title: Home mechanical ventilation: a Canadian Thoracic Society clinical practice guideline.
abstract: Increasing numbers of patients are surviving episodes of prolonged mechanical ventilation or benefitting from the recent availability of userfriendly noninvasive ventilators. Although many publications pertaining to specific aspects of home mechanical ventilation (HMV) exist, very few comprehensive guidelines that bring together all of the current literature on patients at risk for or using mechanical ventilatory support are available. The Canadian Thoracic Society HMV Guideline Committee has reviewed the available English literature on topics related to HMV in adults, and completed a detailed guideline that will help standardize and improve the assessment and management of individuals requiring noninvasive or invasive HMV. The guideline provides a disease-specific review of illnesses including amyotrophic lateral sclerosis, spinal cord injury, muscular dystrophies, myotonic dystrophy, kyphoscoliosis, post-polio syndrome, central hypoventilation syndrome, obesity hypoventilation syndrome, and chronic obstructive pulmonary disease as well as important common themes such as airway clearance and the process of transition to home. The guidelines have been extensively reviewed by international experts, allied health professionals and target audiences. They will be updated on a regular basis to incorporate any new information.
authors: Division of Respirology, University of Ottawa, Ottawa, Canada. dmckim@ottawahospital.on.ca
authors: Douglas A
authors: DA
authors: McKim
authors: Jeremy
authors: J
authors: Road
authors: Monica
authors: M
authors: Avendano
authors: Steve
authors: S
authors: Abdool
authors: Fabien
authors: F
authors: Cote
authors: Nigel
authors: N
authors: Duguid
authors: Janet
authors: J
authors: Fraser
authors: Fracois
authors: F
authors: Maltais
authors: Debra L
authors: DL
authors: Morrison
authors: Colleen
authors: C
authors: O'Connell
authors: Basil J
authors: BJ
authors: Petrof
authors: Karen
authors: K
authors: Rimmer
authors: Robert
authors: R
authors: Skomro
mesh_terms: D000328:Adult; D058109:Airway Management / Q000295:instrumentation / Q000379:methods / Q000592:standards; D002986:Clinical Trials as Topic; D006699:Home Care Services; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods / Q000592:standards; D009140:Musculoskeletal Diseases / Q000150:complications; D009422:Nervous System Diseases / Q000150:complications; D010845:Obesity Hypoventilation Syndrome / Q000150:complications; D010351:Patient Discharge / Q000592:standards; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D012121:Respiration, Artificial / Q000295:instrumentation / Q000379:methods / Q000592:standards; D012129:Respiratory Function Tests; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D018570:Risk Assessment