• Medicina intensiva · Jun 2021

    Practice Guideline

    Summary of recommendations and key points of the consensus of Spanish scientific societies (SEPAR, SEMICYUC, SEMES; SECIP, SENEO, SEDAR, SENP) on the use of non-invasive ventilation and high-flow oxygen therapy with nasal cannulas in adult, pediatric, and neonatal patients with severe acute respiratory failure.

    • M Luján, Ó Peñuelas, C Cinesi Gómez, A García-Salido, J Moreno Hernando, A Romero Berrocal, I Gutiérrez Ibarluzea, J F Masa Jiménez, A Mas, J M Carratalá Perales, M Gaboli, A Concheiro Guisán, J García Fernández, J Escámez, J Parrilla Parrilla, E Farrero Muñoz, M González, S B Heili-Frades, M Á Sánchez Quiroga, G Rialp Cervera, G Hernández, A Sánchez Torres, R Uña, C F Ortolà, M Ferrer Monreal, and C Egea Santaolalla.
    • Servicio de Neumología, Hospital Universitari Parc Taulí de Sabadell, Sabadell, Barcelona; Universitat Autònoma de Barcelona, Barcelona; CIBER de Enfermedades Respiratorias (CIBERES), Madrid, España.
    • Med Intensiva. 2021 Jun 1; 45 (5): 298-312.

    AbstractNon-invasive respiratory support (NIRS) in adult, pediatric, and neonatal patients with acute respiratory failure (ARF) comprises two treatment modalities, non-invasive mechanical ventilation (NIMV) and high-flow nasal cannula (HFNC) therapy. However, experts from different specialties disagree on the benefit of these techniques in different clinical settings. The objective of this consensus was to develop a series of good clinical practice recommendations for the application of non-invasive support in patients with ARF, endorsed by all scientific societies involved in the management of adult and pediatric/neonatal patients with ARF. To this end, the different societies involved were contacted, and they in turn appointed a group of 26 professionals with sufficient experience in the use of these techniques. Three face-to-face meetings were held to agree on recommendations (up to a total of 71) based on a literature review and the latest evidence associated with 3 categories: indications, monitoring and follow-up of NIRS. Finally, the experts from each scientific society involved voted telematically on each of the recommendations. To classify the degree of agreement, an analogue classification system was chosen that was easy and intuitive to use and that clearly stated whether the each NIRS intervention should be applied, could be applied, or should not be applied.Copyright © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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