coll Med, Dept Crit Care Med, Houston, TX 77030 USA

[17] St Eloi Univ Hosp, Res Unit INSERM U1046, Dept Crit Care Med & Anesthesiol DAR B, Montpellier, France

[18] Montpellier Sch Med, Montpellier, France

[19] Univ British Columbia, Div Crit Care Med, Vancouver, BC, Canada

[20] Royal Columbian Hosp, Dept Crit Care Med, New Westminster, BC, Canada

[21] Hosp Santa Creu & Sant Pau, Serv Med Intens, Barcelona, Spain

[22] Univ Toronto, Mt Sinai Hosp, Toronto, ON, Canada

[23] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada

[24] Lenox Hill Hosp, Pulm & Crit Care Med, New York, NY 10021 USA

[25] Hofstra Northwell Sch Med, Hempstead, NY USA

来源：

EUROPEAN RESPIRATORY JOURNAL | 2017年 / 50卷 / 02期

关键词：

POSITIVE-PRESSURE VENTILATION; OBSTRUCTIVE PULMONARY-DISEASE; ACUTE LUNG INJURY; CONVENTIONAL MECHANICAL VENTILATION; RANDOMIZED CONTROLLED-TRIAL; STANDARD MEDICAL THERAPY; HIGH-FLOW OXYGEN; ACUTE EXACERBATIONS; AIRWAY PRESSURE; EXTUBATION FAILURE;

D O I：

10.1183/13993003.02426-2016

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Noninvasive mechanical ventilation (NIV) is widely used in the acute care setting for acute respiratory failure (ARF) across a variety of aetiologies. This document provides European Respiratory Society/American Thoracic Society recommendations for the clinical application of NIV based on the most current literature. The guideline committee was composed of clinicians, methodologists and experts in the field of NIV. The committee developed recommendations based on the GRADE (Grading, Recommendation, Assessment, Development and Evaluation) methodology for each actionable question. The GRADE Evidence to Decision framework in the guideline development tool was used to generate recommendations. A number of topics were addressed using technical summaries without recommendations and these are discussed in the supplementary material. This guideline committee developed recommendations for 11 actionable questions in a PICO (populationintervention- comparison-outcome) format, all addressing the use of NIV for various aetiologies of ARF. The specific conditions where recommendations were made include exacerbation of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema, de novo hypoxaemic respiratory failure, immunocompromised patients, chest trauma, palliation, post-operative care, weaning and post-extubation. This document summarises the current state of knowledge regarding the role of NIV in ARF. Evidencebased recommendations provide guidance to relevant stakeholders.

引用

页数：20

共 143 条

[91] Noninvasive Ventilation in Acute Cardiogenic Pulmonary Edema: A Meta-Analysis of Randomized Controlled Trials [J].