Tracheostomy in motor neuron disease
Tracheostomy-associated ventilation for the respiratory insufficiency caused by amyotrophic lateral sclerosis (motor neurone disease (MND)) is a complex issue with practical, ethical and economic dimensions. This article considers the current prevalence of tracheostomy in MND, the evidence for its b...
Váldodahkkit: | , , , , , |
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Materiálatiipa: | Journal article |
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BMJ Publishing Group
2019
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_version_ | 1826285035490115584 |
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author | Turner, M Faull, C McDermott, C Nickol, A Palmer, J Talbot, K |
author_facet | Turner, M Faull, C McDermott, C Nickol, A Palmer, J Talbot, K |
author_sort | Turner, M |
collection | OXFORD |
description | Tracheostomy-associated ventilation for the respiratory insufficiency caused by amyotrophic lateral sclerosis (motor neurone disease (MND)) is a complex issue with practical, ethical and economic dimensions. This article considers the current prevalence of tracheostomy in MND, the evidence for its benefit both for survival and quality of life, and the practicalities of its implementation. The decision to request invasive ventilatory support is among the most challenging for those living with MND. Neurologists should be prepared to discuss this option openly and objectively: we suggest a framework for discussion, including withdrawal of therapy. |
first_indexed | 2024-03-07T01:22:50Z |
format | Journal article |
id | oxford-uuid:90f3ba3a-2a35-430f-bacb-f49b12c8f20d |
institution | University of Oxford |
last_indexed | 2024-03-07T01:22:50Z |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | dspace |
spelling | oxford-uuid:90f3ba3a-2a35-430f-bacb-f49b12c8f20d2022-03-26T23:15:14ZTracheostomy in motor neuron diseaseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:90f3ba3a-2a35-430f-bacb-f49b12c8f20dSymplectic Elements at OxfordBMJ Publishing Group2019Turner, MFaull, CMcDermott, CNickol, APalmer, JTalbot, KTracheostomy-associated ventilation for the respiratory insufficiency caused by amyotrophic lateral sclerosis (motor neurone disease (MND)) is a complex issue with practical, ethical and economic dimensions. This article considers the current prevalence of tracheostomy in MND, the evidence for its benefit both for survival and quality of life, and the practicalities of its implementation. The decision to request invasive ventilatory support is among the most challenging for those living with MND. Neurologists should be prepared to discuss this option openly and objectively: we suggest a framework for discussion, including withdrawal of therapy. |
spellingShingle | Turner, M Faull, C McDermott, C Nickol, A Palmer, J Talbot, K Tracheostomy in motor neuron disease |
title | Tracheostomy in motor neuron disease |
title_full | Tracheostomy in motor neuron disease |
title_fullStr | Tracheostomy in motor neuron disease |
title_full_unstemmed | Tracheostomy in motor neuron disease |
title_short | Tracheostomy in motor neuron disease |
title_sort | tracheostomy in motor neuron disease |
work_keys_str_mv | AT turnerm tracheostomyinmotorneurondisease AT faullc tracheostomyinmotorneurondisease AT mcdermottc tracheostomyinmotorneurondisease AT nickola tracheostomyinmotorneurondisease AT palmerj tracheostomyinmotorneurondisease AT talbotk tracheostomyinmotorneurondisease |