Windisch Wolfram, Callegari Jens, Karagiannidis Christian
Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Medizinische Fakultät, Universität Witten/Herdecke.
Dtsch Med Wochenschr. 2019 Jun;144(11):743-747. doi: 10.1055/a-0755-9638. Epub 2019 Jun 4.
DEVELOPMENT OF HOME MECHANICAL VENTILATION (HMV) IN GERMANY: HMV has become a well-established treatment option in Germany. However, during the last decade the number of patients established on HMV is exploding, and this has reached economical and ethical limits. Consequently, a discussion within the health policy concerning this issue is urgently needed.
The German Respiratory Society has completely revised and thematically complemented its guidelines on HMV. Concerning the professional policy perspective, these guidelines cover essential aspects of the organisation and implementation of HMV, while simultaneously summarizing the current scientific evidence. Based on this, treatment algorithms for different entities are provided.
NEW EVIDENCE FOR NON-INVASIVE VENTILATION (NIV) IN COPD: Current data provide evidence that the prognosis of COPD patients can be improved by NIV. This is true for patients with both chronic hypercapnia and persistent hypercapnia following exacerbation treated in the hospital.
德国家庭机械通气（HMV）的发展：HMV在德国已成为一种成熟的治疗选择。然而，在过去十年中，接受HMV治疗的患者数量急剧增加，已达到经济和伦理极限。因此，迫切需要在卫生政策层面就这一问题展开讨论。
德国呼吸学会已对其HMV指南进行了全面修订，并在主题上进行了补充。从专业政策角度来看，这些指南涵盖了HMV组织与实施的关键方面，同时总结了当前的科学证据。在此基础上，提供了针对不同情况的治疗算法。
慢性阻塞性肺疾病（COPD）无创通气（NIV）的新证据：目前的数据表明，NIV可改善COPD患者的预后。对于慢性高碳酸血症患者以及在医院治疗急性加重后持续存在高碳酸血症的患者均是如此。
