[Chronic respiratory failure: the role of home mechanical ventilation].

While negative pressure ventilation using cuirass respirators or iron-lung machines was prevailing in the first part of the 20th century, the polio epidemic in Copenhagen 1952 marks the turning point at which positive pressure ventilation following tracheotomy was started. Furthermore, following the introduction of facial masks and starting 1985 in Germany non-invasive positive pressure ventilation has meanwhile been developed as a routine procedure for the long-term treatment of patients with chronic ventilatory failure today. The current article provides an overview of these developments and also outlines the role of two particular national societies: "Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP) e. V." (German Medical Association of Pneumology and Ventilatory Support) and "Deutsche Interdisziplinäre Gesellschaft für außerklinische Beatmung (DIGAB) e. V." (German Interdisciplinary Society for Home Mechanical Ventilation). Copyright Georg Thieme Verlag KG Stuttgart . New York.