Abstract
Use of noninvasive ventilation is controversial in the end-of-life patients. It may be seen as a comfort tool to alleviate breathlessness, but on occasions, it may increase suffering. At the end of life, clinicians must be prepared to stop noninvasive ventilation if the burdens outweigh the benefits. Effective communication with patients and family should determine the goals of care.
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- ARF:
-
Acute respiratory failure
- BiPAP:
-
Bilevel positive airway pressure
- CMO:
-
Comfort measures only
- COPD:
-
Chronic obstructive pulmonary disease
- DNI:
-
Do not intubate
- DNR:
-
Do not resuscitate
- HADS:
-
Hospital Anxiety and Depression Scale
- HFO:
-
High-flow oxygen
- HRQOL:
-
Health-related quality of life
- ICU:
-
Intensive care unit
- IES:
-
Impact of Event Scale
- LSTs:
-
Life-sustaining treatments
- NIV:
-
Noninvasive ventilation
- PC:
-
Palliative care
- PTSD:
-
Posttraumatic stress disorder
- SF-36:
-
Short-Form 36 questionnaire
- WHO:
-
World Health Organization
References
Farquhar M, Penfold C, Benson J, et al. Six key topics informal carers of patients with breathlessness in advanced disease want to learn about and why: MRC phase I study to inform an educational intervention. PLoS One. 2017;12(5):e0177081.
Organized jointly by the American Thoracic Society, the European Respiratory Society, the European Society of Intensive Care Medicine, and the Société de Réanimation de Langue Française, and approved by ATS Board of Directors, December 2000. International Consensus Conferences in Intensive Care Medicine: noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med. 2001;163:283–91.
Hui D, Morgado M, Chisholm G, et al. High-flow oxygen and bilevel positive airway pressure for persistent dyspnea in patients with advanced cancer: a phase II randomized trial. J Pain Symptom Manag. 2013;46:463–73.
Nava S, Ferrer M, Esquinas A, et al. Palliative use of non-invasive ventilation in end-of-life patients with solid tumours: a randomised feasibility trial. Lancet Oncol. 2013;14:219–27.
Azoulay É, Kouatchet A, Jaber S, et al. Non-invasive ventilation for end-of-life oncology patients. Lancet Oncol. 2013;14:e200–1.
Azoulay É, Kouatchet A, Jaber S, et al. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med. 2012;39:292–301.
Ersek M, Miller SC, Wagner TH, et al. Association between aggressive care and bereaved families’ evaluation of end-of-life care for veterans with non-small cell lung cancer who died in veterans affairs facilities. Cancer. 2017;123:3186–94.
Ornstein KA, Aldridge MD, Garrido MM, et al. The use of life-sustaining procedures in the last month of life is associated with more depressive symptoms in surviving spouses. J Pain Symptom Manag. 2017;53:178–187.e1.
Schettino G, Altobelli N, Kacmarek RM. Noninvasive positive pressure ventilation reverses acute respiratory failure in select “do-not- intubate” patients. Crit Care Med. 2005;33:1976–82.
Farha S, Ghamra ZW, Hoisington ER, et al. Use of noninvasive positive-pressure ventilation on the regular hospital ward: experience and correlates of success. Respir Care. 2006;51:1237–43.
Sinuff T, Cook DJ, Keenan SP, et al. Noninvasive ventilation for acute respiratory failure near the end of life. Crit Care Med. 2008;36:789–94.
Curtis JR, Cook DJ, Sinuff T, et al. Noninvasive positive pressure ventilation in critical and palliative care settings: understanding the goals of therapy. Crit Care Med. 2007;35:932–9.
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Erdogan, E., Dikmen, Y. (2020). NIV in Palliative Medicine and End-of-Life Care: The Perspectives of Patients, Families and Clinicians. In: Esquinas, A., Vargas, N. (eds) Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients . Springer, Cham. https://doi.org/10.1007/978-3-030-26664-6_36
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DOI: https://doi.org/10.1007/978-3-030-26664-6_36
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