Stratégies ventilatoires en situations palliatives
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- 作者：M. Venot ; A. Kouatchet ; S. Jaber ; A. Demoule ; é. Azoulay
- 关键词：Soins palliatifs ; Ventilation non invasive ; Oxygénothérapie ; Fin de vie ; Palliative care ; Noninvasive ventilation ; Oxygen therapy ; End ; of ; life
- 刊名：Réanimation
- 出版年：2015
- 出版时间：January 2015
- 年：2015
- 卷：24
- 期：1
- 页码：56-62
- 全文大小：154 KB
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文摘
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.