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Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives

Long-term or home mechanical noninvasive ventilation (Home-NIV) has become a well-established form of therapy over the last few decades for chronic hypercapnic COPD patients in European countries. However, meta-analyses and clinical guidelines do not recommend Home-NIV for COPD patients on a routine...

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Autores principales: Storre, Jan Hendrik, Callegari, Jens, Magnet, Friederike Sophie, Schwarz, Sarah Bettina, Duiverman, Marieke Leontine, Wijkstra, Peter Jan, Windisch, Wolfram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836655/
https://www.ncbi.nlm.nih.gov/pubmed/29535515
http://dx.doi.org/10.2147/COPD.S154718
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author Storre, Jan Hendrik
Callegari, Jens
Magnet, Friederike Sophie
Schwarz, Sarah Bettina
Duiverman, Marieke Leontine
Wijkstra, Peter Jan
Windisch, Wolfram
author_facet Storre, Jan Hendrik
Callegari, Jens
Magnet, Friederike Sophie
Schwarz, Sarah Bettina
Duiverman, Marieke Leontine
Wijkstra, Peter Jan
Windisch, Wolfram
author_sort Storre, Jan Hendrik
collection PubMed
description Long-term or home mechanical noninvasive ventilation (Home-NIV) has become a well-established form of therapy over the last few decades for chronic hypercapnic COPD patients in European countries. However, meta-analyses and clinical guidelines do not recommend Home-NIV for COPD patients on a routine basis. In particular, there is ongoing debate about Home-NIV in chronic hypercapnic COPD regarding the overall effects, the most favorable treatment strategy, the selection of eligible patients, and the time point at which it is prescribed. The current review focuses on specific aspects of patient selection and discusses the various scientific as well as clinical-guided perspectives on Home-NIV in patients suffering from chronic hypercapnic COPD. In addition, special attention will be given to the topic of ventilator settings and interfaces.
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spelling pubmed-58366552018-03-13 Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives Storre, Jan Hendrik Callegari, Jens Magnet, Friederike Sophie Schwarz, Sarah Bettina Duiverman, Marieke Leontine Wijkstra, Peter Jan Windisch, Wolfram Int J Chron Obstruct Pulmon Dis Review Long-term or home mechanical noninvasive ventilation (Home-NIV) has become a well-established form of therapy over the last few decades for chronic hypercapnic COPD patients in European countries. However, meta-analyses and clinical guidelines do not recommend Home-NIV for COPD patients on a routine basis. In particular, there is ongoing debate about Home-NIV in chronic hypercapnic COPD regarding the overall effects, the most favorable treatment strategy, the selection of eligible patients, and the time point at which it is prescribed. The current review focuses on specific aspects of patient selection and discusses the various scientific as well as clinical-guided perspectives on Home-NIV in patients suffering from chronic hypercapnic COPD. In addition, special attention will be given to the topic of ventilator settings and interfaces. Dove Medical Press 2018-02-28 /pmc/articles/PMC5836655/ /pubmed/29535515 http://dx.doi.org/10.2147/COPD.S154718 Text en © 2018 Storre et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Storre, Jan Hendrik
Callegari, Jens
Magnet, Friederike Sophie
Schwarz, Sarah Bettina
Duiverman, Marieke Leontine
Wijkstra, Peter Jan
Windisch, Wolfram
Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
title Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
title_full Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
title_fullStr Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
title_full_unstemmed Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
title_short Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
title_sort home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836655/
https://www.ncbi.nlm.nih.gov/pubmed/29535515
http://dx.doi.org/10.2147/COPD.S154718
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