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Wien Med Wochenschr · Dec 2009
Case Reports[Invasive and non-invasive ventilation in conflict with best palliative care in severe COPD].
- Martin Mikesch and Peter Reichenpfader.
- Interne Abteilung, Palliativkonsiliardienst/mobiles Palliativteam, Landesklinikum Waldviertel Zwettl, Zwettl, Austria. martin.mikesch@zwettl.lknoe.at
- Wien Med Wochenschr. 2009 Dec 1;159(23-24):599-603.
AbstractThis example of an 80-year-old patient with severe lung disease and respiratory failure demonstrates the difficult relationship between the patient's needs, physical symptoms, and social problems. This man decides after a prolonged and difficult in-patient treatment actively for home ventilation rather than die of respiratory failure. He opts for tracheostomy and invasive ventilation because he cannot handle non-invasive mask-ventilation sufficiently by himself. It requires professional communication and support to gain the acceptance of family and caregivers for home ventilation. A survey of existing data on end of life decision-making in end-stage lung disease is given.
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