Advance Directives

Please use this forum for any general discussions or questions you have about noninvasive ventilatory support and mechanical insufflation-exsufflation (MIE).
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curiousgeorge
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Advance Directives

Postby curiousgeorge » Mon Dec 07, 2015 1:19 am

Should I fill out an advance directive?

(Asked by a patient)

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bachjr
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Re: Advance Directives

Postby bachjr » Mon Dec 07, 2015 1:22 am

Advanced directives, as they are conventionally written, are inappropriate for people with respiratory muscle weakness because they encourage one to refuse all invasive tube placements, including intubation, which would result in unnecessary death. Physicians strongly think that people who are too weak to breathe cannot be extubated without tracheostomy tubes. Though intubation can be necessary, tracheostomy will usually not be necessary.

JB
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School


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