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Decision-making in the respiratory care of amyotrophic lateral sclerosis: should home mechanical ventilation be used?

Pulmonary Medicine, Southern California Permanente Medical Group, Los Angeles, California

As respiratory function starts to deteriorate in those with amyotrophic lateral sclerosis, one of the principal questions that has to be answered is whether it is appropriate to provide ventilatory support. Although expensive, it is perfectly feasible to provide this at home, and this article examines many of the issues surrounding home mechanical ventilation.

Key Words: amyotrophic lateral sclerosis • decision making • ethics • life support care • ventilators • mechanical

Palliative Medicine, Vol. 7, No. 4 suppl, 49-64 (1993)
DOI: 10.1177/026921639300700409


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