PT - JOURNAL ARTICLE AU - Rochwerg, Bram AU - Brochard, Laurent AU - Elliott, Mark W. AU - Hess, Dean AU - Hill, Nicholas S. AU - Nava, Stefano AU - Navalesi, Paolo AU - Antonelli, Massimo AU - Brozek, Jan AU - Conti, Giorgio AU - Ferrer, Miquel AU - Guntupalli, Kalpalatha AU - Jaber, Samir AU - Keenan, Sean AU - Mancebo, Jordi AU - Mehta, Sangeeta AU - Raoof, Suhail TI - Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure AID - 10.1183/13993003.02426-2016 DP - 2017 Aug 01 TA - European Respiratory Journal PG - 1602426 VI - 50 IP - 2 4099 - http://erj.ersjournals.com/content/50/2/1602426.short 4100 - http://erj.ersjournals.com/content/50/2/1602426.full SO - Eur Respir J2017 Aug 01; 50 AB - 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 (population–intervention–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. Evidence-based recommendations provide guidance to relevant stakeholders.ERS/ATS evidence-based recommendations for the use of noninvasive ventilation in acute respiratory failure http://ow.ly/NrqB30dAYSQ