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Withdrawal of Invasive Mechanical Ventilation 

Withdrawal of Invasive Mechanical Ventilation
Chapter:
Withdrawal of Invasive Mechanical Ventilation
Author(s):

Margaret L. Campbell

DOI:
10.1093/med/9780190862374.003.0029
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date: 18 October 2019

The withdrawal of invasive mechanical ventilation is done to allow a natural death. Families may or may not be at the bedside according to their preference. Patients dependent on mechanical ventilation may be at high risk for experiencing respiratory distress during and after withdrawal. Close attention to assessing for respiratory distress is integral to the procedure. A number of processes constitute this palliative procedure, including pre-medication for anticipatory respiratory distress, assessing for respiratory distress, treating any respiratory distress with morphine, reducing the ventilatory support, and removing the endotracheal tube. Estimations of duration of survival will contribute to post-withdrawal triage decisions.

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