Afficher la couverture 'Withdrawing noninvasive ventilation at end-of-life care : is there a right time? | TRIPODORO, Vilma A.' en grand format
/5

0 avis

Withdrawing noninvasive ventilation at end-of-life care : is there a right time?

Article indépendant

TRIPODORO, Vilma A. | RABEC, Claudio A. | DE VITO, Eduardo L.

PURPOSE OF REVIEW: The purpose of this review is the 'when' and 'how' of the matter of withdrawing noninvasive ventilation (NIV) at end-of-life (EoL) setting, having in mind the implications for patients, families and healthcare team. RECENT FINDINGS: Several recent publications raised the place and potential applications of NIV at EoL setting. However, there are no clear guidelines about when and how to withdraw NIV in these patients. Continuing NIV in a failing clinical condition may unnecessarily prolong the dying process. This is particularly relevant as frequently, EoL discussions are started only when patients are in severe distress, and they have little time to discuss their preferences and decisions. SUMMARY: Better advanced chronic disease and EoL condition definitions, as well as identification of possible scenarios, should help to decision-making and find the appropriate time to initiate, withhold and withdraw NIV. This review emphasized the relevance of an integrated approach across illness' trajectories and key transitions of patients who will need EoL care and such sustaining support measure.

http://dx.doi.org/10.1097/SPC.0000000000000471

Voir la revue «Current opinion in supportive and palliative care, 13»

Autres numéros de la revue «Current opinion in supportive and palliative care»

Consulter en ligne

Suggestions

Du même auteur

Withdrawing noninvasive ventilation at end-of...

Article indépendant | TRIPODORO, Vilma A. | Current opinion in supportive and palliative care | n°4 | vol.13

PURPOSE OF REVIEW: The purpose of this review is the 'when' and 'how' of the matter of withdrawing noninvasive ventilation (NIV) at end-of-life (EoL) setting, having in mind the implications for patients, families and healthcare t...

Economic impact of informal care of cancer pa...

Article indépendant | LAMFRE, Laura S. | Annals of palliative medicine | n°1 | vol.13

BACKGROUND: Economic analysis of the incorporation of palliative care (PC) programs allows for assessment of the potential financial impact of shifting activity from secondary care to primary, community and social care sectors. On...

Argentinian validation of the attitudes towar...

Article | SENESE, Agustina | Medicina | n°2 | vol.85

INTRODUCTION: Although euthanasia is an issue on the Argentinean parliamentary agenda, there is still confusion about its conceptualisation and limitations to its study. Attitudes towards euthanasia among the seriously ill remain ...

De la même série

Virtual geriatric and frailty assessment for ...

Article indépendant | TEJERO, Isabel | Current opinion in supportive and palliative care | n°1 | vol.18

PURPOSE OF REVIEW: Since SARS-CoV2 pandemic, many specialties have introduced virtual assessments within clinical practice. Conducting an online geriatric assessment, or relying on self-reported questionnaires, may be more challen...

Burnout of healthcare professionals in suppor...

Article indépendant | OLDENBURGER, Eva | Current opinion in supportive and palliative care | n°1 | vol.17

Purpose of review: Burnout is a complex phenomenon where several personal and work-related factors interact with each other. Palliative care is a challenging branch of healthcare, which can be especially demanding for the professi...

Current practices in managing end-of-life exi...

Article indépendant | DI RISIO, Michelle | Current opinion in supportive and palliative care | n°2 | vol.17

Purpose of the review: Within the context of palliative care, existential suffering (ES) can be an exclusive source of suffering or intertwined with physical pain and/or psychological and spiritual suffering. With newly emerging m...

Patient-reported outcomes versus proxy-report...

Article indépendant | OLDENBURGER, Eva | Current opinion in supportive and palliative care | n°2 | vol.17

PURPOSE OF THE REVIEW: Patient-reported outcomes are one of the most valuable clinical outcome measures. In palliative care, however, they are often difficult to retrieve. Therefore, proxy-reported outcomes are sometimes used as a...

Practical cancer cachexia management in palli...

Article indépendant | DUFFY, Tony | Current opinion in supportive and palliative care | n°3 | vol.17

PURPOSE OF REVIEW: To explore the current evidence relating to the practical management of cancer cachexia in palliative care. RECENT FINDINGS: The authors found a growing evidence base including the publication of several expert ...

Chargement des enrichissements...