RT Journal Article
SR Electronic
T1 Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 1602426
DO 10.1183/13993003.02426-2016
VO 50
IS 2
A1 Bram Rochwerg
A1 Laurent Brochard
A1 Mark W. Elliott
A1 Dean Hess
A1 Nicholas S. Hill
A1 Stefano Nava
A1 Paolo Navalesi, (members of the steering committee)
A1 Massimo Antonelli
A1 Jan Brozek
A1 Giorgio Conti
A1 Miquel Ferrer
A1 Kalpalatha Guntupalli
A1 Samir Jaber
A1 Sean Keenan
A1 Jordi Mancebo
A1 Sangeeta Mehta
A1 Suhail Raoof, (members of the task force)
YR 2017
UL http://erj.ersjournals.com/content/50/2/1602426.abstract
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