Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease: patient selection and perspectives

Jan Hendrik Storre*, Jens Callegari, Friederike Sophie Magnet, Sarah Bettina Schwarz, Marieke Leontine Duiverman, Peter Jan Wijkstra, Wolfram Windisch

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

9 Citations (Scopus)
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Abstract

Long-term or home mechanical noninvasive ventilation (Home-NIV) has become a well-established form of therapy over the last few decades for chronic hypercapnic COPD patients in European countries. However, meta-analyses and clinical guidelines do not recommend Home-NIV for COPD patients on a routine basis. In particular, there is ongoing debate about Home-NIV in chronic hypercapnic COPD regarding the overall effects, the most favorable treatment strategy, the selection of eligible patients, and the time point at which it is prescribed. The current review focuses on specific aspects of patient selection and discusses the various scientific as well as clinical-guided perspectives on Home-NIV in patients suffering from chronic hypercapnic COPD. In addition, special attention will be given to the topic of ventilator settings and interfaces.

Original languageEnglish
Pages (from-to)753-760
Number of pages8
JournalInternational Journal of Chronic Obstructive Pulmonary Disease
Volume13
DOIs
Publication statusPublished - 1-Mar-2018

Keywords

  • exacerbation
  • pulmonary emphysema
  • hypercapnia
  • mechanical ventilation
  • respiratory insufficiency
  • POSITIVE-PRESSURE VENTILATION
  • STABLE HYPERCAPNIC COPD
  • CHRONIC RESPIRATORY-FAILURE
  • RANDOMIZED CROSSOVER TRIAL
  • MECHANICAL VENTILATION
  • HIGH-INTENSITY
  • NASAL VENTILATION
  • OXYGEN-THERAPY
  • CLINICAL-TRIAL
  • SLEEP QUALITY

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