Supplementary Material for: German National Guideline for Treating Chronic Respiratory Failure with Non-Invasive Ventilation

The german guideline on non-invasive ventilation offers comprehensive recommendations for the treatment of chronic respiratory failure in various underlying conditions, such as COPD, thoraco-restrictive diseases, obesity-hypoventilation syndrome, and neuromuscular diseases. The aim of the guideline is to improve the treatment of patients with chronic respiratory insufficiency using non-invasive ventilation and to make the indications and therapy recommendations accessible to all involved in the treatment process. It is based on the latest scientific evidence and replaces the previous guideline from 2017. This revised guideline provides detailed recommendations on the application of non-invasive ventilation, ventilation settings, and the subsequent follow-up of treatment. In addition to the updated evidence, important new features of this guideline include new recommendations on patient care and numerous detailed treatment pathways that make the guideline more user-friendly. Furthermore, a completely revised section is dedicated to ethical issues and offers recommendations for end-of-life care. This guideline is an important tool for physicians and other healthcare professionals to optimize the care of patients with chronic respiratory failure.

德国无创通气（non-invasive ventilation）指南针对多种基础疾病所致慢性呼吸衰竭的治疗提供了全面推荐意见，涵盖慢性阻塞性肺疾病（COPD）、胸壁限制性疾病、肥胖低通气综合征以及神经肌肉疾病。本指南旨在优化无创通气治疗慢性呼吸衰竭患者的临床实践，并使所有参与诊疗流程的人员均可清晰获取相关适应证与治疗推荐意见。本指南基于最新科学证据制定，替代了2017年发布的旧版指南。本次修订后的指南针对无创通气的临床应用、通气参数设置以及治疗后随访均给出了详细推荐意见。除更新了循证证据外，本指南的重要新增内容还包括患者照护相关的全新推荐意见，以及大量细化的诊疗路径，大幅提升了指南的临床易用性。此外，本指南还全新修订了伦理议题专章，为临终关怀提供了相关推荐意见。本指南可为临床医师及其他医护人员优化慢性呼吸衰竭患者的照护质量提供重要的实用工具。