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Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care pp 111–124Cite as

Noninvasive Ventilation in End-of-Life Care and Palliative Care

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Abstract

With the technological innovations in both the diagnosis and the multidisciplinary treatment, the mortality rate for much illness has been reduced. However, the increment in survival percentage is not always associated with a satisfactory quality of life. Increasing survival is not regularly a desirable goal to obtain for both the physician and the patient according to the modern vision of patient-centered management of diseases. Frequently, end palliation of symptoms and shared end-of-life decisions are the main targets of care to maintain human dignity in death for many terminal illnesses. In recent years the use of noninvasive ventilation (NIV) as a palliative treatment for respiratory failure and dyspnea has become increasingly common. Automatic databases by Google Scholar, PubMed, and Cochrane Library from 2017 to 2019 were searched to find out the recent literature related to the use of noninvasive ventilation in the palliative treatment and for the management of end of life for various illnesses, as neuromuscular disease, COPD and IPF, neurological disease, pediatric disease, and malignancy. In this chapter, a brief review of the literature and analysis of the studies related to this aspect was done.

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Abbreviations

ALS:

Amyotrophic lateral sclerosis

COPD:

Chronic obstructive pulmonary disease

DNI:

Do not intubate

ICU:

Intensive care unit

IMV:

Invasive mechanical ventilation

IPF:

Idiopathic pulmonary fibrosis

MND:

Motor neuron disease

NIPPV:

Noninvasive positive pressure ventilation

NIV:

Noninvasive ventilation

PC:

Palliative care

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Author information

Authors and Affiliations

  1. Division of Respiratory Physiopathology, Monaldi Hospital, Naples, Italy

    Maurizia Lanza, Anna Annunziata & Giuseppe Fiorentino

Authors
  1. Maurizia Lanza
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  2. Anna Annunziata
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  3. Giuseppe Fiorentino
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Editor information

Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

  2. Department of Pathophysiology and Pulmonary Rehab, Azienda Ospedaliera dei Colli PO Monaldi, Napoli, Italy

    Giuseppe Fiorentino

  3. Innovative Technologies for the Study of Sleep Breathing Disorders, Institute for Biomedical Research and Innovation (IRIB), Italian National Research Council, Palermo, Italy

    Giuseppe Insalaco

  4. Department of Pulmonary and CC Medicine, Lenox Hill Hospital, New York, NY, USA

    Bushra Mina

  5. Department of Respiratory and CC Medicine, First Affiliated Hospital of Chongqing M, Chongqing, China

    Jun Duan

  6. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Maria Cristina Mondardini

  7. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Fabio Caramelli

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Lanza, M., Annunziata, A., Fiorentino, G. (2020). Noninvasive Ventilation in End-of-Life Care and Palliative Care. In: Esquinas, A.M., et al. Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-42998-0_13

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  • DOI: https://doi.org/10.1007/978-3-030-42998-0_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42997-3

  • Online ISBN: 978-3-030-42998-0

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