• Mariana Almada Bassani, Ana Beatriz Francioso de Oliveira, Antônio F Oliveira Neto, and Renata Taize.
• Unidade de Terapia Intensiva, CAISM, UNICAMP.
• Rev Bras Ter Intensiva. 2008 Jun 1;20(2):205-9.

Background And ObjectivesPalliative care is based on prevention and relief of suffering, identifying, assessing and treating pain and other physical, psychological, social and spiritual problems. Sudden dyspnea is frequently observed in terminal oncologic patients. In these cases, noninvasive ventilation can be an adequate option to control dyspnea promoting comfort and allowing patient interaction with their relatives. The aim of this article was to present the benefits of noninvasive ventilation in the palliative care setting.Case ReportThe case of a 29 year old patient, admitted in intensive care unit (ICU), after cesarean section delivery, for clinical treatment of acute respiratory failure is reported. Chest X-ray showed pulmonary mass in the right lung. After clinical and image investigation, metastatic thoracic sarcoma was diagnosed and palliative cares were introduced. The ICU interdisciplinary team chose to use noninvasive ventilation (modality CPAP + PSV) to relieve dyspnea and discomfort, as well as to allow interaction with her baby and family.ConclusionsPalliative care with noninvasive ventilation contributed to increase comfort of the patient by controlling dyspnea.

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