Long-Term Noninvasive Ventilation in Chronic Stable Hypercapnic Chronic Obstructive Pulmonary Disease
Recommendations
Recommendation Grading
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
Last Updated Month/Year
October 4, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
To allow patients, clinicians, policy makers, and other healthcare stakeholders to make rational, evidence-based decisions with regard to the use of long-term NIV in COPD, which are relevant to their local setting.
Target Patient Population
Patients with COPD
Target Provider Population
Clinicians who care for patients with COPD
PICO Questions
Should long-term nocturnal NIV versus usual care be used for chronic stable outpatients with hypercapnic COPD?
Should patients with chronic stable hypercapnic COPD undergo assessment for sleep apnea (i.e., overlap syndrome) before initiation of long-term NIV?
Should long-term NIV be initiated in patients hospitalized with a COPD exacerbation associated with acute-on-chronic respiratory failure?
Should long-term NIV settings be determined by an in-laboratory overnight PSG in patients with chronic stable hypercapnic COPD?
Should NIV with targeted normalization of PaCO2 amounts versus NIV without targeting normal PaCO2 amounts be used for long-term NIV in patients with COPD?
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory, Home health, Long term care
Intended Users
Nurse, nurse practitioner, physician, physician assistant, respiratory therapist
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