Journal article
Tracheostomy in motor neuron disease
- Abstract:
- 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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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Access Document
- Files:
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(Preview, Accepted manuscript, pdf, 305.6KB, Terms of use)
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- Publisher copy:
- 10.1136/practneurol-2018-002109
Authors
- Publisher:
- BMJ Publishing Group
- Journal:
- Practical Neurology More from this journal
- Volume:
- 19
- Issue:
- 6
- Pages:
- 467-475
- Publication date:
- 2019-07-04
- Acceptance date:
- 2019-04-08
- DOI:
- EISSN:
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1474-7766
- ISSN:
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1474-7758
- Pubs id:
-
pubs:992087
- UUID:
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uuid:90f3ba3a-2a35-430f-bacb-f49b12c8f20d
- Local pid:
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pubs:992087
- Source identifiers:
-
992087
- Deposit date:
-
2019-04-17
Terms of use
- Copyright date:
- 2019
- Notes:
- © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. This is the accepted manuscript version of the article. The final version is available online from BMJ Publishing Group at: https://doi.org/10.1136/practneurol-2018-002109
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