pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2018-28-1-13-31pulmo-957Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESКлинические рекомендации по применению неинвазивной вентиляции легких при острой дыхательной недостаточностиClinical guidelines on use of noninvasive ventilation in patients with acute respiratory failureредакционнаястатьяEditorialArticle2018270420182811331Copyright © редакционная с., 20182018редакционная с.editorial a.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/957

Неинвазивная вентиляция легких (НВЛ) широко применяется в терапии острых состояний, которые сопровождаются острой дыхательной недостаточностью (ОДН) различной этиологии. На основании данных современной литературы Европейским респираторным и Американским торакальным обществами разработаны доказательные клинические рекомендации по этой проблеме. В разработке данных рекомендаций принимали участие клиницисты (пульмонологи или специалисты по интенсивной терапии) и эксперты в области НВЛ. Доказательность информации по каждому вопросу, освещенному в настоящих рекомендациях, оценивалась по системе GRADE. Помимо этого, несколько тем представлены в виде резюме без рекомендаций – они обсуждаются в дополнительных материалах на страницах интернет-ресурсов. Экспертами Комитета по созданию рекомендаций выделены 11 актуальных проблем проведения НВЛ при ОДН различной этиологии – обострении хронической обструктивной болезни легких, кардиогенном отеке легких, гипоксемической дыхательной недостаточности, травмах грудной клетки, а также при паллиативной терапии, послеоперационном ведении, отлучении от вентилятора и экстубации, у иммунокомпрометированных больных и т. п. В данных рекомендациях суммирована последняя информация о роли НВЛ при ведении пациентов с ОДН.

По материалам Rochwerg B., Brochard L., Elliott M.W., Hess D., Hill N.S., Nava S., Navalesi P., Antonelli M., Brozek J., Conti G., Ferrer M., Guntupalli K., Jaber S., Keenan S., Mancebo J., Mehta S., Raoof S. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur. Respir. J. 2017; 50 (2): 1602426. DOI: 10.1183/13993003.02426-2016

Noninvasive mechanical ventilation (NIV) is widely used in patients with acute respiratory failure (ARF) of different etiology. European Respiratory Society/American Thoracic Society developed evidence-based clinical recommendations on NIV. This document summarises the current knowledge regarding the role of NIV in ARF including exacerbation of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema, hypoxaemic respiratory failure, immunocompromised patients, chest trauma, palliation, post-operative care, weaning and post-extubation.

Adopted from: Rochwerg B., Brochard L., Elliott M.W., Hess D., Hill N.S., Nava S., Navalesi P., Antonelli M., Brozek J., Conti G., Ferrer M., Guntupalli K., Jaber S., Keenan S., Mancebo J., Mehta S., Raoof S. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur. Respir. J. 2017; 50 (2): 1602426. DOI: 10.1183/13993003.02426-2016

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The authors declare that there are no conflicts of interest present.