[Guidelines for Non-Invasive and Invasive Home Mechanical Ventilation for Treatment of Chronic Respiratory Failure - Update 2017].

Autor: Windisch W; Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln.; Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin., Dreher M; Medizinische Klinik I - Sektion Pneumologie, Universitätsklinikum Aachen, Aachen., Geiseler J; Medizinische Klinik IV, Paracelsus-Klinik Marl, Marl., Siemon K; Fachkrankenhaus Kloster Grafschaft GmbH, Schmallenberg., Brambring J; Heimbeatmungsservice Brambring Jaschke GmbH, Unterhaching., Dellweg D; Fachkrankenhaus Kloster Grafschaft GmbH, Schmallenberg., Grolle B; Lufthafen, AKK Altonaer Kinderkrankenhaus gGmbH, Hamburg., Hirschfeld S; Querschnittgelähmtenzentrum, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg, Hamburg., Köhnlein T; Klinik für Pneumologie und Intensivmedizin, Klinikum St. Georg, Leipzig., Mellies U; Klinik für Kinderheilkunde III, Universitätsklinikum Essen, Essen., Rosseau S; Pneumologisches Beatmungszentrum, Ernst von Bergmann Klinik gGmbH, Bad Belzig., Schönhofer B; Klinik für Pneumologie, KRH Klinikum Siloah-Oststadt-Heidehaus, Hannover., Schucher B; Zentrum für Pneumologie und Thoraxchirurgie, Krankenhaus Großhansdorf, Großhansdorf., Schütz A; Atemhilfe, Berlin., Sitter H; Institut für theoretische Chirurgie, Universitätsklinikum Giessen und Marburg GmbH, Marburg., Stieglitz S; Medizinische Klinik I, Petrus Krankenhaus, Wuppertal., Storre J; Intensiv-, Schlaf- und Beatmungsmedizin, Asklepios Fachkliniken München-Gauting, Gauting.; Klinik für Pneumologie, Universitätsklinikum Freiburg, Freiburg i. Br., Winterholler M; Klinik für Neurologie, Krankenhaus Rummelsberg gGmbH, Schwarzenbruck., Young P; Klinik für Schlafmedizin und neuromuskuläre Erkrankungen, Universitätsklinikum Münster, Münster.; Klinik für Beatmungs- und Schlafmedizin, Clemenshospital Münster, Münster., Walterspacher S; Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin.; II. Medizinische Klinik, Klinikum Konstanz, Konstanz.
Jazyk: němčina
Zdroj: Pneumologie (Stuttgart, Germany) [Pneumologie] 2017 Nov; Vol. 71 (11), pp. 722-795. Date of Electronic Publication: 2017 Nov 13.
DOI: 10.1055/s-0043-118040
Abstrakt: Today, invasive and non-invasive home mechanical ventilation have become a well-established treatment option. Consequently, in 2010 the German Society of Pneumology and Mechanical Ventilation (DGP) has leadingly published the guidelines on "Non-Invasive and Invasive Mechanical Ventilation for Treatment of Chronic Respiratory Failure". However, continuing technical evolutions, new scientific insights, and health care developments require an extensive revision of the guidelines.For this reason, the updated guidelines are now published. Thereby, the existing chapters, namely technical issues, organizational structures in Germany, qualification criteria, disease specific recommendations including special features in pediatrics as well as ethical aspects and palliative care, have been updated according to the current literature and the health care developments in Germany. New chapters added to the guidelines include the topics of home mechanical ventilation in paraplegic patients and in those with failure of prolonged weaning.In the current guidelines different societies as well as professional and expert associations have been involved when compared to the 2010 guidelines. Importantly, disease-specific aspects are now covered by the German Interdisciplinary Society of Home Mechanical Ventilation (DIGAB). In addition, societies and associations directly involved in the care of patients receiving home mechanical ventilation have been included in the current process. Importantly, associations responsible for decisions on costs in the health care system and patient organizations have now been involved.The currently updated guidelines are valid for the next three years, following their first online publication on the home page of the Association of the Scientific Medical Societies in German (AWMF) in the beginning of July 2017. A subsequent revision of the guidelines remains the aim for the future.
Competing Interests: Interessenkonflikt: Interessenkonflikte können der Langfassung der Leitlinie auf der Homepage der AWMF entnommen werden – Registernummer 020 – 008: http://www.awmf.org/leitlinien/detail/ll/020-008.html
(© Georg Thieme Verlag KG Stuttgart · New York.)
Databáze: MEDLINE