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Home mechanical ventilation in adults: clinical practice recommendations from the Portuguese respiratory society home mechanical ventilation assembly

2025-12-22Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
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, Cidália
dc.contributor.authorCristóvão, Cristina
dc.contributor.authorRodrigues, Daniela
dc.contributor.authorFerreira, Diva
dc.contributor.authorGonçalves, Filipe
dc.contributor.authorhelena Chaves Ramos
dc.contributor.authorCravo, João
dc.contributor.authorSilva, João Paulo
dc.contributor.authorda Silva Cunha Granatin, Karl Jonathan
dc.contributor.authorMéndez, Lucía
dc.contributor.authorZeller, Mafalda Van
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.date.accessioned2026-01-21T11:19:37Z
dc.date.available2026-01-21T11:19:37Z
dc.date.issued2025-12-22
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.eng
dc.identifier.doi10.1080/25310429.2025.2598915
dc.identifier.eissn2531-0437
dc.identifier.issn2531-0429
dc.identifier.urihttp://hdl.handle.net/10400.1/28162
dc.language.isoeng
dc.peerreviewedyes
dc.publisherInforma UK
dc.relation.ispartofPulmonology
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHome mechanical ventilation
dc.subjectRecommendations
dc.subjectClinical practice
dc.subjectExpert consensus
dc.titleHome mechanical ventilation in adults: clinical practice recommendations from the Portuguese respiratory society home mechanical ventilation assemblyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.startPage2598915
oaire.citation.titlePulmonology
oaire.citation.volume31
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameda Silva Cunha Granatin
person.givenNamehelena Chaves Ramos
person.givenNameKarl Jonathan
person.identifier.orcid0000-0002-2004-7936
person.identifier.orcid0000-0002-9972-2796
relation.isAuthorOfPublication483f5c0d-19b4-45eb-8804-f9d75baa08b4
relation.isAuthorOfPublicationccf2228c-17b0-47ce-95c3-15ac1f310396
relation.isAuthorOfPublication.latestForDiscoveryccf2228c-17b0-47ce-95c3-15ac1f310396

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