SFAR / SPLF / SRLF — Conférence de Consensus 2006

Ventilation non invasive (insuffisance respiratoire aiguë)

Ventilation Non Invasive au cours de l'insuffisance respiratoire aiguë (nouveau-né exclu)

Independent summary, neither edited nor endorsed by the societies cited.

This summary is currently available in French only (titles, summaries and recommendations): the English version is in preparation.

Update in progress. The society has announced a new version of this guideline; the summary will be updated as soon as it is published.

Scope of the guideline

Place et modalités de la ventilation non invasive (VNI) dans les différents types d'insuffisance respiratoire aiguë (IRA), nouveau-né exclu. VS-PEP (ventilation spontanée avec pression expiratoire positive) = pression positive continue (PPC).

Key points

VNI recommandée dans la décompensation de BPCO avec acidose (pH < 7,35), l'OAP cardiogénique, l'IRA de l'immunodéprimé et après chirurgie thoracique ou abdominale.
OAP cardiogénique : VNI associée au traitement médical optimal ; en préhospitalier, VS-PEP.
Respecter les contre-indications absolues (coma non hypercapnique, choc, épuisement, pneumothorax non drainé, patient non coopérant…).

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Contents of the full summary

Question 1 (1/2) — Quels patients relèvent de la VNI ?
Question 1 (2/2) — Tableau 2 : niveaux de recommandation par indication
Question 2 (1/2) — Critères cliniques d'instauration & modes
Question 2 (2/2) — Critères cliniques par pathologie (suite)
Pneumopathies hypoxémiantes
Question 3 — Moyens requis pour la mise en œuvre
Question 4 — Efficacité, échec et risques
Tableau 3 — Effets indésirables de la VNI
Tableau 4 — Critères associés à un risque d'échec accru
Critères de poursuite et d'arrêt de la VNI

Societies: SFAR, SPLF, SRLF, SFMU
Document: CC · 12 October 2006
Methodology: GRADE
Endorsement: 3e Conférence de Consensus commune, 12/10/2006

Older source. Guideline published in 2006, more than 10 years ago: check with the society that no update has been published since.

Official source document ↗ — freely available on the society's website (link checked on 12 October 2026).

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Independent summary: it replaces neither the full text of the official guideline nor clinical judgement, and is neither edited nor endorsed by the societies cited. Our approach