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[慢性呼吸衰竭的无创和有创院外通气:奥地利肺病学会通气与重症医学工作组共识报告]

[Non-invasive and invasive out of hospital ventilation in chronic respiratory failure : Consensus report of the working group on ventilation and intensive care medicine of the Austrian Society of Pneumology].

作者信息

Schenk Peter, Eber Ernst, Funk Georg-Christian, Fritz Wilfried, Hartl Sylvia, Heininger Peter, Kink Eveline, Kühteubl Gernot, Oberwaldner Beatrice, Pachernigg Ulrike, Pfleger Andreas, Schandl Petra, Schmidt Ingrid, Stein Markus

机构信息

Abteilung für Pulmologie, Landesklinikum Hochegg, Hocheggerstraße 88, 2840, Grimmenstein, Österreich.

Klinische Abteilung für Pädiatrische Pulmonologie und Allergologie, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Graz, Graz, Österreich.

出版信息

Wien Klin Wochenschr. 2016 Feb;128 Suppl 1:S1-36. doi: 10.1007/s00508-015-0899-z.

Abstract

The current consensus report was compiled under the patronage of the Austrian Society of Pneumology (Österreichischen Gesellschaft für Pneumologie, ÖGP) with the intention of providing practical guidelines for out-of-hospital ventilation that are in accordance with specific Austrian framework parameters and legal foundations. The guidelines are oriented toward a 2004 consensus ÖGP recommendation concerning the setup of long-term ventilated patients and the 2010 German Respiratory Society S2 guidelines on noninvasive and invasive ventilation of chronic respiratory insufficiency, adapted to national experiences and updated according to recent literature. In 11 chapters, the initiation, adjustment, and monitoring of out-of-hospital ventilation is described, as is the technical equipment and airway access. Additionally, the different indications-such as chronic obstructive pulmonary diseases, thoracic restrictive and neuromuscular diseases, obesity hypoventilation syndrome, and pediatric diseases-are discussed. Furthermore, the respiratory physiotherapy of adults and children on invasive and noninvasive long-term ventilation is addressed in detail.

摘要

这份当前的共识报告是在奥地利肺病学会(Österreichischen Gesellschaft für Pneumologie, ÖGP)的支持下编写的,目的是根据奥地利特定的框架参数和法律基础,提供符合实际情况的院外通气指南。这些指南以ÖGP 2004年关于长期通气患者设置的共识建议以及德国呼吸学会2010年关于慢性呼吸功能不全的无创和有创通气的S2指南为导向,并结合了本国经验,根据最新文献进行了更新。报告共11章,描述了院外通气的启动、调整和监测,以及技术设备和气道通路。此外,还讨论了不同的适应症,如慢性阻塞性肺疾病、胸廓限制性疾病和神经肌肉疾病、肥胖低通气综合征以及儿科疾病。此外,还详细阐述了成人和儿童在有创和无创长期通气情况下的呼吸物理治疗。

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