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Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: A joint ESA/ESICM guideline

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Leone, M, Einav, S, Chiumello, D, Constantin, J-M, De Robertis, E, Abreu, MGD, Gregoretti, C, Jaber, S, Maggiore, SM, Pelosi, P, Sorbello, M & Afshari, A 2020, 'Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: A joint ESA/ESICM guideline' European Journal of Anaesthesiology, vol. 37, no. 4, pp. 265-279. https://doi.org/10.1097/EJA.0000000000001166

APA

CBE

Leone M, Einav S, Chiumello D, Constantin J-M, De Robertis E, Abreu MGD, Gregoretti C, Jaber S, Maggiore SM, Pelosi P, Sorbello M, Afshari A. 2020. Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: A joint ESA/ESICM guideline. European Journal of Anaesthesiology. 37(4):265-279. https://doi.org/10.1097/EJA.0000000000001166

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Author

Leone, Marc ; Einav, Sharon ; Chiumello, Davide ; Constantin, Jean-Michel ; De Robertis, Edoardo ; Abreu, Marcelo Gama De ; Gregoretti, Cesare ; Jaber, Samir ; Maggiore, Salvatore Maurizio ; Pelosi, Paolo ; Sorbello, Massimiliano ; Afshari, Arash. / Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient : A joint ESA/ESICM guideline. In: European Journal of Anaesthesiology. 2020 ; Vol. 37, No. 4. pp. 265-279.

Bibtex

@article{57fb37b6d59b48a59c52635ee31e599f,
title = "Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: A joint ESA/ESICM guideline",
abstract = ": Hypoxaemia is a potential life-threatening yet common complication in the peri-operative and periprocedural patient (e.g. during an invasive procedure with risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) have developed guidelines for the use of noninvasive respiratory support techniques in the hypoxaemic patient in the peri-operative and periprocedural period. The panel outlined five clinical questions regarding treatment with noninvasive respiratory support techniques [conventional oxygen therapy (COT), high flow nasal cannula (HFNC), noninvasive positive pressure ventilation (NIPPV) and continuous positive airway pressure (CPAP)] for hypoxaemic patients with acute peri-operative/periprocedural respiratory failure. The goal was to assess the available literature on the various noninvasive respiratory support techniques, specifically studies that included adult participants with hypoxaemia in the peri-operative/periprocedural period. The literature search strategy was developed by a Cochrane Anaesthesia and Intensive Care trial search specialist in close collaboration with the panel members and the ESA group methodologist. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the level of evidence and to grade recommendations. The final process was then validated by both ESA and ESICM scientific committees. Among 19 recommendations, the two grade 1B recommendations state that in the peri-operative/periprocedural hypoxaemic patient, the use of either NIPPV or CPAP (based on local expertise) is preferred to COT for improvement of oxygenation; and that the panel suggests using NIPPV or CPAP immediately postextubation for hypoxaemic patients at risk of developing acute respiratory failure after abdominal surgery.",
author = "Marc Leone and Sharon Einav and Davide Chiumello and Jean-Michel Constantin and {De Robertis}, Edoardo and Abreu, {Marcelo Gama De} and Cesare Gregoretti and Samir Jaber and Maggiore, {Salvatore Maurizio} and Paolo Pelosi and Massimiliano Sorbello and Arash Afshari",
year = "2020",
month = "4",
doi = "10.1097/EJA.0000000000001166",
language = "English",
volume = "37",
pages = "265--279",
journal = "European Journal of Anaesthesiology",
issn = "0265-0215",
publisher = "Lippincott Williams & Wilkins",
number = "4",

}

RIS

TY - JOUR

T1 - Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient

T2 - A joint ESA/ESICM guideline

AU - Leone, Marc

AU - Einav, Sharon

AU - Chiumello, Davide

AU - Constantin, Jean-Michel

AU - De Robertis, Edoardo

AU - Abreu, Marcelo Gama De

AU - Gregoretti, Cesare

AU - Jaber, Samir

AU - Maggiore, Salvatore Maurizio

AU - Pelosi, Paolo

AU - Sorbello, Massimiliano

AU - Afshari, Arash

PY - 2020/4

Y1 - 2020/4

N2 - : Hypoxaemia is a potential life-threatening yet common complication in the peri-operative and periprocedural patient (e.g. during an invasive procedure with risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) have developed guidelines for the use of noninvasive respiratory support techniques in the hypoxaemic patient in the peri-operative and periprocedural period. The panel outlined five clinical questions regarding treatment with noninvasive respiratory support techniques [conventional oxygen therapy (COT), high flow nasal cannula (HFNC), noninvasive positive pressure ventilation (NIPPV) and continuous positive airway pressure (CPAP)] for hypoxaemic patients with acute peri-operative/periprocedural respiratory failure. The goal was to assess the available literature on the various noninvasive respiratory support techniques, specifically studies that included adult participants with hypoxaemia in the peri-operative/periprocedural period. The literature search strategy was developed by a Cochrane Anaesthesia and Intensive Care trial search specialist in close collaboration with the panel members and the ESA group methodologist. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the level of evidence and to grade recommendations. The final process was then validated by both ESA and ESICM scientific committees. Among 19 recommendations, the two grade 1B recommendations state that in the peri-operative/periprocedural hypoxaemic patient, the use of either NIPPV or CPAP (based on local expertise) is preferred to COT for improvement of oxygenation; and that the panel suggests using NIPPV or CPAP immediately postextubation for hypoxaemic patients at risk of developing acute respiratory failure after abdominal surgery.

AB - : Hypoxaemia is a potential life-threatening yet common complication in the peri-operative and periprocedural patient (e.g. during an invasive procedure with risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) have developed guidelines for the use of noninvasive respiratory support techniques in the hypoxaemic patient in the peri-operative and periprocedural period. The panel outlined five clinical questions regarding treatment with noninvasive respiratory support techniques [conventional oxygen therapy (COT), high flow nasal cannula (HFNC), noninvasive positive pressure ventilation (NIPPV) and continuous positive airway pressure (CPAP)] for hypoxaemic patients with acute peri-operative/periprocedural respiratory failure. The goal was to assess the available literature on the various noninvasive respiratory support techniques, specifically studies that included adult participants with hypoxaemia in the peri-operative/periprocedural period. The literature search strategy was developed by a Cochrane Anaesthesia and Intensive Care trial search specialist in close collaboration with the panel members and the ESA group methodologist. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the level of evidence and to grade recommendations. The final process was then validated by both ESA and ESICM scientific committees. Among 19 recommendations, the two grade 1B recommendations state that in the peri-operative/periprocedural hypoxaemic patient, the use of either NIPPV or CPAP (based on local expertise) is preferred to COT for improvement of oxygenation; and that the panel suggests using NIPPV or CPAP immediately postextubation for hypoxaemic patients at risk of developing acute respiratory failure after abdominal surgery.

U2 - 10.1097/EJA.0000000000001166

DO - 10.1097/EJA.0000000000001166

M3 - Journal article

VL - 37

SP - 265

EP - 279

JO - European Journal of Anaesthesiology

JF - European Journal of Anaesthesiology

SN - 0265-0215

IS - 4

ER -

ID: 59610623