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NIV in Palliative Medicine and End-of-Life Care: The Perspectives of Patients, Families and Clinicians

  • Elif Erdogan
  • Yalim Dikmen
Chapter

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.

Abbreviations

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

  1. 1.
    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.CrossRefGoogle Scholar
  2. 2.
    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.CrossRefGoogle Scholar
  3. 3.
    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.CrossRefGoogle Scholar
  4. 4.
    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.CrossRefGoogle Scholar
  5. 5.
    Azoulay É, Kouatchet A, Jaber S, et al. Non-invasive ventilation for end-of-life oncology patients. Lancet Oncol. 2013;14:e200–1.CrossRefGoogle Scholar
  6. 6.
    Azoulay É, Kouatchet A, Jaber S, et al. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med. 2012;39:292–301.CrossRefGoogle Scholar
  7. 7.
    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.CrossRefGoogle Scholar
  8. 8.
    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.CrossRefGoogle Scholar
  9. 9.
    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.CrossRefGoogle Scholar
  10. 10.
    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.PubMedGoogle Scholar
  11. 11.
    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.CrossRefGoogle Scholar
  12. 12.
    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.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Elif Erdogan
    • 1
  • Yalim Dikmen
    • 1
  1. 1.Anesthesiology and Reanimation DepartmentCerrahpasa Medical School, Istanbul University-CerrahpasaIstanbulTurkey

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