Ventilation Strategies in Palliative Care

Authors

  • M. Venot Service de réanimation médicale, APHP, hôpital Saint Louis
  • A. Kouatchet Service de réanimation médicale, CHU d'Angers
  • S. Jaber Réanimation DAR B, CHU Saint Éloi, Montpellier, INSERM U104
  • A. Demoule Université Paris-Diderot, Sorbonne Paris-Cité, Faculté de médecine
  • É. Azoulay Université Paris-Diderot, Sorbonne Paris-Cité, Faculté de médecine

DOI:

https://doi.org/10.1007/s13546-015-1023-4

Keywords:

Gastrointestinal function, Abdominal pressure, Gastrointestinal symptoms, Intra-abdominal hypertension, Abdominal compartment syndrome

Abstract

Palliative care is proposed to patients with advanced and terminal illnesses in order to prevent and relieve suffering and improve their quality of life. Breathlessness is one of the main aspects of end-stage disease. To relieve dyspnea, different measures are proposed including oxygen and opioid drugs. Moreover, noninvasive ventilation is sometimes used as a palliative strategy when intubation is deemed inappropriate. We propose a review of literature concerning the place of palliative oxygen and non-invasive ventilation in different situations such as do-not-intubate orders, end-stage cardiac or respiratory failures, advanced age, end-of-life oncology patients or neurodegenerative diseases.

Published

2015-01-14

How to Cite

Venot, M., Kouatchet, A., Jaber, S., Demoule, A., & Azoulay, É. (2015). Ventilation Strategies in Palliative Care. Médecine Intensive Réanimation, 24(1), 56–62. https://doi.org/10.1007/s13546-015-1023-4