Last updated March 14, 2022

Long-Term Noninvasive Ventilation in Chronic Stable Hypercapnic Chronic Obstructive Pulmonary Disease

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

Overview

Title

Long-Term Noninvasive Ventilation in Chronic Stable Hypercapnic Chronic Obstructive Pulmonary Disease

Authoring Organization

Publication Month/Year

August 15, 2020

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

Supplemental Methodology Resources

Data Supplement