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CAPC Palliative Care Discussion Forum
Palliative Care and the ICU
Noninvasive ventilation for symptoms in DNRAuthor: ChesapeakeMD
Date: Feb 24, 2009 11:26 am
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| Re:Noninvasive ventilation for symptoms in DNR (by Deb on 02/24/2009)
We do not initiate NIV for resp distress, but it is not unusal for us to be called to see a pt who has been on NIV for medical management and has not progressed with poor prognosis, so PC is called. Usually once we get the pt comfortable on a drip we are able to dc NIV. Occasionally, the pt prefers to keep it on and dies with it, but for the most part, people do not like and do not find it much of a comfort measure.
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| Re:Noninvasive ventilation for symptoms in DNR (by Barbarella on 11/01/2012)
It really depends on patient and family's goals. Sometimes the use of bipap will get a patient over a hump in order to attempt to fulfill wishes such as an upcoming birthday, wedding, family on their way... Timed trials can be a good thing and allow the patient and family time. Conversation can be ongoing and if pt is burdened then other decisions may be made.
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