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Terminal weaning, withdrawal of mechanical ventilation when the patient is not expected to survive the process, must not be burdensome to the patient or significant others. The healthcare team must individualize the weaning process, considering the physiologic comfort of the patient and the psychoemotional comfort of both the patient and family. The following case studies illustrate variations in a method for terminal weaning that are patient-specific and are based on the experience of a supportive care team.
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R. G. Miller, J. A. Rosenberg, D. E. Gelinas, H. Mitsumoto, D. Newman, R. L. Sufit, G. D. Borasio, W. G. Bradley, M. B. Bromberg, B. R. Brooks, et al. Practice Parameter: The Care of the Patient with Amyotrophic Lateral Sclerosis (An Evidence-Based Review): Report of the Quality Standards Subcommittee of the American Academy of Neurology Neurorehabil Neural Repair, June 1, 1999; 13(2): 93 - 107. [PDF] |
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