Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients
This book provides readers with a comprehensive and up-to-date guide to non-invasive mechanical ventilation in palliative medicine, focusing on why and when it may be necessary. Physicians will find a practical guide to this specific context, particularly
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Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients
Antonio M. Esquinas • Nicola Vargas Editors
Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients
Editors Antonio M. Esquinas Intensive Care Unit Hospital General Universitario Morales Meseguer Murcia Spain
Nicola Vargas Geriatric and Intensive Geriatric Care Azienda Ospedaliera S.Giuseppe Moscati Avellino Italy
ISBN 978-3-030-26663-9 ISBN 978-3-030-26664-6 (eBook) https://doi.org/10.1007/978-3-030-26664-6 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Every day in clinical practice, we come across patients requiring care in a palliative context or elderly patients with clinical characteristics or a legal prerogative of donot-intubate (DNI). Patients with respiratory failure can benefit from palliative use of non-invasive ventilation (NIV)—not only in the sense of comfort care. Efforts have been made in the past to consider this therapeutic approach as an integral part of caring for all patients under invasive mechanical ventilation. Evidence from international guidelines and consensus statements has shown that NIV can be applied in a clinical context even out of the intensive care unit (ICU). This is possible if NIV is applied from a clinical, ethical, physiopathological, organizational, and rehabilitative point of view. This book serves as a platform to elaborate on all these aspects. This is the first time a book assesses NIV in the palliative and elderly context in a very extensive way. Special thanks to all international researchers, physicians, practitioners, and amateurs of NIV who have contribu
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