Abstract
Dyspnea is a common consequence of progressive respiratory disease, especially at the end of life. The increasing use of noninvasive positive pressure ventilation (NPPV) has reduced the need for endotracheal ventilation in patients with acute respiratory failure (ARF). Also, NPPV use as a palliation strategy, to alleviate the symptoms of respiratory distress in dying patients, has been growing over the years. Although more studies are needed on this subject, international societies have already added the use of NPPV for palliative purposes into their guidelines. It is of major importance to optimize communication between healthcare professionals, patients and their families around the issue of when to start NPPV as palliative measure and how to withdraw it at the end of life if palliation is not achieved. This communication should start early in the course of the disease.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Steindal SA, Hofsø K, Aagaard H, et al. Non-invasive ventilation in the palliative care of patients with chronic obstructive pulmonary disease: a scoping review protocol. BMJ Open. 2021;11:1–6.
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(3):932–9.
Azoulay E, Demoule A, Jaber S, et al. Palliative noninvasive ventilation in patients with acute respiratory failure. Intensive Care Med. 2011;37:1250–7.
Azoulay E, Timsit JF, Sprung CL. Prevalence and factors of intensive care unit conflicts: the Conflicus study. Am J Respir Crit Care Med. 2009;180:853–60.
Back AL, Arnold RM, Quill TE. Hope for the best, and prepare for the worst. Ann Intern Med. 2003;138:439–43.
Gifford AH. Noninvasive ventilation as a palliative measure. Curr Opin Support Palliat Care. 2014;8:218–24.
Rochwerg B, Brochard L, Elliott MW, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50:1602426.
Davies JD. Noninvasive respiratory support at the end of life. Respir Care. 2019;64:701–11.
Wilson ME, Majzoub AM, Dobler CC, et al. Noninvasive ventilation in patients with do-not-intubate and comfort-measures-only orders: a systematic review and meta-analysis. Crit Care Med. 2018;46:1209–16.
Disler RT, Currow DC, Phillips JL, et al. Interventions to support a palliative care approach in patients with chronic obstructive pulmonary disease: an integrative review. Int J Nurs Stud. 2012;49:1443–58.
Morelot-Panzini C, Bruneteau G, Gonzalez-Bermejo J. NIV in amyotrophic lateral sclerosis: The “when” and “how” of the matter. Respirology. 2019;24:521–30.
Arnulf I, Similowski T, Salachas F, et al. Sleep disorders and diaphragmatic function in patients with amyotrophic lateral sclerosis. Am J Respir Crit Care Med. 2020;161:849–56.
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.
Mercadante S, Casuccio A, Fulfaro F. The course of symptom frequency and intensity in advanced cancer patients followed at home. J Pain Symptom Manage. 2000;20(2):104–12.
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
Mendes, B. (2023). Models of Noninvasive Mechanical Ventilation Unit in Palliative Care and End-Stage. In: Esquinas, A.M., Spicuzza, L., Scala, R. (eds) Noninvasive Ventilation Outside Intensive Care Unit. Noninvasive Ventilation. The Essentials. Springer, Cham. https://doi.org/10.1007/978-3-031-37796-9_27
Download citation
DOI: https://doi.org/10.1007/978-3-031-37796-9_27
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-37795-2
Online ISBN: 978-3-031-37796-9
eBook Packages: MedicineMedicine (R0)