PT  - JOURNAL ARTICLE
AU  - John D Davies
TI  - Noninvasive Respiratory Support at the End of Life
AID  - 10.4187/respcare.06618
DP  - 2019 Jun 01
TA  - Respiratory Care
PG  - 701--711
VI  - 64
IP  - 6
4099  - http://rc.rcjournal.com/content/64/6/701.short
4100  - http://rc.rcjournal.com/content/64/6/701.full
AB  - Noninvasive respiratory support at the end of life is controversial, although it is becoming increasingly common. Supplemental oxygen is widely prescribed for palliative care and may help with hypoxemic respiratory failure. Noninvasive ventilation has a well-established evidence-based role in the management of respiratory failure due to exacerbations of COPD and cardiogenic pulmonary edema. However, its role during palliative care is unclear, and evidence of support is limited. High-flow nasal cannula oxygen therapy is a new strategy for which there is evidence to support its use for hypoxemic respiratory failure. However, any benefit of the use of high-flow nasal cannula oxygen therapy in the palliative setting is unknown at this time. This review examined evidence relating to the use of noninvasive respiratory support at the end of life.