Janssens Jean-Paul, Michel Franz, Schwarz Esther Irene, Prella Maura, Bloch Konrad, Adler Dan, Brill Anne-Kathrin, Geenens Aurore, Karrer Werner, Ogna Adam, Ott Sebastien, Rüdiger Jochen, Schoch Otto D, Soler Markus, Strobel Werner, Uldry Christophe, Gex Grégoire
Division of Pulmonary Diseases, Geneva University Hospitals, Geneva, Switzerland,
Klinik für Neurorehabilitation und Paraplegiologie, Basel, Switzerland.
Respiration. 2020 Dec 10:1-36. doi: 10.1159/000510086.
Long-term mechanical ventilation is a well-established treatment for chronic hypercapnic respiratory failure (CHRF). It is aimed at improving CHRF-related symptoms, health-related quality of life, survival, and decreasing hospital admissions. In Switzerland, long-term mechanical ventilation has been increasingly used since the 1980s in hospital and home care settings. Over the years, its application has considerably expanded with accumulating evidence of beneficial effects in a broad range of conditions associated with CHRF. Most frequent indications for long-term mechanical ventilation are chronic obstructive pulmonary disease, obesity hypoventilation syndrome, neuromuscular and chest wall diseases. In the current consensus document, the Special Interest Group of the Swiss Society of Pulmonology reviews the most recent scientific literature on long-term mechanical ventilation and provides recommendations adapted to the particular setting of the Swiss healthcare system with a focus on the practice of non-invasive and invasive home ventilation in adults.
长期机械通气是治疗慢性高碳酸血症呼吸衰竭（CHRF）的一种成熟疗法。其目的是改善与CHRF相关的症状、健康相关生活质量、生存率，并减少住院次数。自20世纪80年代以来，瑞士在医院和家庭护理环境中越来越多地使用长期机械通气。多年来，随着在与CHRF相关的广泛病症中有益效果的证据不断积累，其应用范围已大幅扩大。长期机械通气最常见的适应症是慢性阻塞性肺疾病、肥胖低通气综合征、神经肌肉疾病和胸壁疾病。在当前的共识文件中，瑞士肺科学会特别兴趣小组回顾了关于长期机械通气的最新科学文献，并针对瑞士医疗保健系统的特定情况提供建议，重点关注成人无创和有创家庭通气的实践。
