Abstract
Over the last 50 years, thanks to advances in medical science and improved social care, life expectancy has been increasing across the world (Kocarnik et al., JAMA Oncol. 8:420–444, 2022). And so, the medical community has a new challenge that involves not only scientific knowledge but also difficult bioethical questions.
Palliative NIV encompasses a range of applications, from symptom-based intervention concurrent with disease-directed treatment to purely palliative treatment delivered at the end of life. Anticipation is key in palliative medicine, especially regarding patients with chronic respiratory failure. This is a controversial topic and future research is needed; however many authors suggested that NIV could be helpful in an appropriate environment and a family-centered strategy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kocarnik JM, Compton K, Dean FE, Fu W, Gaw BL, Harvey JD, et al. Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019. JAMA Oncol. 2022;8(3):420–44.
Sullivan DM. Euthanasia versus letting die: Christian decision-making in terminal patients. Ethics Med. 2005;21:21.
Piroddi IMG, Barlascini C, Esquinas A, Braido F, Banfi P, Nicolini A. Non-invasive mechanical ventilation in elderly patients: a narrative review: non-invasive ventilation in old patients. Geriatr Gerontol Int. 2017;17(5):689–96. https://doi.org/10.1111/ggi.12810.
Vilaça M, Aragão I, Cardoso T, Dias C, Cabral-Campello G. The role of noninvasive ventilation in patients with “do not intubate” order in the emergency setting. PLoS One. 2016;11(2):e0149649. https://doi.org/10.1371/journal.pone.0149649.
Schortgen F, Follin A, Piccari L, Roche-Campo F, Carteaux G, Taillandier-Heriche E. Results of non-invasive ventilation in very old patients. Ann Intensive Care. 2012;2:5.
Scala R, Esquinas A. Non invasive mechanical ventilation for very old patients with limitations of care: is the ICU the most appropriate setting? Crit Care. 2012;16:429.
Vargas N, Vargas M, Galluccio V, Carifi S, Villani C, Trasente V, et al. Non-invasive ventilation for very old patients with limitations to respiratory care in half-open geriatric ward: experience on a consecutive cohort of patients. Aging Clin Exp Res. 2014;26(6):615–23. https://doi.org/10.1007/s40520-014-0223-1.
Steindal SA, Hofsø K, Aagaard H, Mariussen KL, Andresen B, Christensen VL, et al. Non-invasive ventilation in the palliative care of patients with chronic obstructive pulmonary disease: a scoping review protocol. BMJ Open. 2021;11(12):e048344. https://doi.org/10.1136/bmjopen-2020-048344.
Quill CM, Quill TE. Palliative use of noninvasive ventilation: navigating murky waters. J Palliat Med. 2014;17(6):657–61. https://doi.org/10.1089/jpm.2014.0010.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Gomes, B.M. (2023). Upper Airway Disorders and Noninvasive Mechanical Ventilation: Rationale and Approaches. In: Esquinas, A.M., De Vito, A., Barbetakis, N. (eds) Upper Airway Disorders and Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-32487-1_21
Download citation
DOI: https://doi.org/10.1007/978-3-031-32487-1_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-32486-4
Online ISBN: 978-3-031-32487-1
eBook Packages: MedicineMedicine (R0)