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

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Harvard

Leone, M, Einav, S, Chiumello, D, Constantin, J-M, De Robertis, E, De Abreu, MG, Gregoretti, C, Jaber, S, Maggiore, SM, Pelosi, P, Sorbello, M, Afshari, A & Guideline contributors 2020, 'Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: a joint ESA/ESICM guideline', Intensive Care Medicine, bind 46, nr. 4, s. 697-713. https://doi.org/10.1007/s00134-020-05948-0

APA

Leone, M., Einav, S., Chiumello, D., Constantin, J-M., De Robertis, E., De Abreu, M. G., Gregoretti, C., Jaber, S., Maggiore, S. M., Pelosi, P., Sorbello, M., Afshari, A., & Guideline contributors (2020). Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: a joint ESA/ESICM guideline. Intensive Care Medicine, 46(4), 697-713. https://doi.org/10.1007/s00134-020-05948-0

CBE

Leone M, Einav S, Chiumello D, Constantin J-M, De Robertis E, De Abreu MG, Gregoretti C, Jaber S, Maggiore SM, Pelosi P, Sorbello M, Afshari A, Guideline contributors. 2020. Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: a joint ESA/ESICM guideline. Intensive Care Medicine. 46(4):697-713. https://doi.org/10.1007/s00134-020-05948-0

MLA

Vancouver

Author

Leone, Marc ; Einav, Sharon ; Chiumello, Davide ; Constantin, Jean-Michel ; De Robertis, Edoardo ; De Abreu, Marcelo Gama ; Gregoretti, Cesare ; Jaber, Samir ; Maggiore, Salvatore Maurizio ; Pelosi, Paolo ; Sorbello, Massimiliano ; Afshari, Arash ; Guideline contributors. / Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient : a joint ESA/ESICM guideline. I: Intensive Care Medicine. 2020 ; Bind 46, Nr. 4. s. 697-713.

Bibtex

@article{e46699896706462f807a6f8da247b962,
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 at risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) 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, 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 post-extubation for hypoxaemic patients at risk of developing acute respiratory failure after abdominal surgery.",
keywords = "Hypoxaemia, Peri-operative, Periprocedural, Ventilation",
author = "Marc Leone and Sharon Einav and Davide Chiumello and Jean-Michel Constantin and {De Robertis}, Edoardo and {De Abreu}, {Marcelo Gama} and Cesare Gregoretti and Samir Jaber and Maggiore, {Salvatore Maurizio} and Paolo Pelosi and Massimiliano Sorbello and Arash Afshari and {Guideline contributors}",
year = "2020",
month = apr,
doi = "10.1007/s00134-020-05948-0",
language = "English",
volume = "46",
pages = "697--713",
journal = "Intensive Care Medicine Experimental",
issn = "0342-4642",
publisher = "Springer",
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 - De Abreu, Marcelo Gama

AU - Gregoretti, Cesare

AU - Jaber, Samir

AU - Maggiore, Salvatore Maurizio

AU - Pelosi, Paolo

AU - Sorbello, Massimiliano

AU - Afshari, Arash

AU - Guideline contributors

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 at risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) 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, 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 post-extubation 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 at risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) 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, 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 post-extubation for hypoxaemic patients at risk of developing acute respiratory failure after abdominal surgery.

KW - Hypoxaemia

KW - Peri-operative

KW - Periprocedural

KW - Ventilation

UR - http://www.scopus.com/inward/record.url?scp=85081729528&partnerID=8YFLogxK

U2 - 10.1007/s00134-020-05948-0

DO - 10.1007/s00134-020-05948-0

M3 - Journal article

C2 - 32157356

VL - 46

SP - 697

EP - 713

JO - Intensive Care Medicine Experimental

JF - Intensive Care Medicine Experimental

SN - 0342-4642

IS - 4

ER -

ID: 59610492