Long-Term Noninvasive Ventilation in Chronic Stable Hypercapnic Chronic Obstructive Pulmonary Disease
Publication Date: August 15, 2020
Recommendations
We suggest the use of nocturnal noninvasive ventilation (NIV) in addition to usual care for patients with chronic stable hypercapnic COPD. (C, M)
620
We suggest that patients with chronic stable hypercapnic COPD undergo screening for obstructive sleep apnea before initiation of long-term NIV. (C, VL)
620
We suggest not initiating long-term NIV during an admission for acute-on-chronic hypercapnic respiratory failure, favoring instead reassessment for NIV at 2–4 weeks after resolution. (C, L)
620
We suggest not using an in-laboratory overnight polysomnogram (PSG) to titrate NIV in patients with chronic stable hypercapnic COPD who are initiating NIV. (C, VL)
620
We suggest NIV with targeted normalization of PaCO2 in patients with hypercapnic COPD on long-term NIV. (C, L)
620
Recommendation Grading
Disclaimer
Overview
Title
Long-Term Noninvasive Ventilation in Chronic Stable Hypercapnic Chronic Obstructive Pulmonary Disease
Authoring Organization
American Thoracic Society
Publication Month/Year
August 15, 2020
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Home health, Long term care
Intended Users
Respiratory therapist, nurse, nurse practitioner, physician, physician assistant
Scope
Management
Diseases/Conditions (MeSH)
D063087 - Noninvasive Ventilation, D029424 - Pulmonary Disease, Chronic Obstructive, D014691 - Ventilation
Keywords
noninvasive ventilation, chronic obstructive pulmonary disease (COPD), COPD, ventilation, NIV