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Scientific article
French

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

Other titleNon invasive ventilation in the ICU for the neuromuscular patient: ethical issues
Published inRevue médicale suisse, vol. 6, no. 275, p. 2390-2395
Publication date2010
Abstract

Non-invasive mechanical ventilation in patients with chronic neuromuscular disorders is an effective tool for treating dyspnea or sleep disturbances often observed in such patients. So, NIV has to be considered as a palliative treatment and it must systematically be offered to these patients. Mechanical ventilation, non-invasive or invasive (via a trachesotomy) have to be considered systematically with patients and families at an earlier stages of these diseases in order to design a strategy in case of acute respiratory failure. In a second parent paper of this issue, we discuss the medico-legal implications of mechanical ventilation in neuromuscular failure, particularly the end-of-life aspects.

Keywords
  • Amyotrophic Lateral Sclerosis/therapy
  • Humans
  • Muscular Dystrophy, Duchenne/therapy
  • Neuromuscular Diseases/complications/*therapy
  • Palliative Care/*ethics/legislation & jurisprudence
  • Positive-Pressure Respiration/*ethics
  • Quality of Life
  • Respiration, Artificial/ethics
  • Respiratory Insufficiency/etiology/*therapy
  • Switzerland
  • Tracheostomy/*ethics/legislation & jurisprudence
Citation (ISO format)
CHEVROLET, Jean-Claude, JANSSENS, Jean-Paul, ADLER, Dan Elie. Ventilation non invasive et insuffisance respiratoire chronique d’origine neuromusculaire: implications pour l’intensiviste. Aspects éthiques. In: Revue médicale suisse, 2010, vol. 6, n° 275, p. 2390–2395.
Identifiers
ISSN of the journal1660-9379
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