Abstract：
Initiation of home non-invasive ventilation (NIV) requires careful consideration of the patient\'s condition, motivation, expectations, wishes, and social circumstances. The decision to start NIV depends on a combination of factors including patient symptoms and objective evidence of nocturnal hypoventilation. A solid understanding of the underlying pathophysiology is key to a systematic and well-balanced clinical approach to titrating NIV. The location where NIV is initiated is not the most relevant issue, provided that it is a comfortable, safe environment in which adequate monitoring can be assured. The majority of patients prefer their own home for treatment initiation.
摘要：
启动家庭无创通气（NIV）需要仔细考虑患者的病情，动机，期望,愿望,和社会环境。开始NIV的决定取决于多种因素，包括患者症状和夜间通气不足的客观证据。对潜在病理生理学的深入了解是滴定NIV的系统和平衡的临床方法的关键。NIV启动的地点不是最相关的问题，只要它是舒适的，安全的环境，可以保证充分的监测。大多数患者更喜欢自己的家庭开始治疗。
