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Ventilation non invasive et insuffisance respiratoire chronique d'origine neuromusculaire: implications pour l'intensiviste. Aspects médico-legaux

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Published in Revue médicale suisse. 2010, vol. 6, no. 275, p. 2396, 2398-2400
Abstract The legal frame in which chronic mechanical ventilation is placed in Switzerland and France is discussed in this article. Safety of the patients and responsibility of caregivers are considered. We also discuss the ethical and legal aspects of the end-of-life of these patients, particularly when they decide that mechanical ventilation must be interrupted because they do not more tolerate their poor quality of life, and when they deliberately decide to die.
Keywords Amyotrophic Lateral Sclerosis/therapyContinuous Positive Airway Pressure/ethicsFranceHumansIntensive Care/ethics/*legislation & jurisprudenceIntensive Care Units/legislation & jurisprudenceMuscular Dystrophy, Duchenne/therapyNeuromuscular Diseases/complications/*therapy*Positive-Pressure Respiration/ethicsPrognosisQuality of LifeRespiration, Artificial/ethicsRespiratory Insufficiency/etiology/*therapyResuscitation/ethicsSwitzerlandTerminal Care/ethics/*legislation & jurisprudenceTracheostomy/ethics/*legislation & jurisprudenceWithholding Treatment/ethics/*legislation & jurisprudence
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PMID: 21268418
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CHEVROLET, Jean-Claude, JANSSENS, Jean-Paul, ADLER, Dan Elie. Ventilation non invasive et insuffisance respiratoire chronique d'origine neuromusculaire: implications pour l'intensiviste. Aspects médico-legaux. In: Revue médicale suisse, 2010, vol. 6, n° 275, p. 2396, 2398-2400. https://archive-ouverte.unige.ch/unige:20442

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Deposited on : 2012-05-22

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