Division of Respirology, University of Ottawa, Ottawa, Canada.
Can Respir J. 2011 Jul-Aug;18(4):197-215. doi: 10.1155/2011/139769.
Increasing numbers of patients are surviving episodes of prolonged mechanical ventilation or benefitting from the recent availability of userfriendly noninvasive ventilators. Although many publications pertaining to specific aspects of home mechanical ventilation (HMV) exist, very few comprehensive guidelines that bring together all of the current literature on patients at risk for or using mechanical ventilatory support are available. The Canadian Thoracic Society HMV Guideline Committee has reviewed the available English literature on topics related to HMV in adults, and completed a detailed guideline that will help standardize and improve the assessment and management of individuals requiring noninvasive or invasive HMV. The guideline provides a disease-specific review of illnesses including amyotrophic lateral sclerosis, spinal cord injury, muscular dystrophies, myotonic dystrophy, kyphoscoliosis, post-polio syndrome, central hypoventilation syndrome, obesity hypoventilation syndrome, and chronic obstructive pulmonary disease as well as important common themes such as airway clearance and the process of transition to home. The guidelines have been extensively reviewed by international experts, allied health professionals and target audiences. They will be updated on a regular basis to incorporate any new information.
越来越多的患者在经历长时间机械通气后存活下来，或受益于最近出现的用户友好型无创通气设备。尽管有许多关于家庭机械通气（HMV）特定方面的出版物，但很少有综合指南将所有与有风险或使用机械通气支持的患者相关的当前文献汇集在一起。加拿大胸科协会 HMV 指南委员会审查了成人 HMV 相关主题的现有英文文献，并完成了一份详细的指南，该指南将有助于规范和改善需要无创或有创 HMV 的个体的评估和管理。该指南对包括肌萎缩侧索硬化症、脊髓损伤、肌肉营养不良、强直性肌营养不良、脊柱后凸畸形、脊髓灰质炎后综合征、中枢性低通气综合征、肥胖低通气综合征和慢性阻塞性肺疾病在内的疾病进行了特定疾病的审查，以及气道清除和向家庭过渡的过程等重要的常见主题。该指南已由国际专家、相关卫生专业人员和目标受众进行了广泛审查。它们将定期更新，以纳入任何新信息。
