Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz

Westhoff M, Schönhofer B, Neumann P, Bickenbach J, Barchfeld T, Becker H, Dubb R, Fuchs H, Heppner HJ, Janssens U, Jehser T, Karg O, Kilger E, Köhler HD, Köhnlein T, Max M, Meyer FJ, Müllges W, Putensen C, Schreiter D, Storre JH, Windisch W (2015)

Publication Type: Journal article, Review article

Publication year: 2015

Journal

Book Volume: 69

Pages Range: 719-756

Journal Issue: 12

DOI: 10.1055/s-0034-1393309

Abstract

The non-invasive ventilation (NIV) is widespread in the clinical medicine and has attained meanwhile a high value in the clinical daily routine. The application of NIV reduces the length of ICU stay and hospitalization as well as mortality of patients with hypercapnic acute respiratory failure. Patients with acute respiratory failure in context of a cardiopulmonary edema should be treated in addition to necessary cardiological interventions with continuous positive airway pressure (CPAP) or NIV. In case of other forms of acute hypoxaemic respiratory failure it is recommended the application of NIV to be limited to mild forms of ARDS as the application of NIV in severe forms of ARDS is associated with higher rates of treatment failure and mortality. In weaning process from invasive ventilation the NIV reduces the risk of reintubation essentially in hypercapnic patients. A delayed intubation of patients with NIV failure leads to an increase of mortality and should therefore be avoided. With appropriate monitoring in intensive care NIV can also be successfully applied in pediatric patients with acute respiratory insufficiency. Furthermore NIV can be useful within palliative care for reduction of dyspnea and improving quality of life. The aim of the guideline update is, taking into account the growing scientific evidence, to outline the advantages as well as the limitations of NIV in the treatment of acute respiratory failure in daily clinical practice and in different indications.

Authors with CRIS profile

Involved external institutions

KRH Klinikum Oststadt-Heidehaus / Oststadtkrankenhaus Hannover Germany (DE) Evangelisches Krankenhaus Göttingen-Weende Germany (DE) Universitätsklinikum Aachen (UKA) Germany (DE) Klinikum Westfalen Germany (DE) Asklepios Kliniken Germany (DE) Klinikum Stuttgart Germany (DE) Universitätsklinikum Freiburg Germany (DE) Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen Germany (DE) Gemeinschaftskrankenhaus Havelhöhe Klinik für Anthroposophische Medizin Germany (DE) Asklepios Fachkliniken München-Gauting Germany (DE) Ludwig-Maximilians-Universität (LMU) Germany (DE) Fachkrankenhaus Kloster Grafschaft Germany (DE) Klinikum St. Georg Germany (DE) Luxembourg Hospital Center / Centre Hospitalier de Luxembourg (CHL) Luxembourg (LU) Klinikum Harlaching Germany (DE) Fraunhofer-Institut für Biomedizinische Technik (IBMT) / Fraunhofer Institute for Biomedical Engineering Germany (DE) Universitätsklinikum Bonn Germany (DE) Universitätsklinikum Carl Gustav Carus Dresden Germany (DE) Kliniken der Stadt Köln Germany (DE) HELIOS Kliniken Germany (DE)

How to cite

APA:

Westhoff, M., Schönhofer, B., Neumann, P., Bickenbach, J., Barchfeld, T., Becker, H.,... Windisch, W. (2015). Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz. Pneumologie, 69(12), 719-756. https://dx.doi.org/10.1055/s-0034-1393309

MLA:

Westhoff, M., et al. "Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz." Pneumologie 69.12 (2015): 719-756.

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