German National Guideline for Treating Chronic Respiratory Failure with Invasive and Non-Invasive Ventilation: Revised Edition 2017-Part 1
German National Guideline for Treating Chronic Respiratory Failure with Invasive and Non-Invasive Ventilation: Revised Edition 2017-Part 1
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DOI：
10.1159/000488001
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发表时间：
2018-01-01
期刊：
影响因子：
3.7
通讯作者：
Dreher, Michael
中科院分区：
文献类型：
--
作者：
Windisch, Wolfram;Geiseler, Jens;Dreher, Michael
如今，有创和无创家庭机械通气已成为一种成熟的治疗选择。因此，在2010年，德国呼吸学会（Deutsche Gesellschaft fur Biologie und Beatmungsmedizin，DGP）率先发布了关于“治疗慢性呼吸衰竭的无创和有创机械通气”的指南。“然而，技术的不断发展、新的科学见解和卫生保健的发展需要对《准则》进行广泛的修订。因此，现将更新后的《准则》公布。因此，现有章节，即技术问题、德国的组织结构、资格标准、疾病特异性建议（包括儿科的特殊功能）以及伦理方面和姑息治疗，已根据当前文献和德国的医疗保健发展进行了更新。指南新增章节包括截瘫患者和长期脱机失败患者的家庭机械通气主题。与2010年《准则》相比，目前的《准则》涉及不同的学会以及专业和专家协会。重要的是，疾病特异性方面现在由德国家庭机械通气跨学科协会（DIGAB）负责。此外，直接参与家庭机械通气患者护理的社团和协会也被纳入当前进程。重要的是，负责决定卫生保健系统费用的协会和病人组织现在已经参与进来。(C)2018年S. Karger AG，巴塞尔
Today, invasive and non-invasive home mechanical ventilation have become a well-established treatment option. Consequently, in 2010, the German Respiratory Society (Deutsche Gesellschaft fur Pneumologie und Beatmungsmedizin, DGP) has leadingly published the Guidelines on "Non-Invasive and Invasive Mechanical Ventilation for Treatment of Chronic Respiratory Failure." However, continuing technical evolutions, new scientific insights, and health care developments require an extensive revision of the Guidelines. For this reason, the updated Guidelines are now published. Thereby, the existing chapters, namely technical issues, organizational structures in Germany, qualification criteria, disease-specific recommendations including special features in pediatrics as well as ethical aspects and palliative care, have been updated according to the current literature and the health care developments in Germany. New chapters added to the Guidelines include the topics of home mechanical ventilation in paraplegic patients and in those with failure of prolonged weaning. In the current Guidelines, different societies as well as professional and expert associations have been involved when compared to the 2010 Guidelines. Importantly, disease-specific aspects are now covered by the German Interdisciplinary Society of Home Mechanical Ventilation (DIGAB). In addition, societies and associations directly involved in the care of patients receiving home mechanical ventilation have been included in the current process. Importantly, associations responsible for decisions on costs in the health care system and patient organizations have now been involved. (C) 2018 S. Karger AG, Basel