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Home mechanical ventilation in adults

2025-12-31Artigo científico Acesso aberto
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dc.contributor.authorRibeiro, Carla
dc.contributor.authorGomes, Rita
dc.contributor.authorCarreiro, Alexandra
dc.contributor.authorVieira, Ana Luísa
dc.contributor.authorSeabra, Bárbara
dc.contributor.authorConde, Bebiana
dc.contributor.authorNogueira, Carla
dc.contributor.authorJácome, Cristina
dc.contributor.authorLages, Joana
dc.contributor.authorAguiar, Margarida
dc.contributor.authorGrafino, Mónica
dc.contributor.authorPamplona, Paula
dc.contributor.authorCysneiros, Ana
dc.contributor.authorDurães, Célia
dc.contributor.authorRodrigues, Cidália
dc.contributor.authorPimenta, Cláudia
dc.contributor.authorCristóvão, Cristina
dc.contributor.authorRodrigues, Daniela
dc.contributor.authorFerreira, Diva
dc.contributor.authorGonçalves, Filipe
dc.contributor.authorRamos, Helena
dc.contributor.authorCravo, João
dc.contributor.authorSilva, João Paulo
dc.contributor.authorCunha, Karl
dc.contributor.authorMéndez, Lucía
dc.contributor.authorVan Zeller, Mafalda
dc.contributor.authorAraújo, Márcia
dc.contributor.authorBarata, Margarida
dc.contributor.authorRaposo, Margarida
dc.contributor.authorRedondo, Margarida
dc.contributor.authorJacob, Maria
dc.contributor.authorAraújo, Maria João
dc.contributor.authorGonçalves, Miguel R.
dc.contributor.authorGuia, Miguel
dc.contributor.authorFaria, Nuno
dc.contributor.authorViegas, Pedro
dc.contributor.authorConde, Sara
dc.contributor.authorDrummond, Marta
dc.contributor.authorPinto, Paula
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblElsevier Espana S.L.U
dc.date.accessioned2026-01-22T10:30:02Z
dc.date.available2026-01-22T10:30:02Z
dc.date.issued2025-12-31
dc.description.abstractBackground: The use of home mechanical ventilation (HMV) has been increasing worldwide, driven by widening of clinical applications and improved patient survival rates. In Portugal, recent data indicate an even faster growth, although national HMV recommendations have remained unchanged for 25 years. Research question: We aimed to provide an update in clinical practice guidelines for HMV in adults, applicable to the Portuguese context, grounded on the latest available evidence and experts' opinion. Study design and methods: A multidisciplinary panel with experience in HMV in the adult population was assembled. A comprehensive literature search was conducted during March 2023 regarding specific topics: equipment, ventilatory modes and interfaces, HMV initiation, follow-up and monitoring, disease specificities (neuromuscular diseases, obesity-hypoventilation syndrome, restrictive chest wall diseases; chronic obstructive pulmonary disease, and other diseases), home mechanical invasive ventilation, and palliative and end of life care. A 2-round Delphi process was conducted to establish consensus among panel members. A minimum agreement threshold of 80% was required. Results: Out of 88 recommendations initially included in the Delphi process, 61 were selected by consensus. Conclusion: Final recommendations grounded in the current level of evidence are outlined, and the key limitations and proposals for future research are discussed.en
dc.description.versionproof
dc.description.versionpublished
dc.format.extent1
dc.format.extent1398304
dc.identifier.doi10.1080/25310429.2025.2598915
dc.identifier.issn2531-0437
dc.identifier.otherPURE: 149270601
dc.identifier.otherPURE UUID: f2fcbab3-9ebc-42ed-aac5-d80774225f77
dc.identifier.otherScopus: 105025378468
dc.identifier.otherPubMed: 41427502
dc.identifier.otherWOS: 001645429400001
dc.identifier.urihttp://hdl.handle.net/10362/199629
dc.identifier.urlhttps://www.scopus.com/pages/publications/105025378468
dc.language.isoeng
dc.peerreviewedyes
dc.subjectclinical practice
dc.subjectexpert consensus
dc.subjectHome mechanical ventilation
dc.subjectrecommendations
dc.subjectPulmonary and Respiratory Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleHome mechanical ventilation in adultsen
dc.title.subtitleClinical practice recommendations from the Portuguese Respiratory Society home mechanical ventilation assemblyen
dc.typejournal article
degois.publication.firstPage
degois.publication.issue1
degois.publication.lastPage
degois.publication.titlePulmonology
degois.publication.volume31
dspace.entity.typePublication
rcaap.rightsopenAccess

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