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

Massimo Antonelli, Giorgio Conti, Paolo Navalesi, Bram Rochwerg, Laurent Brochard, Mark W. Elliott, Dean Hess, Nicholas S. Hill, Stefano Nava, Jan Brozek, Miquel Ferrer, Kalpalatha Guntupalli, Samir Jaber, Sean Keenan, Jordi Mancebo, Sangeeta Mehta, Suhail Raoof

Research output: Contribution to journalArticle

400 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)1602426-1602438
Number of pages13
JournalEuropean Respiratory Journal
Volume50
DOIs
Publication statusPublished - 2017

Keywords

  • Pulmonary and Respiratory Medicine

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