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Respiratory conditions

About

What is covered

This interactive flowchart covers the guidance NICE has produced on airway problems, cystic fibrosis, mesothelioma, obstructive sleep apnoea-hypopnoea syndrome, persistent air leaks and respiratory failure. It also includes links to NICE recommendations on asthma, antibiotic prescribing for self-limiting respiratory tract infections, chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, lung cancer, pneumonia and tuberculosis.
To find other information about respiratory conditions, including evidence from NICE Accredited sources, visit NICE Evidence Search.

Updates

Updates to this interactive flowchart

23 August 2016 Extracorporeal membrane carbon dioxide removal for acute respiratory failure (NICE interventional procedures guidance 564) added to respiratory failure.
26 July 2016 Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation (NICE technology appraisal guidance 398) added to cystic fibrosis.

Your responsibility

Guidelines

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this interactive flowchart is not mandatory and does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the interactive flowchart to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Technology appraisals

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Medical technologies guidance, diagnostics guidance and interventional procedures guidance

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Person-centred care

People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

Short Text

Everything NICE has said on respiratory conditions in an interactive flowchart

What is covered

This interactive flowchart covers the guidance NICE has produced on airway problems, cystic fibrosis, mesothelioma, obstructive sleep apnoea-hypopnoea syndrome, persistent air leaks and respiratory failure. It also includes links to NICE recommendations on asthma, antibiotic prescribing for self-limiting respiratory tract infections, chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, lung cancer, pneumonia and tuberculosis.
To find other information about respiratory conditions, including evidence from NICE Accredited sources, visit NICE Evidence Search.

Updates

Updates to this interactive flowchart

23 August 2016 Extracorporeal membrane carbon dioxide removal for acute respiratory failure (NICE interventional procedures guidance 564) added to respiratory failure.
26 July 2016 Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation (NICE technology appraisal guidance 398) added to cystic fibrosis.

Sources

NICE guidance and other sources used to create this interactive flowchart.
Mannitol dry powder for inhalation for treating cystic fibrosis (2012) NICE technology appraisal guidance 266
Amantadine, oseltamivir and zanamivir for the treatment of influenza (2009) NICE technology appraisal guidance 168
Pemetrexed for the treatment of malignant pleural mesothelioma (2008) NICE technology appraisal guidance 135
Extracorporeal membrane carbon dioxide removal for acute respiratory failure (2016) NICE interventional procedures guidance 564
Translaryngeal tracheostomy (2013) NICE interventional procedures guidance 462
Insertion of endobronchial valves for persistent air leaks (2013) NICE interventional procedures guidance 448
Extracorporeal membrane oxygenation (ECMO) in postneonatal children (2004) NICE interventional procedures guidance 38
Ambu aScope2 for use in unexpected difficult airways (2013) NICE medical technologies guidance 14
Cystic fibrosis: long-term azithromycin (2014) NICE evidence summary ESUOM37
CentriMag for heart failure (2014) NICE medtech innovation briefing 92

Quality standards

Quality statements

Effective interventions library

Effective interventions library

Successful effective interventions library details

Implementation

Information for the public

NICE produces information for the public that summarises, in plain English, the recommendations that NICE makes to healthcare and other professionals.
NICE has written information for the public explaining its guidance on each of the following topics.

Pathway information

Your responsibility

Guidelines

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this interactive flowchart is not mandatory and does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the interactive flowchart to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Technology appraisals

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Medical technologies guidance, diagnostics guidance and interventional procedures guidance

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Person-centred care

People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

Supporting information

Glossary

Paths in this pathway

Pathway created: June 2015 Last updated: May 2017

© NICE 2017

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