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Critical Care
Published in: Critical Care 3/2012

01-06-2012 | Letter

Noninvasive mechanical ventilation for very old patients with limitations of care: is the ICU the most appropriate setting?

Authors: Raffaele Scala, Antonio Esquinas

Published in: Critical Care | Issue 3/2012

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Excerpt

We read with interest the recent article by Schortgen and colleagues [1], who emphasized the role of noninvasive ventilation (NIV) as a 'ceiling' ventilatory treatment within the 'do-not-intubate (DNI) context', which turns out to be the largest indication in octogenarians given their high risk of developing life-threatening complications during invasive ventilation. As underlined by the authors, NIV may be considered a valid option in a wide range of 'DNI-linked' clinical scenarios, ranging from life support to a purely palliative tool [2]. …
Literature
1.
Schortgen F, Follin A, Piccari L, Roche-Campo F, Carteaux G, Taillandier-Heriche E, Krypciak S, Thille AW, Paillaud E, Brochard L: Results of noninvasive ventilation in very old patients. Ann Intensive Care 2012, 2: 5. 10.1186/2110-5820-2-5PubMedCentralCrossRefPubMed
2.
Scala R, Nava S: NIV and palliative care. Eur Respir Mon 2008, 41: 287-306.
3.
Nava S, Sturani C, Hartl S, Magni G, Ciontu M, Corrado A, Simonds A: European Respiratory Society Task Force on Ethics and decision-making in end stage lung disease: End-of-life decision-making in respiratory intermediate care units: a European survey. Eur Respir J 2007, 30: 156-164. 10.1183/09031936.00128306CrossRefPubMed
4.
Scala R, Corrado A, Marchese S, Ambrosino N: Increased number and expertise of Italian Respiratory High-Dependency Care Units: the second national survey. Respir Care 2011, 56: 1100-1107. 10.4187/respcare.01157CrossRefPubMed
5.
Sinuff T, Cook DJ, Keenan SP, Burns KE, Adhikari NK, Rocker GM, Mehta S, Kacmarek R, Eva K, Hill NS: Noninvasive ventilation for acute respiratory failure near the end of life. Crit Care Med 2008, 36: 789-794. 10.1097/CCM.0B013E3181653584CrossRefPubMed
Metadata
Title
Noninvasive mechanical ventilation for very old patients with limitations of care: is the ICU the most appropriate setting?
Authors
Raffaele Scala
Antonio Esquinas
Publication date
01-06-2012
Publisher
BioMed Central
Published in
Critical Care / Issue 3/2012
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc11352

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