Linee guida sull'insufficienza respiratoria - SNLG-ISS

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SNLG-Regioni – Linee guida sull’insufficienza respiratoria • verifica delle condizioni cliniche • verifica dell’efficacia della terapia • verifica dell’adesione al trattamento domiciliare • verifica dell’impostazione del ventilatore • valutazione della funzione polmonare tramite esecuzione di test funzionali respiratori. Per i pazienti non autosufficienti e ventilati per via invasiva è previsto un controllo domiciliare (vedi LG assistenza domiciliare). Prove di tipo VI; grado di raccomandazione A. Bibliografia Annane D et al. Nocturnal mechanical ventilation for chronic hypoventilation in patients with neuromuscular and chest wall disorders. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No:CD001941.DOI:10.1002/14651858.CD001941.pub2. Associazione Italiana Pneumologi Ospedalieri. Documento ufficiale. La ventiloterapia domiciliare a lungo termine (LTHMV) nelle neuromiopatie (NM) causanti insufficienza respiratoria. Rass Patol App Resp 1996; 11: 273-283. Associazione Italiana Pneumologi Ospedalieri. Raccomandazioni per la ventilazione meccanica domiciliare. Aggiornamento anno 2003. Parte 1. Rass Patol App Resp 2003; 18: 368-375. Bourke SC et al. Effects of non-invasive ventilation on survival and quality of life in patients with amyotrophic lateral sclerosis: a randomised controlled trial. Lancet Neurology 2006; 5: 140-7. Clini E et al. The Italian mulitcentre study on noninvasive ventilation in chronic obstructive pulmonary disease patients. Eur Respir J 2002; 20: 529-538. Clinical indications for non invasive positive pressure ventilation in chronic respiratory failure due to restrictive lung disease, COPD, and nocturnal hypoventilation. A Consensus conference report. Chest 1999; 116: 521-534. Hodson ME et al. Non-invasive mechanical ventilation for cystic fibrosis patients-a potential bridge to transplantation. Eur Respir J 1991; 4 : 524-527. Loube DI et al. Indications for positive airway pressure treatment of adult obstructive sleep apnea patients. A consensus statement. Chest 1999; 115: 1495-6. Keens TG et al. Ventilatory treatment at home. in Beckerman RC et al. Respiratory control disorders in infants and children. Baltimore: Williams and Wilkins, 1992. Leigh PN et al. The management of motor neurone disease J Neurol Neurosurg Psychiatry 2003; (suppl 4): iv32-iv47. Miller RG et al. ALS Practice Parameters Task Force. Neurology 1999; 52: 1311-1323. Piper AJ et al. Nocturnal nasal IPPV stabilizes patients with cystic fibrosis and hypercapnic respiratory failure. Chest 1992; 102: 846-850. Raphael JC. Long-term ventilation in Duchenne muscular dystrophy: when to begin International Conference on Home Mechanical Ventilation, Lyone March 2001. 40 Ventilazione meccanica domiciliare
SNLG-Regioni – Linee guida sull’insufficienza respiratoria Raphael JC et al. Randomised trial of preventive nasal ventilation in Duchenne muscular dystrophy. Lancet 1994; 343: 1600-1604. Simonds AK et al. Outcome of domiciliary nasal intermittent positive pressure ventilation in restrictive and obstructive disorders. Thorax 1995; 50: 604-609. Ventilazione meccanica domiciliare 41
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Linee guida sull'insufficienza respiratoria - SNLG-ISS

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