Smjernice za neinvazivnu mehaničku ventilaciju pri liječenju kronične respiracijske insuficijencije

Professional paper - Professional paper

• Title (english): Guidelines for noninvasive mechanical ventilation for treatment of chronic respiratory failure
• Author: Gordana Pavliša
• Author: Ljiljana Bulat Kardum
• Author: Hrvoje Puretić
• Author: Ervin Žuljević
• Author: Asja Stipić-Marković
• Author: Igor Barković
• Author: Marija Žagar
• Author: Marinko Artuković
• Author: Gordana Matijević
• Author: Miroslav Samaržija
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

The use of noninvasive ventilation (NIV) has been markedly increased over the past two decades, as an effective method of managing acute and chronic respiratory failure. Patients suffering from chronic respiratory failure can be introduced to home NIV. The most frequent diseases leading to chronic respiratory failure are chronic obstructive pulmonary disease (COPD), obesity hypoventilation syndrome (OHS), restrictive thoracic diseases and neuromuscular diseases (NMD). NIV application improves blood gases, symptoms, quality of life and prolongs survival of these patients. Nowadays, noninvasive ventilation is mostly performed by positive pressure ventilators and bilevel positive airway pressure (BiPAP) is the most common mode used. The choice of appropriate interface is the key to successful application of noninvasive ventilation. Home NIV must be introduced through specialized centers. The physicians are responsible for indicating home NIV, choosing the type of ventilator, the ventilation mode and ventilation parameters. The objective of this document is to provide clinicians with information on technical aspects of home NIV, to establish diagnostic and therapeutic strategies for initiating home NIV, indications, contraindications and recommended settings for each group of diseases.

Abstract (croatian)

U posljednja dva desetljeća znatno je porasla upotreba neinvazivne mehaničke ventilacije (NIV) kao učinkovite metode zbrinjavanja akutne i kronične respiracijske insuficijencije. U bolesnika s kroničnom respiracijskom insuficijencijom NIV se može primijeniti u kućnim uvjetima. Najčešće bolesti koje dovode do razvoja kronične respiracijske insuficijencije jesu: kronična opstruktivna plućna bolest, sindrom hipoventilacije u pretilih, restriktivne plućne bolesti i neuromuskularne bolesti. Primjena NIV-a poboljšava vrijednosti dišnih plinova, simptome, kvalitetu života i produžuje životni vijek bolesnika s kroničnom respiracijskom insuficijencijom. Danas se NIV uglavnom provodi primjenom pozitivnog tlaka zraka na dišne putove bolesnika, a dvorazinska tlačna potpora najčešći je način ventilacije. Izbor adekvatnog sučelja osnova je uspješne primjene NIV-a. Kućni NIV može se indicirati i započeti u specijaliziranim centrima. Liječnik je odgovoran za postavljanje indikacija, izbor ventilatora, načina i parametara ventilacije. Ciljevi ovih smjernica jesu: pružanje informacija o tehničkim aspektima kućnog NIV-a kliničarima i određivanje indikacija, kontraindikacija te preporučenih postavka ventilacije za svaku skupinu bolesti.

• Language: croatian
• Publication type: Professional paper - Professional paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 140, no. 1-2, pp. 1-6
• p-ISSN: 0024-3477
• DOI: https://doi.org/10.26800/LV-140-1-2-1
• URN:NBN: urn:nbn:hr:105:681677
• Publication: 2018-01
• Document URL: https://hrcak.srce.hr/file/296012
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:44:54