Клинические рекомендации по применению неинвазивной вентиляции легких при острой дыхательной недостаточности
https://doi.org/10.18093/0869-0189-2018-28-1-13-31
Аннотация
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
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Рецензия
Для цитирования:
редакционная с. Клинические рекомендации по применению неинвазивной вентиляции легких при острой дыхательной недостаточности. Пульмонология. 2018;28(1):13-31. https://doi.org/10.18093/0869-0189-2018-28-1-13-31
For citation:
editorial a. Clinical guidelines on use of noninvasive ventilation in patients with acute respiratory failure. PULMONOLOGIYA. 2018;28(1):13-31. (In Russ.) https://doi.org/10.18093/0869-0189-2018-28-1-13-31
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