학술논문
German National Guideline for Treating Chronic Respiratory Failure with Invasive and Non-Invasive Ventilation: Revised Edition 2017 - Part 1.
Document Type
Author
Windisch W; Department of Pneumology, Cologne Merheim Hospital, Kliniken der Stadt Köln gGmbH, Cologne, Germany.; Faculty of Health/School of Medicine, Witten/Herdecke University, Witten, Germany.; Geiseler J; Medical Clinic IV, Pneumology, Sleep Medicine and Mechanical Ventilation, Paracelsus-Klinik Marl, Marl, Germany.; Simon K; Fachkrankenhaus Kloster Grafschaft GmbH, Center for Pneumology and Allergology, Schmallenberg, Germany.; Walterspacher S; Faculty of Health/School of Medicine, Witten/Herdecke University, Witten, Germany.; Medical Clinic II, Department of Pneumology, Cardiology and Intensive Care Medicine, Klinikum Konstanz, Konstanz, Germany.; Dreher M; Division of Pneumology, University Hospital RWTH Aachen, Aachen, Germany.
Source
Publisher: Karger Country of Publication: Switzerland NLM ID: 0137356 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0356 (Electronic) Linking ISSN: 00257931 NLM ISO Abbreviation: Respiration Subsets: MEDLINE
Subject
Language
English
Abstract
Today, invasive and non-invasive home mechanical ventilation have become a well-established treatment option. Consequently, in 2010, the German Respiratory Society (Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin, 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.
(© 2018 S. Karger AG, Basel.)
(© 2018 S. Karger AG, Basel.)